Food malabsorption/intolerance complaints triggered by primary epiploic appendagitis

Authors

  • Wolfgang J. Schnedl Professor of Internal Medicine, Practice for General Internal Medicine, Dr.-Theodor-Körner-Strasse 19b, A-8600 Bruck/Mur, Austria, Phone: +43-3862-55833, Fax: +43-3862-55833-22, E-mail: w.schnedl@dr-schnedl.at http://orcid.org/0000-0002-5212-5230
  • Pia Reittner Diagnostikum Sued-West, Weblinger Guertel 25, A-8054 Graz, Austria
  • Dietmar Enko Institute of Laboratory Medicine, General Hospital Steyr, Sierninger Straße 170, A-4400 Steyr, Austria
  • Harald Mangge Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Auenbruggerplatz 30, A-8036 Graz, Austria

DOI:

https://doi.org/10.17179/excli2019-1667

Keywords:

primary epiploic appendagitis, computed tomography, fructose malabsorption, histamine intolerance

Abstract

Primary epiploic appendagitis (PEA) is an uncommon and self-limiting cause of acute or subacute abdominal complaints. The diagnosis of PEA, with its characteristic appearance, is made with computed tomography (CT). This report describes a patient seven months after a CT-confirmed diagnosis of PEA. Because of persistent and recurring, functional, non-specific abdominal complaints, food intolerance/malabsorption was investigated. Fructose malabsorption combined with histamine intolerance was found. A registered dietician helped develop an individually-tailored diet to address the problem. Within four days of beginning the fructose-free and histamine-reduced diet, the patient’s complaints resolved. In conclusion, abdominal symptoms caused by fructose malabsorption and histamine intolerance may have been triggered by PAE in this patient.

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Published

2019-08-29

How to Cite

Schnedl, W. J., Reittner, P., Enko, D., & Mangge, H. (2019). Food malabsorption/intolerance complaints triggered by primary epiploic appendagitis. EXCLI Journal, 18, 746–749. https://doi.org/10.17179/excli2019-1667

Issue

Vol. 18 (2019)

Section

Case reports

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