Food malabsorption/intolerance complaints triggered by primary epiploic appendagitis


  • 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:
  • 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



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


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.



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.



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