Abstract:
:Unspecific abdominal complaints including bloating and irregular bowel movements may be caused by carbohydrate malabsorption syndromes, e.g., lactose and fructose malabsorption. These symptoms were investigated with hydrogen (H2) breath tests and correlated to carbohydrate malabsorption. During performing these H2-breath tests the patient presented with an acute, localized, non-migratory pain in the left lower abdominal quadrant. Primary epiploic appendagitis is a rare cause of abdominal acute or subacute complaints and diagnosis of primary epiploic appendagitis (PEA) is made when computed tomography reveals a characteristic lesion. We report on a patient with co-occurrence of lactose and fructose malabsorption, which was treated successfully with a diet free of culprit carbohydrates, with PEA recovering without medication or surgical treatment within few days. Since the abdominal unspecific symptoms had been present for months, they appeared not to be correlated to the acute localized abdominal pain, therefore we speculate on a random co-occurrence of combined carbohydrate malabsorption and PEA.
journal_name
World J Gastroenteroljournal_title
World journal of gastroenterologyauthors
Schnedl WJ,Kalmar P,Mangge H,Krause R,Wallner-Liebmann SJdoi
10.3748/wjg.v21.i35.10242subject
Has Abstractpub_date
2015-09-21 00:00:00pages
10242-5issue
35eissn
1007-9327issn
2219-2840journal_volume
21pub_type
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