title: Primary epiploic appendagitis and fructose malabsorption.
abstract: Primary epiploic appendagitis (PEA) is a rare cause of abdominal acute or subacute complaints. Diagnosis of PEA is made when computed tomography (CT) reveals a characteristic lesion. We report on contrast-enhanced CT images of a patient with PEA and regression of inflammation and the reduction in size of the inflamed appendage over the time period of 4 months. Patients with PEA usually recover without medication or surgical treatment within a few weeks. However, due to continuing bloating and irregular bowel movements we investigated carbohydrate malabsorption and diagnosed a fructose malabsorption. Bloating and irregular bowel movements in this patient with PEA were correlated to carbohydrate malabsorption and were treated successfully with a diet free of culprit carbohydrates.
authors.affiliation: Practice for General Internal Medicine, Dr Theodor Körnerstrasse 19b, Bruck, Austria.
authors.forename: W J
authors.initials: WJ
authors.lastname: Schnedl
authors.affiliation: Department of Radiology, Medical University of Graz, Graz, Austria.
authors.forename: R W
authors.initials: RW
authors.lastname: Lipp
authors.affiliation: Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, Graz, Austria.
authors.forename: S J
authors.initials: SJ
authors.lastname: Wallner-Liebmann
authors.affiliation: Department of Radiology, Medical University of Graz, Graz, Austria.
authors.forename: P
authors.initials: P
authors.lastname: Kalmar
authors.affiliation: Diagnostikum Sued-West, Weblinger Guertel 25, Graz, Austria.
authors.forename: D H
authors.initials: DH
authors.lastname: Szolar
authors.affiliation: Clinical Institute of Medical and Chemical Laboratory Diagnosis, Medical University of Graz, Graz, Austria.
authors.forename: H
authors.initials: H
authors.lastname: Mangge
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000328:Adult; D005632:Fructose / Q000009:adverse effects*; D006801:Humans; D008286:Malabsorption Syndromes / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D008297:Male; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000473:pathology* / Q000628:therapy; D014057:Tomography, X-Ray Computed
chemical_list: D005632:Fructose