Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Table of Contents - Year : 2017 | Month : February | Volume : 11 | Issue : 2 | Page : OD14 - OD15

Dissimilar Pain of Primary Epiploic Appendagitis and Malabsorption OD14-OD15

Wolfgang J Schnedl, Dietmar Enko, Sandra J Wallner-Li ebmann, Sonja Lackner, Harald Mangge

Correspondence
Dr. Wolfgang J Schnedl,
Theodor Koernerstrasse 19b, 8600 Bruck, Styria, Austria.
E-mail: w.schnedl@dr-schnedl.at

Primary Epiploic Appendagitis (PEA) is a rare cause of acute or subacute abdominal complaints and non-migratory pain. Usually the diagnosis of PEA is made when Computed Tomography (CT) reveals characteristic figures. Nonspecific abdominal complaints including diffuse abdominal pain may be caused by carbohydrate and/or protein malabsorption. We report a case of a patient with PEA who recovered without medication or surgical treatment within a few days. Eight months later, he was diagnosed with lactose- and histamine malabsorption and Helicobacter pylori infection. The malabsorption was treated successfully with an individually-tailored diet free of culprit triggers and the Helicobacter pylori infection was eradicated. A localized non-migratory abdominal pain caused by PEA needs to be differentiated from nonspecific abdominal complaints due to malabsorption and Helicobacter pylori infection.