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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Sep 21, 2015; 21(35): 10242-10245
Published online Sep 21, 2015. doi: 10.3748/wjg.v21.i35.10242
Published online Sep 21, 2015. doi: 10.3748/wjg.v21.i35.10242
Co-occurrence of carbohydrate malabsorption and primary epiploic appendagitis
Wolfgang J Schnedl, Practice for General Internal Medicine, A-8600 Bruck, Austria
Peter Kalmar, Department of Radiology, Medical University of Graz, Auenbruggerplatz 9, A-8036 Graz, Austria
Harald Mangge, Clinical Institute for Medical and Chemical Laboratory Diagnosis, MUG Coordinator BioTechMed Graz, Medical University of Graz, A-8036 Graz, Austria
Robert Krause, Department of Internal Medicine, Medical University of Graz, A-8036 Graz, Austria
Sandra J Wallner-Liebmann, Institute of Pathophysiology, Centre for Molecular Medicine, Medical University of Graz, A-8010 Graz, Austria
Author contributions: Schnedl WJ and Kalmar P designed the research; Schnedl WJ, Kalmar P, Krause R and Mangge H performed the research; Schnedl WJ, Kalmar P, Krause R, Mangge H and Wallner-Liebmann SJ assisted with the manuscript revision and approved the final version; Schnedl WJ and Kalmar P wrote the paper.
Institutional review board statement: This case report is performed in accordance with the Declaration of Helsinki and the recommendations of the local Ethics Committee.
Informed consent statement: The study participant provided informed written consent.
Conflict-of-interest statement: The authors declare no competing interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Harald Mangge, Professor, Clinical Institute for Medical and Chemical Laboratory Diagnosis, MUG Coordinator BioTechMed Graz, Medical University of Graz, Auenbruggerplatz 15, A-8036 Graz, Austria. harald.mangge@klinikum-graz.at
Telephone: +43-316-38583340
Received: January 13, 2014
Peer-review started: January 15, 2014
First decision: January 22, 2015
Revised: February 5, 2015
Accepted: April 3, 2015
Article in press: April 3, 2015
Published online: September 21, 2015
Peer-review started: January 15, 2014
First decision: January 22, 2015
Revised: February 5, 2015
Accepted: April 3, 2015
Article in press: April 3, 2015
Published online: September 21, 2015
Core Tip
Core tip: The symptoms of unspecific abdominal complaints were investigated with hydrogen breath tests and correlated to lactose and fructose malabsorption. During performing these H2-breath tests the patient presented with an acute abdominal pain. Primary epiploic appendagitis (PEA) is a rare cause of abdominal acute complaints and diagnosis of PEA is made when computed tomography reveals a characteristic lesion. 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.