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 infection. The malabsorption was treated successfully with an individually-tailored diet free of culprit triggers and the infection was eradicated. A localized non-migratory abdominal pain caused by PEA needs to be differentiated from nonspecific abdominal complaints due to malabsorption and infection.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5376872 | PMC |
| http://dx.doi.org/10.7860/JCDR/2017/23434.9439 | DOI Listing |
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