Schnedl, Wolfgang J.Reittner, PiaEnko, DietmarMangge, Harald2020-05-252020-05-252019-08-291611-2156http://hdl.handle.net/2003/3914010.17877/DE290R-21058Primary epiploic appendagitis (PEA) is an uncommon and self-limiting cause of acute or subacute abdominal complaints. The diagnosis of PEA, with its characteristic appearance, is made with computed tomography (CT). This report describes a patient seven months after a CT-confirmed diagnosis of PEA. Because of persistent and recurring, functional, non-specific abdominal complaints, food intolerance/malabsorption was investigated. Fructose malabsorption combined with histamine intolerance was found. A registered dietician helped develop an individually-tailored diet to address the problem. Within four days of beginning the fructose-free and histamine-reduced diet, the patient’s complaints resolved. In conclusion, abdominal symptoms caused by fructose malabsorption and histamine intolerance may have been triggered by PAE in this patient.enEXCLI Journal;Vol. 18. 2019, p.746-749http://creativecommons.org/licenses/by/4.0/Primary epiploic appendagitisComputed tomographyFructose malabsorptionHistamine intolerance610article (journal)