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World journal of Gastroenterology 2009年第3期15卷 376-377页

作者： Wolfgang j Schnedl Claudia Piswanger-Soelkner sandra j.wallner Robert Krause Rainer W Lipp Practice for General Internal Medicine Hauptstrasse 5A-8940 LiezenAustria Department of Internal Medicine Medical UniversityAuenbruggerplatz 15A-8036 GrazAustria Institute of Pathophysiology Center for Molecular MedicineHeinrichstrasse 31aA-8010 GrazAustria

During the last 100 years in medical literature,there are only 54 reports,including the report of Pasaoglu et al(World j Gastroenterol 2008;14:2915-2916),with clinical descriptions of agenesis of the dorsal pancreas in *** of the dorsal pancreas,a rare congenital pancreatic malformation,is associated with some other medical conditions such as hyperglycemia,abdominal pain,pancreatitis and a few other *** approximately 50% of reported patients with this congenital malformation,hyperglycemia was *** of hyperglycemia and diabetes mellitus in all patients with agenesis of the dorsal pancreas including description of fasting blood glucose,oral glucose tolerance test,glycated hemoglobin and medical treatment would be a future *** autosomal dominant transmission has been suggested in single families,more family studies including imaging technologies with demonstration of the pancreatic duct system are needed for evaluation of this *** this letter to the editor,we aim to increase available information for the better understanding of this rare disease.

关键词： Agenesis of dorsal pancreas Diabetesmellitus Glucose intolerance Abdominal pain Pancreatitis

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Co-occurrence of carbohydrate malabsorption and primary epiploic appendagitis

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World journal of Gastroenterology 2015年第35期21卷 10242-10245页

作者： Wolfgang j Schnedl Peter Kalmar Harald Mangge Robert Krause sandra j.wallner-Liebmann Practice for General Internal Medicine Department of Radiology Medical University of Graz Clinical Institute for Medical and Chemical Laboratory Diagnosis MUG Coordinator BioTechMed GrazMedical University of Graz Department of Internal Medicine Medical University of Graz Institute of Pathophysiology Centre for Molecular MedicineMedical University of Graz

Unspecific abdominal complaints including bloating and irregular bowel movements may be caused by carbohydrate malabsorption syndromes, e.g., lactose and fructose malabsorption. These symptoms were investigated with hydrogen(H2) breath tests and correlated to carbohydrate malabsorption. During performing these H2-breath tests the patient presented with an acute, localized, non-migratory pain in the left lower abdominal quadrant. Primary epiploic appendagitis is a rare cause of abdominal acute or subacute complaints and diagnosis of primary epiploic appendagitis(PEA) is made when computed tomography reveals a characteristic lesion. We report on a patient with cooccurrence of lactose and fructose malabsorption, which was treated successfully with a diet free of culprit carbohydrates, with PEA recovering without medication or surgical treatment within few days. 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.

关键词： Carbohydrate malabsorption Fructose malabsorption

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