A Rare Presentation of AKI Due to Retroperitoneal Fibross as A Result of Gastric Linitis Plastica: A Case-Based Review

Abstract

Short bowel syndrome (SBS) refers to a condition resulting from loss of bowel or loss of small bowel absorptive surface area due to surgical resection or bypass leading to maldigestion, malabsorption and malnutrition. Management of SBS or intestinal failure usually requires home parenteral nutrition (HPN), however HPN carries an increased risk of complications and parentral nutrition associated liver disease. We describe here the nutritional management leading to improvement in a case of Parenteral Nutrition induced liver disease post small bowel resection. The patient developed liver dysfunction as a result of nutritional management through parentral route. Liver function improved after discontinuation of TPN, and patient improved by optimization of enteral nutrition and medical management.