A 23-year-old male was involved in a major motor vehicle accident one year ago, and had to undergo extensive bowel resection. He has been left with just 50 cm of the small bowel. He remains on TPN for nutritional support. Routine lab testing reveals bilirubin 3.5 mg/dL, AST 120 IU/L, ALT 14 IU/L, alkaline phosphatase 485 IU/L, and INR 1.2.
Viral hepatitis serologies are negative. Ultrasound abdomen reveals sludge in the gallbladder, with normal common bile duct. *This case is from the Editorial team of Docplexus and is meant for educative purposes only. Source: Practical Gastroenterology and Hepatology
