Primary malnutrition is more common among infants than secondary one (significant to the disease process). The differential diagnosis of secondary malnutrition in gastroschisis includes enteropathy, liver disease, and pancreatic insufficiency. This article discusses a case of a baby who had a surgical gastroschisis repair and developed severe malabsorption due to numerous causes. Patient profile A 3-year-old girl presented to the department of pediatric gastroenterology with a 6-months history of increasing edema, raised appetite, and significant lethargy.

History She had previously undergone gastroschisis repair, two atresia’s repair (jejunal and colonic). One year before, she had intermittent abdominal distension followed by pain and frequent loose stools. She had frequent vomiting for the first two years of her life. Infrequent but extremely large vomits over the last few months,…