A rare case of refeeding syndrome after right hemicolectomy

Abstract

Case presentation A 53-year-old previously healthy male presented with episodes of abdominal colics, bilious vomiting and progressive anorexia of six months duration. He had been on a low-calorie liquid diet due to his symptoms over the previous two months duration and lost 20 kg in weight during this period. Past surgical history was unremarkable. He was wasted with a body mass index (BMI) of 15.1 kg/m2. The mid-arm circumference was 16.5 cm. The abdomen was scaphoid but otherwise normal except for visible peristalsis. Other systems were normal. Key biochemical parameters from admission to discharge are shown in figure 1.