EJMCR. 2019; 3(2): 78-82

Refeeding syndrome after small bowel obstruction - a case report

Authors: Ashley Reed.

ABSTRACT

Background: Refeeding Syndrome (RS) is an under-recognised pathophysiological process that can result in arrhythmias, coma and death if not identified and managed appropriately. Case Presentation This case report discusses RS in a 77 year-old female who presented with six days of total anorexia secondary to abdominal pain and vomiting. The patient was identified to have an ischaemic closed loop obstruction of the small bowel in the right femoral hernia with associated proximal small bowel obstruction. Following a small bowel resection, nutrition was reintroduced where on day three the patient developed hypophosphatemia, the hallmark of RS. Conclusion This case highlights the importance of considering RS in patients with a seemingly short duration of starvation due to acute intercurrent illness such as in this case a small bowel obstruction.

Keywords:
Refeeding syndrome, hypophosphatemia, starvation, acute illness, small bowel obstruction, emergency medicine, intensive care


View PDF
Refeeding syndrome after small bowel obstruction - a case report


Authors
Ashley Reed
Emergency Depatment, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff on Sea, Essex, SS0 0RY, United Kingdom
PubMed articlesGoogle scholar articles


Correspondence to:
. Ashley Reed, Emergency Department, Southend University Hospital NHS Foundation Trust, Prittlewell Chase, Westcliff-on-Sea, Essex, SS0 0RY, United Kingdom; ashleyreed27@hotmail.com

Publication history
Published online 01 Jan 1970
Received 16 Jan 2019
Revised 17 Feb 2019
Accepted 03 Mar 2019
Published in print 29 May 2019

How to cite this article?

Export to EndNote Export to refMan

Pubmed Style

Ashley Reed. Refeeding syndrome after small bowel obstruction - a case report. EJMCR. 2019; 3(2): 78-82. doi:10.24911/ejmcr/173-1547660710


Web Style

Ashley Reed. Refeeding syndrome after small bowel obstruction - a case report. http://www.ejmcr.com/?mno=26576 [Access: June 24, 2019]. doi:10.24911/ejmcr/173-1547660710


AMA (American Medical Association) Style

Ashley Reed. Refeeding syndrome after small bowel obstruction - a case report. EJMCR. 2019; 3(2): 78-82. doi:10.24911/ejmcr/173-1547660710


Vancouver/ICMJE Style

Ashley Reed. Refeeding syndrome after small bowel obstruction - a case report. EJMCR. (2019), [cited June 24, 2019]; 3(2): 78-82. doi:10.24911/ejmcr/173-1547660710


Harvard Style

Ashley Reed (2019) Refeeding syndrome after small bowel obstruction - a case report. EJMCR, 3 (2), 78-82. doi:10.24911/ejmcr/173-1547660710


Turabian Style

Ashley Reed. 2019. Refeeding syndrome after small bowel obstruction - a case report. European Journal of Medical Case Reports, 3 (2), 78-82. doi:10.24911/ejmcr/173-1547660710


Chicago Style

Ashley Reed. "Refeeding syndrome after small bowel obstruction - a case report." European Journal of Medical Case Reports 3 (2019), 78-82. doi:10.24911/ejmcr/173-1547660710


MLA (The Modern Language Association) Style

Ashley Reed. "Refeeding syndrome after small bowel obstruction - a case report." European Journal of Medical Case Reports 3.2 (2019), 78-82. Print. doi:10.24911/ejmcr/173-1547660710


APA (American Psychological Association) Style

Ashley Reed (2019) Refeeding syndrome after small bowel obstruction - a case report. European Journal of Medical Case Reports, 3 (2), 78-82. doi:10.24911/ejmcr/173-1547660710


Share this article

Click the icon of the social media platform on which you would like to share this article.

Article Statistics

Viewed: 983
Downloaded: 62
Cited: 0

Request permissions

If you wish to reuse any part or all of this article please contact the copyright holder, contact@ejmcr.com.

Copyright © 2018 Discover Publishing Group. All Rights Reserved.