PT  - JOURNAL ARTICLE
AU  - Sorin Stanciu
AU  - Aminda De Silva
TI  - Metabolic acidosis in short bowel syndrome: think D-lactic acid acidosis
AID  - 10.1136/bcr-2018-224221
DP  - 2018 May 16
TA  - BMJ Case Reports
PG  - bcr-2018-224221
VI  - 2018
4099  - http://casereports.bmj.com/content/2018/bcr-2018-224221.short
4100  - http://casereports.bmj.com/content/2018/bcr-2018-224221.full
AB  - Short bowel syndrome (SBS) is a condition when a person’s gastrointestinal function is insufficient to supply the body with essential nutrients and hydration. Patients with SBS suffer from diarrhoea and symptoms of malabsorption such as weight loss, electrolyte disturbances and vitamin deficiencies. Long-term management of this condition can be complicated by the underlying disease, the abnormal bowel function and issues related to treatment like administration of parenteral nutrition and the use of a central venous catheter. Here, we describe a case of D-lactic acid acidosis, a rarer complication of SBS, presenting with generalised weakness and severe metabolic acidosis.