Persistent Diarrhea: What Else Could It Be?



Question: A 54-year-old woman underwent an elective laparoscopic cholecystectomy for choledocholithiasis that was complicated by a duodenal perforation requiring repair with an omental patch. In the 3 months after her surgery, she was readmitted to the hospital on multiple occasions due to persistent diarrhea associated with 10 kg of weight loss. She had a history of well-controlled multiple sclerosis on teriflunomide for 7 years, atrial fibrillation on apixaban, and previous sleeve gastrectomy.

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