Richa Sharma, Pankaj Verma , Manish Gupta , Dinesh Gupta and Vijay Sharma
A sixteen-year-old girl reported to department of Gastroenterology, Manipal Hospital, Jaipur with history of chronic diarrhoea, this diarrhoea was there for 3 months, with watery stool, diarrhoea having no relation to food intake, times of the day, not relieving with any medicine tried, patient seen my many gastroenterologists earlier normal duodenoscopy and full colonoscopy, no ileoscopy done. There was a history of laparoscopic cholecystectomy a few months back for symptomatic gall stones, she could clearly describe that after cholecystectomy one week was uneventful, then she developed diarrhoea, they met the surgeon, as many people develop bile acid induced diarrhoea after cholecystectomy same diagnosis was kept, she was given few days cholestyramine, antimotility drugs and metronidazole but with no benefit.