Hepatic encephalopathy (HE) is an uncommon complication of total parenteral nutrition (TPN). Cytotoxic edema has not been reported in children with TPN-related HE. We describe a case of TPN-related HE presenting with diffuse cytotoxic edema which reversed after liver transplantation.
Department of Pediatric Radiology, Children's Hospital of Pittsburgh at the University of Pittsburgh Medical Center, Pittsburgh, PA 15224, USA. giulio.zuccoli@gmail.com