A young female with a 2 year history of abdominal pain who presented 4 months after a laparoscopic cholecystectomy with ongoing abdominal pain, amenorrhea, significant variations in her weight. She appeared bow legged and kyphotic on exam. She had severe metabolic derangements including an incredibly low calcium and vitamin D. Imaging demonstrated sacral fractures. Further history elicited that the patient had a very limited dietary intake.
*Osteomalacia is a disorder of decreased mineralization of newly formed osteoid at sites of bone turnover
-Mineralization abnormalities occur as a consequence of inadequate calcium, phosphate – or in the presence of abnormal bone matrix or direct inhibition of the mineralization process