A 44-year-old man with a history of ulcerative colitis presents with bloody diarrhea. The patient has had a long history of poorly controlled ulcerative colitis despite being on optimal medical management. The patient subsequently is surgically managed with a proctocolectomy with permanent ileostomy. However, complications in his procedure call for a long hospital stay. After a few months, the patient is found to have ascites, pitting edema, and a fatty liver.
What is the most likely diagnosis?
A) Hypovitaminosis B1
B) Kwashiorkor
C) Total parenteral nutrition-induced steatosis
D) Marasmus
E) Primary sclerosing cholangitis
