Osteomalacia is one of the post-gastrectomy complications resulting from the impaired
absorption of vitamin D and calcium.1 Vitamin D deficiency or osteomalacia can be
diagnosed by clinical, biochemical and radiographic parameters, and bone biopsy. The
radiologic findings of “Looser zones” or pseudofractures aid in the diagnosis. Severe
generalized pain, mimicking rheumatologic disorders is one of the features that maybe
a presenting complaint of osteomalacia. We report a case of osteomalacia as a consequence
of gastric by-pass surgery.