Type B Lactic Acidosis in a Patient with Gastric Adenocarcinoma and Extensive Hepatic Metastases
| Autor: | Clifford D. Packer, Jeffrey D Krimmel |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Type B lactic acidosis
Male medicine.medical_specialty Case Report Adenocarcinoma Gastroenterology Gastric adenocarcinoma Liver metastases Stomach Neoplasms Internal medicine Medicine Humans Acidosis Aged 80 and over business.industry Liver Neoplasms Elevated Lactate Cancer General Medicine medicine.disease Diagnosis of exclusion Lactic acidosis Etiology Acidosis Lactic Upper gastrointestinal bleeding medicine.symptom business |
| Zdroj: | Medical Principles and Practice |
| ISSN: | 1423-0151 1011-7571 |
| Popis: | Objective: We report the second case of gastric adenocarcinoma associated with type B lactic acidosis. Clinical Presentation and Intervention: An 81-year-old man presenting with upper gastrointestinal bleeding was found to have an advanced gastric adenocarcinoma. He had persistently elevated serum lactate attributed to malignancy-associated type B lactic acidosis as a diagnosis of exclusion. As he remained clinically stable with a near-normal pH, his elevated lactate was not specifically treated. Conclusion: This patient had an unusual type B lactic acidosis associated with gastric cancer. In the absence of signs and symptoms of other etiologies of lactic acidosis, physicians should consider malignancy-associated type B lactic acidosis. |
| Databáze: | OpenAIRE |
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