Journal
MEDICAL PRINCIPLES AND PRACTICE
Volume 24, Issue 4, Pages 391-393Publisher
KARGER
DOI: 10.1159/000430445
Keywords
Type B lactic acidosis; Gastric adenocarcinoma; Liver metastases
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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. (C) 2015 S. Karger AG, Basel
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