Severe Lactic Acidosis in Decompensated Cirrhosis Despite Nondiagnostic Imaging
Nakul Ganju, Chibuzor Victor Nwachukwu, Juan Santiago‐Gonzalez, Shaharyar Naeem, Nicholas Azinge, Adeyinka O Laiyemo · 2026
Read Severe Lactic Acidosis in Decompensated Cirrhosis Despite Nondiagnostic Imaging by Nakul Ganju, Chibuzor Victor Nwachukwu, Juan Santiago‐Gonzalez, Shaharyar Naeem, Nicholas Azinge, Adeyinka O Laiyemo (2026) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-13238863.txt.
Description
Nakul Ganju and five co-authors report a fatal case in which a failing liver hid a starving gut, in this 2026 case report. The patient was a thirty-eight-year-old man with advanced alcohol-related cirrhosis. He developed severe lactic acidosis, a buildup of lactate that strongly predicts death in cirrhosis, yet his circulation looked stable and the first scans of his blood vessels showed nothing.
A repeat CT scan told a different story: the rectal wall had thickened and the surrounding fat was streaked, signs of ischemic injury from too little blood flow. Soon afterward the man's heart lost its rhythm in a pulseless arrest, and he died. The authors draw two lessons. Rising lactate in cirrhosis carries grave weight on its own. And severe lactate buildup should trigger an urgent hunt for hidden under-perfusion, even when early imaging looks clean.
Catalog record
| CREATOR | Nakul Ganju, Chibuzor Victor Nwachukwu, Juan Santiago‐Gonzalez, Shaharyar Naeem, Nicholas Azinge, Adeyinka O Laiyemo |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 12 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |