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Lactic Acidosis and Inferior Epigastric Artery Hemorrhage Complicating Alcohol-Associated Cirrhosis and Pancreatic Diabetes: A Case Report

Year: 2026

Type: article

Abstract: A woman in her 50s with alcohol-associated cirrhosis and pancreatic diabetes presented with disorientation, hypotension, coagulopathy, a plasma glucose level of 1,626 mg/dL, and severe lactic acidosis (lactate ＞30 mmol/L) after alcohol consumption and self-discontinuation of insulin. High-volume fluid resuscitation, vasopressors, continuous insulin infusion, and blood transfusion improved the metabolic derangements; however, she subsequently developed an inferior epigastric artery hemorrhage (IEAH), which required emergency transcatheter arterial embolization. IEAH can be fatal in critically ill patients with coagulopathy, necessitating prompt imaging and immediate life-saving treatment. Multidisciplinary comprehensive care is indispensable to ensure strict alcohol abstinence and thus prevent a relapse.

Source: Internal Medicine

DOI: 10.2169/internalmedicine.8161-26

Authors: Kazuhiro Kawahara, Nozomi Harai, Atsushi Sato, Yuya Suzuki, Takayasu Uchida, Kimio Matsumura, Kaoru Nagasawa, Shunya Goto, Shigeki Yamamoto, Tomoya Tanishima, Reiko Yasui, Norio Akuta, Yasumichi Mori

Institutions: Toranomon Hospital, University of Toyama

Language: English

Topic: Abdominal vascular conditions and treatments

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7213907344

FWCI:

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