ISSN:
Volume 1, Number 1 (2023)
Year Launched: 2023
Previous Issues

Severe Abdominal Pain presented by Lead Poisoning and diagnosed by x-rays : A Case Report

Volume 1, Issue 1, January 2023     |     PP. 1-7      |     PDF (165 K)    |     Pub. Date: November 22, 2023
DOI: 10.54647/ajss1031001    41 Downloads     35439 Views  

Author(s)

Ahmad Reza Shahraki, General surgeon, Assistant professor, Department of surgery, Zahedan medical faculty, Zahedan medical university ,Zahedan, Iran
Ahmad Reza Shahraki, General surgeon, Assistant professor, Department of surgery, Zahedan medical faculty, Zahedan University of Medical Sciences and Health Services,Zahedan, Iran.
Reza Abaee, MD, General Physician, Medical Faculty , Tehran, Iran.
Elham Shahraki, Associated professor of nephrology, Department of Internal medicine, Nephrologist, Ali Ibne Abitaleb Hospital, Zahedan University of medical Sciences, Zahedan , I.R. Iran.

Abstract
Lead poisoning is a rare but serious disease. The clinical manifestations of lead poisoning are various and nonspecific such as abdominal pain, headache, dizziness, nightmare, fatigue and so on. Rapid diagnosis of lead poisoning is challenging because it does not have special symptoms and the morbidity is very low. Our case was a 25 young man with generalized tenderness of abdomen and anemia in lab data's. We found his problem with x-rays graphs.
Lead poisoning is a rare disease and easy to be misdiagnosed as acute abdomen disease when present with abdominal pain. Lead poisoning should be considered when common causes of abdominal pain are excluded, especially patients with anemia and abnormal liver function. The diagnosis of lead poisoning is mainly replied on the blood or urine lead concentrations. Then we should firstly cut off the contact with lead and use metal complexion agent to facilitate lead excretion. Lead poisoning is not an enough known pathology by practitioners. It can affect the mental future of our children and lead to neurological or kidney damages.

Keywords
Lead, Poisoning, Abdominal pain, Gastrointestinal symptoms, Opium

Cite this paper
Ahmad Reza Shahraki, Ahmad Reza Shahraki, Reza Abaee, Elham Shahraki, Severe Abdominal Pain presented by Lead Poisoning and diagnosed by x-rays : A Case Report , American Journal of Surgical Sciences. Volume 1, Issue 1, January 2023 | PP. 1-7. 10.54647/ajss1031001

References

[ 1 ] Dignam T, Kaufmann RB, LeStourgeon L, Brown MJ: Control of Lead Sources in the United States, 1970-2017: Public Health Progress and Current Challenges to Eliminating Lead Exposure. J Public Health Manag Pract 2019, 25 Suppl 1, Lead Poisoning Prevention:S13-S22.
[ 2 ] Huang R, Ning H, Baum CR, Chen L, Hsiao A: "What do you know?"--knowledge among village doctors of lead poisoning in children in rural China. BMC Public Health 2017, 17(1):895
[ 3 ] Miracle VA: Lead Poisoning in Children and Adults. Dimens Crit Care Nurs 2017, 36(1):71-73
[ 4 ] Mehta V, Midha V, Mahajan R, Narang V, Wander P, Sood R, Sood A: Lead intoxication due to ayurvedic medications as a cause of abdominal pain in adults. Clin Toxicol (Phila) 2017, 55(2):97- 101.
[ 5 ] Christiansen D, Christiansen AL, Ebbehoj NE: [Acute abdominal pain caused by lead poisoning]. Ugeskr Laeger 2019, 181(11).
[ 6 ] Abbas Aghabiklooei, 1 Hanieh Saboori, 1 Maryam Ameri 1. Lead poisoning with presentation of acute abdomen and narcotic bowel syndrome in opium user woman. Ameri et al. / Gulhane Med J 2018;60: 116-118.
[ 7 ] Mahtab Shabani,  Seyed Kaveh Hadeiy,  Parinaz Parhizgar,  Nasim Zamani,  Hamid Mehrad,  Hossein Hassanian-Moghaddam &  Scott Phillips. Lead poisoning; a neglected potential diagnosis in abdominal pain. Shabani et al. BMC Gastroenterology (2020) 20:134 https://doi.org/10.1186/s12876-020-01284-1.
[ 8 ] Zineb Jouhadi1,&, Dalal Bensabbahia1 , Fouad Chafiq2 , Bouchra Oukkache3 , Nisrine Bennani Guebessi4 , El Abidi Abdellah5 , Jilali Najib1. Lead poisoning in children: a case report. Pan African Medical Journal. 2016; 24:316 doi:10.11604/pamj.2016.24.316.10352.
[ 9 ] Flora G, Gupta D, Tiwari A. Toxicity of lead: A review with recent updates. Interdiscip Toxicol. 2012;5:47–58. doi: 10.2478/v10102-012-0009-2.
[ 10 ] Khazdair MR, Boskabady MH, Afshari R, Dadpour B, Behforouz A, Javidi M. et al. Respiratory symptoms and pulmonary func¬tion testes in lead exposed workers. Iran Red Crescent Med J. 2012;14:737–42. doi: 10.5812/ircmj.4134.
[ 11 ] Mudipalli A. Lead hepatotoxicity & potential health effects. In-dian J Med Res. 2007;126:518–27.
[ 12 ] Wei Ge,et al. Severe Abdominal Pain as a Presentation of Lead Poisoning: a Case Report. DOI: https://doi.org/10.21203/rs.3.rs-412000/v1.