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Vol. 6, No. 2, 2012
Issue release date: May – August
Section title: Published: May 2012

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Case Rep Gastroenterol 2012;6:243–248
(DOI:10.1159/000338843)

Pain from a Bullet Lingers on: An Uncommon Case of Lead Toxicity

Abraham A.a · Singh J.b · Mustacchia P.b · Rizvon K.b
Departments of aInternal Medicine and bGastroenterology, Nassau University Medical Center, East Meadow, N.Y., USA

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Abstract

Lead toxicity from a retained bullet as a cause for abdominal pain is rarely considered. Given its unpredictable latent period and nonspecific clinical symptoms, such cases are difficult to diagnose but may be fatal if unrecognized. We present the case of a 48-year-old man who presented with complaints of abdominal pain, weight loss and constipation. His past history was significant for a gunshot wound to the left hip about 20 years before. Radiographic studies confirmed the same with the presence of numerous intra-articular bullet fragments and a calcified hemarthrosis surrounding the left femoral head. Blood lead levels were elevated following which the patient was started on chelation therapy with succimer which resulted in symptomatic improvement. The aim of this paper is to highlight the importance of considering lead toxicity from a retained bullet as a cause of abdominal pain and to review the relevant literature.

© 2012 S. Karger AG, Basel


  

Author Contacts

Albin Abraham
Department of Internal Medicine, Nassau University Medical Center
2201 Hempstead Turnpike, East Meadow, NY 11554 (USA)
Tel. +1 505 688 5451, E-Mail aabraha1@numc.edu

  

Article Information

Published online: May 8, 2012
Number of Print Pages : 6
Number of Figures : 3,

  

Publication Details

Case Reports in Gastroenterology

Vol. 6, No. 2, Year 2012 (Cover Date: May - August)

Journal Editor: Urrutia R. (Rochester, Minn.), Lomberk G. (Rochester, Minn.)
ISSN: 1662-0631 (Print), eISSN: 1662-0631 (Online)

For additional information: http://www.karger.com/CRG


Article / Publication Details

First-Page Preview
Abstract of Published: May 2012

Published online: 5/8/2012
Issue release date: May – August

Number of Print Pages: 6
Number of Figures: 3
Number of Tables: 0

ISSN: (Print)
eISSN: 1662-0631 (Online)

For additional information: http://www.karger.com/CRG


Open Access License / Drug Dosage

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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