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

Open Access Gateway

Case Rep Gastroenterol 2012;6:243–248

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
email Corresponding Author

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

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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

Article / Publication Details

First-Page Preview
Abstract of Published: May 2012

Published online: May 08, 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)

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Open Access License / Drug Dosage / Disclaimer

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.
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