title: [Chronic poisoning by metallic lead from locations of gunshot wound].
abstract: A patient injured by shooting to head and shoulder with lead pellets was treated. Fragments of lead pellets were lodged in areas of cheek, forehead and neck. After three months symptoms of lead intoxication occurred, however there was no accumulation of lead in hair. During surgical treatment, it was determined by methods of computed tomography and Zeeman atomic absorption spectrometry that particles of metallic lead dissolved mostly in highly vascularized areas of tissues. The main intoxication occurred from the area of venter frontalis where lead particles were mostly deformed. Intoxication did not disappear as long as all fragments of lead pellets were removed surgically. Resorbed lead was partially accumulated in the bone, because amount of lead eliminated with urine was less than that resorbed into the blood.
authors.affiliation: Institute for Biomedical Research, Kaunas University of Medicine, Eiveniu 4, 50009 Kaunas, Lithuania.
authors.forename: Stanislovas
authors.initials: S
authors.lastname: Ryselis
authors.forename: Olegas
authors.initials: O
authors.lastname: Abdrachmanovas
authors.forename: Rima
authors.initials: R
authors.lastname: Naginiene
authors.forename: Tarvilas
authors.initials: T
authors.lastname: Norkus
mesh_terms: D002908:Chronic Disease; D006801:Humans; D007854:Lead / Q000097:blood / Q000652:urine; D007855:Lead Poisoning / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D008297:Male; D013054:Spectrophotometry, Atomic; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014948:Wounds, Gunshot / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
chemical_list: D007854:Lead