title: Extreme gastric dilation caused by chronic lead poisoning: a case report.
abstract: Lead is a toxic metal that affects many organ systems and functions in humans. In the majority of adults, chronic lead poisoning comes from exposures to work places and can occur in numerous work settings, such as manufacturing, lead smelting and refinement, or due to use of batteries, pigments, solder, ammunitions, paint, car radiators, cable and wires, certain cosmetics. In some countries, lead is added to petrol. We present a rare case of gastric dilation caused by long-term petrol ingestion. A 16-year-old young man was admitted to our hospital due to a 6-mo history of exhaustion, dizziness, nausea, abdominal cramps and constipation. X-ray examination revealed dilated stomach descending into the pelvis and small bowel distension. After a long clinical observation, we found that the reason for the chronic lead poisoning of the patient was due to a 3-year history of petrol ingestion. The patient spontaneously recovered and stomach returned to its normal position and size. Lead poisoning should be taken into consideration in all unexplained cases of gastric dilation.
authors.affiliation: Clinic of Infectious and Tropical Diseases, Military Medical Academy, Crnotravska 17, Belgrade 11000, Serbia.
authors.forename: Vesna
authors.initials: V
authors.lastname: Begovic
authors.forename: Darko
authors.initials: D
authors.lastname: Nozic
authors.forename: Srdjan
authors.initials: S
authors.lastname: Kupresanin
authors.forename: Dino
authors.initials: D
authors.lastname: Tarabar
mesh_terms: D000293:Adolescent; D001663:Bilirubin / Q000097:blood; D013271:Gastric Dilatation / Q000209:etiology*; D006529:Hepatomegaly / Q000209:etiology; D006801:Humans; D007855:Lead Poisoning / Q000150:complications*; D008297:Male; D012016:Reference Values; D013163:Splenomegaly / Q000209:etiology
chemical_list: D001663:Bilirubin