Jouhadi Zineb, Bensabbahia Dalal, Chafiq Fouad, Oukkache Bouchra, Guebessi Nisrine Bennani, Abdellah El Abidi, Najib Jilali
Pediatric Infectious Diseases Children's Hospital, Casablanca, Morocco.
Poison Control Center and Pharmaco-vigilance, Rabat, Morocco.
Pan Afr Med J. 2016 Aug 18;24:316. doi: 10.11604/pamj.2016.24.316.10352. eCollection 2016.
Lead colic is a rare cause of abdominal pain. The diagnosis of lead poisoning is most often mentioned in at risk populations (children, psychotic). We report the case of a 2 year old child that was presented for acute abdomen. Abdominal plain radiograph showed multiple intra-colonic metallic particles and suggested lead poisoning diagnosis. Anamnesis found a notion of pica and consumption of peeling paint. Elevated blood lead levels (BLL) confirmed the diagnosis. The lead poisoning is a public health problem especially in children, but its manifestation by a lead colic is rare and could simulate an acute abdomen table.
铅绞痛是腹痛的罕见原因。铅中毒的诊断最常出现在高危人群（儿童、精神病患者）中。我们报告一例2岁儿童因急腹症就诊的病例。腹部平片显示结肠内有多个金属颗粒，提示铅中毒诊断。病史发现有异食癖和食用剥落油漆的情况。血铅水平升高（BLL）证实了诊断。铅中毒是一个公共卫生问题，尤其是在儿童中，但以铅绞痛表现出来的情况很少见，且可能模拟急腹症。
