Tanwar Paran, Goyal Pradeep, Trivedi Sourabh, Kolli Jahnavi
Department of Surgery, Maharishi Markandeshwar Medical College & Hospital, Solan, Himachal Pradesh, India.
J Surg Case Rep. 2022 Jun 22;2022(6):rjac281. doi: 10.1093/jscr/rjac281. eCollection 2022 Jun.
Lead exposure in India is common in industries that may present with nonspecific signs and symptoms or symptoms of toxicity, depending on the amount of lead absorbed. We are presenting two case reports of occupational lead exposure in a lead-based battery manufacturing unit, which were presented as intestinal obstruction. Both the patients aged 28 and 24-year old presented with complaints of pain in the abdomen with blood lead levels of 61.1 and 85 μg/dl, respectively. The diagnosis was made clinically before any other radiological investigation or intervention. Both the patients were treated conservatively with D-Penicillamine, following which, both the patients improved symptomatically and the blood lead level also decreased. The importance of a detailed history of occupation & clinically diagnosing such patient will avoid unnecessary investigation and intervention. This will help to reach the correct diagnosis in such cases.
在印度，铅暴露在一些行业中很常见，这些行业可能会出现非特异性体征和症状或中毒症状，具体取决于铅的吸收量。我们现报告两例在铅酸电池制造单位发生职业性铅暴露的病例，最初表现为肠梗阻。两名患者年龄分别为28岁和24岁，均主诉腹部疼痛，血铅水平分别为61.1和85μg/dl。在进行任何其他放射学检查或干预之前，已通过临床诊断确诊。两名患者均接受了青霉胺保守治疗，治疗后，两名患者的症状均有所改善，血铅水平也有所下降。详细的职业史和对此类患者进行临床诊断的重要性将避免不必要的检查和干预。这将有助于在此类病例中做出正确诊断。
