Case Report
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Apr 28, 2008; 14(16): 2599-2601
Published online Apr 28, 2008. doi: 10.3748/wjg.14.2599
Extreme gastric dilation caused by chronic lead poisoning: A case report
Vesna Begovic, Darko Nozic, Srdjan Kupresanin, Dino Tarabar
Vesna Begovic, Darko Nozic, Clinic of Infectious and Tropical Diseases, Military Medical Academy, Crnotravska 17, Belgrade 11000, Serbia
Srdjan Kupresanin, Institute of Radiology, Military Medical Academy, Crnotravska 17, Belgrade 11000, Serbia
Dino Tarabar, Clinic of Gastroenterology, Military Medical Academy, Crnotravska 17, Belgrade 11000, Serbia
Author contributions: Begovic V and Nozic D contributed equally to this work and wrote the paper; Kuprtesanin S performed the radiological examination; Tarabar D performed the endoscopic examination and explained the data.
Correspondence to: Professor Darko Nozic, Clinic of Infectious and Tropical Diseases, Military Medical Academy, Crnotravska 17, Belgrade 11000, Serbia. darkonozic@yahoo.com
Telephone: +381-11-3609112
Fax: +381-11-2666164
Received: December 24, 2007
Revised: March 6, 2008
Published online: April 28, 2008
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.

Keywords: Lead; Petrol; Stomach; Poisoning; Gastric dilation