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Case Reports
. 2020 Nov 20;31(4):347-353.
eCollection 2020 Nov.

Broadening the List of Differential Diagnosis for Acute Abdomen - a Case Report from Nepal

Vivek Pant  1 , Keyoor Gautam  2 , Devish Pyakurel  2 , Aabha Shrestha  2 , Santosh Pradhan  1 , Neeraj Joshi  3
Affiliations
Case Reports

Broadening the List of Differential Diagnosis for Acute Abdomen - a Case Report from Nepal

Vivek Pant et al. EJIFCC. .

Abstract

When a patient has an acute abdominal pain, it is important to identify if the underlying cause is life threatening. To that end, a thorough medical history and relevant investigation will be pivotal. Here we report a case of lead toxicity where the patient presented with an acute abdomen following intake of Ayurvedic medicines. The baseline blood lead level was 82.3 μg/dl. The Ayurvedic medicines when analyzed for its lead content, revealed high lead concentration. We observed that the cessation of Ayurvedic medication along with D-penicillamine therapy was beneficial in reducing the blood lead level and in alleviating abdominal pain. Our findings implicate the need of awareness program regarding the potential health hazards associated with the use Ayurvedic medicines.

Keywords: acute abdomen; ayurvedic medicine; blood lead level; lead toxicity.

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Figures

Figure 1
Figure 1
Patient blood lead level (BLL) versus hemoglobin (Hb) trended over time
See this image and copyright information in PMC

References

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