Lead toxicity and endoscopic removal of ingested firearm cartridges

B. W. Hatten; A. Bueso; P. Craven; R. G. Hendrickson; B. Z. Horowitz

doi:10.3109/15563650.2013.792114

Lead toxicity and endoscopic removal of ingested firearm cartridges

B. W. Hatten, A. Bueso, P. Craven, R. G. Hendrickson, B. Z. Horowitz

Emergency Medicine

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

Context. Lead toxicity from the ingestion of a lead foreign body has been described in several case reports. Management of ingested live ammunition presents its own challenges due to the risk of accidental discharge. A safe and effective method of retrieving a live cartridge must be considered. Case Details. We present two cases of lead toxicity due to intact firearm cartridge ingestion with the removal of the cartridges via endoscopy. The first case is of severe pediatric lead toxicity due to the ingestion of 30-mm rifle cartridges. The second case is an adult ingestion of .22 caliber cartridges resulting in mild lead toxicity. Discussion. These cases illustrate a diagnostic dilemma in both the diagnosis of lead toxicity and the removal of live ammunition from the stomach.

Original language	English (US)
Pages (from-to)	448-450
Number of pages	3
Journal	Clinical Toxicology
Volume	51
Issue number	5
DOIs	https://doi.org/10.3109/15563650.2013.792114
State	Published - Jun 2013

Keywords

Chelation therapy
Dimercaprol
Edetic acid
Foreign bodies
Succimer

ASJC Scopus subject areas

Toxicology

Access to Document

10.3109/15563650.2013.792114

Cite this

@article{0b7288ea150d4399abf22d971da47e28,

title = "Lead toxicity and endoscopic removal of ingested firearm cartridges",

abstract = "Context. Lead toxicity from the ingestion of a lead foreign body has been described in several case reports. Management of ingested live ammunition presents its own challenges due to the risk of accidental discharge. A safe and effective method of retrieving a live cartridge must be considered. Case Details. We present two cases of lead toxicity due to intact firearm cartridge ingestion with the removal of the cartridges via endoscopy. The first case is of severe pediatric lead toxicity due to the ingestion of 30-mm rifle cartridges. The second case is an adult ingestion of .22 caliber cartridges resulting in mild lead toxicity. Discussion. These cases illustrate a diagnostic dilemma in both the diagnosis of lead toxicity and the removal of live ammunition from the stomach.",

keywords = "Chelation therapy, Dimercaprol, Edetic acid, Foreign bodies, Succimer",

author = "Hatten, {B. W.} and A. Bueso and P. Craven and Hendrickson, {R. G.} and Horowitz, {B. Z.}",

year = "2013",

month = jun,

doi = "10.3109/15563650.2013.792114",

language = "English (US)",

volume = "51",

pages = "448--450",

journal = "Clinical Toxicology",

issn = "1556-3650",

publisher = "Informa Healthcare",

number = "5",

}

TY - JOUR

T1 - Lead toxicity and endoscopic removal of ingested firearm cartridges

AU - Hatten, B. W.

AU - Bueso, A.

AU - Craven, P.

AU - Hendrickson, R. G.

AU - Horowitz, B. Z.

PY - 2013/6

Y1 - 2013/6

N2 - Context. Lead toxicity from the ingestion of a lead foreign body has been described in several case reports. Management of ingested live ammunition presents its own challenges due to the risk of accidental discharge. A safe and effective method of retrieving a live cartridge must be considered. Case Details. We present two cases of lead toxicity due to intact firearm cartridge ingestion with the removal of the cartridges via endoscopy. The first case is of severe pediatric lead toxicity due to the ingestion of 30-mm rifle cartridges. The second case is an adult ingestion of .22 caliber cartridges resulting in mild lead toxicity. Discussion. These cases illustrate a diagnostic dilemma in both the diagnosis of lead toxicity and the removal of live ammunition from the stomach.

AB - Context. Lead toxicity from the ingestion of a lead foreign body has been described in several case reports. Management of ingested live ammunition presents its own challenges due to the risk of accidental discharge. A safe and effective method of retrieving a live cartridge must be considered. Case Details. We present two cases of lead toxicity due to intact firearm cartridge ingestion with the removal of the cartridges via endoscopy. The first case is of severe pediatric lead toxicity due to the ingestion of 30-mm rifle cartridges. The second case is an adult ingestion of .22 caliber cartridges resulting in mild lead toxicity. Discussion. These cases illustrate a diagnostic dilemma in both the diagnosis of lead toxicity and the removal of live ammunition from the stomach.

KW - Chelation therapy

KW - Dimercaprol

KW - Edetic acid

KW - Foreign bodies

KW - Succimer

UR - http://www.scopus.com/inward/record.url?scp=84878278248&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84878278248&partnerID=8YFLogxK

U2 - 10.3109/15563650.2013.792114

DO - 10.3109/15563650.2013.792114

M3 - Article

C2 - 23641934

AN - SCOPUS:84878278248

SN - 1556-3650

VL - 51

SP - 448

EP - 450

JO - Clinical Toxicology

JF - Clinical Toxicology

IS - 5

ER -

Lead toxicity and endoscopic removal of ingested firearm cartridges

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this