Open AccessBiliary and Pancreatic Endoscopic Surgery
Author(s) -
María Teresa García Castellanos,
Ruth García Romero,
P Bragagnini Rodríguez
Publication year - 2022
Publication title -
revista española de enfermedades digestivas/revista española de enfermedades digestivas
Language(s) - English
Resource type - Journals
eISSN - 2340-4167
pISSN - 1130-0108
DOI - 10.17235/reed.2022.9048/2022
Subject(s) - medicine , asymptomatic , colonoscopy , toxicity , ingestion , jejunum , surgery , general surgery , gastroenterology , colorectal cancer , cancer
Ingestion of lead material represents a therapeutic challenge involving high toxicity, significant clinical impact, and controversy regarding management. We report the case of a 2-year-old girl, who accidentally ingested a fishing sinker. She remained asymptomatic and first level tests were performed (blood lead levels and x-ray to locate object). Because of sinker location in the jejunum, two rectal enemas and polyethylene glycol (PEG) were administered, serial blood lead level measurements were performed. Because of sinker persistence, a colonoscopy was undertaken. She did not require chelation treatment. However, she required follow-up to monitor long-term toxicity and sequels.