Preprint / Version 1

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

Authors

  • Vivek Pant Biochemistry, Department of Clinical Biochemistry, Samyak Diagnostic, Jawalakhel, Lalitpur, Nepal
  • Keyoor Gautam Pathology, Department of Pathology, Samyak Diagnostic, Jawalakhel, Lalitpur, Nepal
  • Devish Pyakurel Pathology, Department of Pathology, Samyak Diagnostic, Jawalakhel, Lalitpur, Nepal
  • Aabha Shrestha Pathology, Department of Pathology, Samyak Diagnostic, Jawalakhel, Lalitpur, Nepal
  • Santosh Pradhan Biochemistry, Department of Clinical Biochemistry, Samyak Diagnostic, Jawalakhel, Lalitpur, Nepal
  • Neeraj Joshi Department of Internal Medicine, Nidan Hospital, Pulchowk, Lalitpur, Nepal

Keywords:

Key words: ayurvedic medicine, lead toxicity, acute abdomen, blood lead level

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. Key words: ayurvedic medicine, lead toxicity, acute abdomen, blood lead level

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