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Updated: Aug 15, 2026

Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
[Ingestion of foreign bodies containing lead]
F Martinón-Torres1, T Dargallo Carbonell, S Marcos Alonso
1Servicios de Críticos y Urgencias Pediátricas, Hospital Clínico Universitario de Santiago de Compostela, España. fedemartinon@hotmail.com
Insights
Ingesting lead foreign bodies can cause rapid acute lead poisoning in children, even without symptoms. Prompt screening and treatment are crucial following any suspected lead ingestion.
Area of Science:
- Pediatric Toxicology
- Environmental Health
Background:
- Ingestion of foreign bodies containing lead poses a significant risk of acute lead poisoning in children.
- The acidic gastric environment facilitates lead dissolution and absorption.
Observation:
- A 3-year-old girl ingested a lead sinker and remained asymptomatic.
- Proton pump inhibitor therapy was initiated, and the foreign body was removed via endoscopy within 6 hours.
Findings:
- Despite rapid removal, blood lead levels peaked over 40 µg/dL within 3 hours of ingestion.
- The child experienced a complete recovery and remains well after one year.
Implications:
- Acute lead poisoning can develop rapidly after foreign body ingestion.
- Lead screening and prompt treatment are essential for children with suspected lead foreign body ingestion, even if asymptomatic.
Abstract:
Ingestion of a foreign body containing lead in children carries the additional risk of acute lead poisoning secondary to dissolution and absorption of the ingested lead in the acid environment of the stomach. We report the case of a 3-year-old girl who ingested a lead sinker. The patient was asymptomatic but therapy with a proton pump inhibitor (omeprazole) was empirically started on admission and the foreign body was removed from the stomach by emergency endoscopy within 6 hours of ingestion. Despite the quick removal, blood lead levels (drawn 3 hours after ingestion) exceeded 40 .g/dl. The patient completely recovered and continues to do well after 1 year of follow-up. This case reveals that acute elevations of blood lead concentrations may occur rapidly after ingestion of lead foreign bodies. Even in the absence of symptoms, lead foreign body ingestion in children should prompt lead screening and initiation of appropriate treatment.
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