Brass Metal Cookware Associated Lead Poisoning Presenting as Recurrent Abdominal Pain: A Case Report

Lead is known to exert toxic effects on nearly all tissues and organ systems, with the nervous, gastrointestinal, and haematopoietic systems being particularly vulnerable. In humans, lead interferes with haemoglobin synthesis, leading to anaemia, and its disruption of porphyrin metabolism can trigger abdominal pain due to vasospasm. Cases due to lead poisoning are an uncommon presentation in healthcare facilities and often overlooked as a cause of anaemia and abdominal pain. Although occupational exposure remains a well-established source of lead poisoning, non-occupational factors, such as the use of metal cookware, are gaining importance as potential contributors in daily life. We report a case of a 48-year-old man presenting with a two-month history of crampy abdominal pain, fatigue, and constipation. After a detailed history and physical examination, other possible causes were excluded and revealed his recent use of a new cookware to ferment rice. Subsequent testing showed an elevated blood lead level of 87.2 μg/ dL. The patient recovered after chelation therapy. Lead poisoning can cause nonspecific symptoms like abdominal pain, anaemia, and neuropathy, often leading to misdiagnosis. Delayed diagnosis may result in irreversible harm. It should be considered in emergency cases of unexplained abdominal pain after ruling out common causes. This case highlights the importance of paying attention to subtle, often overlooked aspects of a patient’s daily routine. Maintaining a broad differential diagnosis and asking targeted questions can be crucial in identifying uncommon causes and achieving a timely, potentially life-saving diagnosis.