Conservative management of gastric rupture following scuba diving.

Hunter, J. D.; Roobottom, C.A.; Bryson, PJ; Brown, C.

doi:10.1136/emj.15.2.116

Cited by 7 publications

(4 citation statements)

References 6 publications

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“…Although gastroscopy allowed visualization of the lesion in our patient, we performed a contrast study to establish whether the gastric defect had sealed spontaneously. Information about this is essential for further treatment if one considers that sealed gastric tears can be managed conservatively, 6,7 whereas continuing leaks warrant emergency surgery. 8,9 We acknowledge that the use of gastroscopy is potentially dangerous, as air pumped into the stomach may leak into the peritoneal cavity and aggravate the pneumoperitoneum, which in turn could cause respiratory distress or circulatory failure.…”

Section: Discussionmentioning

confidence: 98%

Gastric Barotrauma in a Scuba Diver: Report of a Case

et al. 2003

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Stomach rupture can occur as a consequence of the expansion of compressed air during rapid ascent after diving. We present the case of a middle-aged woman who suffered a gastric tear from surfacing too quickly after diving, and discuss the diagnosis and management of such patients by reviewing previously reported similar events. Gastric barotrauma should be suspected in divers who complain of abdominal pain, even in the absence of frank signs of peritoneal irritation. Although pneumoperitoneum is always present in these patients, it can also occur as a consequence of pulmonary barotrauma, making gastroscopy or radiological contrast studies, or both, essential for a definitive diagnosis. Surgical repair represents the treatment of choice for an active full-thickness tear and, if associated with arterial gas embolism or decompression sickness, should ideally be performed in a center where a category I (intensive care-capable) hyperbaric unit is available.

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Section: Discussionmentioning

confidence: 98%

Gastric Barotrauma in a Scuba Diver: Report of a Case

et al. 2003

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“…These have included 3 cases reports of ischemic colitis because of air embolism, 2 cases of gastric perforation, and single reports of mesenteric venous thrombosis, diaphragmatic rupture, and esophageal variceal bleeding. [5][6][7][8][9][10][11][12] The diagnosis of DCI is clinical, although laboratory abnormalities such as elevated creatinine kinase, transaminases, and lactate dehydrogenase are often noted. 13 To the best of our knowledge, this is the first reported case of esophageal injury because of diving-related complications.…”

Section: Discussionmentioning

confidence: 99%

Decompression Illness in a Scuba Diver With Significant Esophageal Injury

et al. 2022

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Scuba divers are at risk of decompression illness, of which arterial gas embolism is the most feared consequence. Severe complications involving the gastrointestinal tract are rare. In this report, we describe a case of an experienced scuba diver who was forced to rapidly ascend because of a mechanical failure. His course was complicated by severe esophageal mucosal injury including multiple ulcerations. Although he improved clinically, an esophageal stricture subsequently formed, which required dilation. This seems to be the first case report of significant esophageal injury resulting from decompression illness in a scuba diver.

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“…Gastrointestinal barotrauma has been reported, though rarely, to cause serious gastrointestinal symptoms, such as gastric perforation or small bowel infarction due to thrombosis. [5,6] Hyperbaric oxygen therapy and other conservative therapies are usually effective, but may sometimes cause serious symptoms due to air embolism. [7] Air embolism may cause ischemic colitis, but it is rare.…”

Section: Introductionmentioning

confidence: 99%

Surgical approach for acute ischemic colitis after scuba diving: a case report

Choi

Kwak

2019

Ulus Travma Acil Cerrahi Derg

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The clinical manifestations that may occur due to decompression during scuba diving vary widely, but only mild symptoms have been reported mainly in the gastrointestinal tract. In particular, ischemic colitis caused by air embolism is rare. We report a case of full-thickness ischemic colitis treated with failed conservative treatment but successfully treated surgically. The case that was presented here suggests that decompression after scuba diving may cause severe symptoms in the gastrointestinal tract and may require a surgical approach. Treatment depends on the severity of the symptoms and the patient's condition, but surgical approaches should be considered.

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Conservative management of gastric rupture following scuba diving.

Cited by 7 publications

References 6 publications

Gastric Barotrauma in a Scuba Diver: Report of a Case

Gastric Barotrauma in a Scuba Diver: Report of a Case

Decompression Illness in a Scuba Diver With Significant Esophageal Injury

Surgical approach for acute ischemic colitis after scuba diving: a case report

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