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Gastric Barotrauma in a Scuba Diver: Report of a Case
Authors:Liviu V. Titu  Gerard Laden  Gerard M. Purdy  Kevin R. Wedgwood
Affiliation:(1)  Academic Surgical Unit, Castle Hill Hospital, Castle Road, Cottingham, North Humberside HU16 5JQ, UK, GB;(2)  Hyperbaric Unit, Hull and East Yorkshire Hospitals, Lowfield Road, Anlaby, Hull HU10 7AZ, UK, GB
Abstract: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. Received: March 18, 2002 / Accepted: September 3, 2002 Reprint requests to: L.V. Titu
Keywords:Stomach  Barotrauma  Diving  Surgery
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