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Acute ischemic colitis during scuba diving: Report of a unique case
引用本文:Goumas K,Poulou A,Tyrmpas I,Dandakis D,Bartzokis S,Tsamouri M,Barbati K,Soutos D. Acute ischemic colitis during scuba diving: Report of a unique case[J]. World journal of gastroenterology : WJG, 2008, 14(20): 3262-3265. DOI: 10.3748/wjg.14.3262
作者姓名:Goumas K  Poulou A  Tyrmpas I  Dandakis D  Bartzokis S  Tsamouri M  Barbati K  Soutos D
作者单位:Konstantinos Goumas(Department of Gastroenterology,Red Cross Hospital of Athens,Athens,Greece) ;Androniki Poulou(Department of Gastroenterology,Red Cross Hospital of Athens,Athens,Greece) ;Ioannis Tyrmpas(Department of Gastroenterology,Red Cross Hospital of Athens,Athens,Greece) ;Dimitrios Dandakis(Department of Gastroenterology,Red Cross Hospital of Athens,Athens,Greece) ;Stavros Bartzokis(Department of Gastroenterology,Red Cross Hospital of Athens,Athens,Greece) ;Magdalini Tsamouri(Department of Pathology,Red Cross Hospital of Athens,Athens,Greece) ;Kalipso Barbati(Department of Pathology,Red Cross Hospital of Athens,Athens,Greece) ;Dimitrios Soutos(Department of Gastroenterology,Red Cross Hospital of Athens,Athens,Greece) ;
摘    要:
The presentation of clinical symptoms due to decompression during diving, varies significantly, as mainly minor disturbances for the gastrointestinal tract in particular have been reported. The following case debates whether diving can cause severe symptoms from the gastrointestinal system. We describe a clinical case of ischemic colitis presented in a 27-year-old male, who manifested abdominal pain while in the process of scuba diving 20 meters undersea, followed by bloody diarrhoea as soon as he ascended to sea level. Taking into account his past medical history, the thorough, impeccable clinical and laboratory examinations and presence of no other factors predisposing to ischemia of the colon, we assume that a possible relationship between diving conditions and the pathogenesis of ischemic colitis may exist. This unusual case might represent a hematologic manifestation of decompression sickness, due to increased coagulability and/or transient air emboli, occurring during a routine scuba diving ascent to sea level.

关 键 词:空气栓塞  气压伤  治疗  消化系统
收稿时间:2007-11-07

Acute ischemic colitis during scuba diving: report of a unique case
Goumas Konstantinos,Poulou Androniki,Tyrmpas Ioannis,Dandakis Dimitrios,Bartzokis Stavros,Tsamouri Magdalini,Barbati Kalipso,Soutos Dimitrios. Acute ischemic colitis during scuba diving: report of a unique case[J]. World journal of gastroenterology : WJG, 2008, 14(20): 3262-3265. DOI: 10.3748/wjg.14.3262
Authors:Goumas Konstantinos  Poulou Androniki  Tyrmpas Ioannis  Dandakis Dimitrios  Bartzokis Stavros  Tsamouri Magdalini  Barbati Kalipso  Soutos Dimitrios
Affiliation:1. Department of Gastroenterology,Red Cross Hospital of Athens,Athens,Greece
2. Department of Pathology,Red Cross Hospital of Athens,Athens,Greece
Abstract:
The presentation of clinical symptoms due to decompression during diving,varies significantly,as mainly minor disturbances for the gastrointestinal tract in particular have been reported.The following case debates whether diving can cause severe symptoms from the gastrointestinal system.We describe a clinical case of ischemic colitis presented in a 27-year-old male,who manifested abdominal pain while in the process of scuba diving 20 meters undersea,followed by bloody diarrhoea as soon as he ascended to sea level.Taking into account his past medical history,the thorough,impeccable clinical and laboratory examinations and presence of no other factors predisposing to ischemia of the colon,we assume that a possible relationship between diving conditions and the pathogenesis of ischemic colitis may exist.This unusual case might represent a hematologic manifestation of decompression sickness,due to increased coagulability and/or transient air emboli,occurring during a routine scuba diving ascent to sea level.
Keywords:Air emboli  Barotraumas  Coagulability  Decompression sickness  Ischemic colitis  Scuba diving
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