Anaesthetic and surgical management of gastric perforation secondary to a diving incident: a case report.

IF 0.8 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Ismaïl Ben Ayad, Chloe Damman, Lionel Vander Essen, Bernard Majerus
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引用次数: 0

Abstract

Gastric perforation secondary to barotrauma is a rare surgical condition which may manifest as an acute abdomen and potentially lead to complications such as pneumoperitoneum. A 50-year-old, healthy, experienced diving instructor was transported to our emergency department for an acute abdomen and severe dyspnoea after a diving incident. Clinical suspicion combined with computed tomography scanning lead to the diagnosis of linear rupture of the stomach. Exsufflation of the abdominal cavity was performed in the emergency department and then the patient was sent to the operating room for emergency laparoscopic gastric repair. Post-operative management was focused on decompressing the stomach with a nasogastric tube and abdominal radiography with barium ingestion was performed to confirm the absence of leakage. The patient was discharged at postoperative day four. We found 16 similar cases in the published literature. Gastric perforation secondary to a diving accident is rare but requires rapid diagnosis and surgical treatment.

潜水致胃穿孔的麻醉与手术治疗:1例报告。
胃穿孔继发于气压创伤是一种罕见的外科疾病,可能表现为急腹症,并可能导致气腹等并发症。一位50岁,健康,经验丰富的潜水教练在潜水事故后因急腹症和严重呼吸困难被送往我们的急诊科。临床怀疑结合计算机断层扫描导致线状胃破裂的诊断。在急诊科进行腹腔排气,然后送患者至手术室进行急诊腹腔镜胃修复术。术后处理的重点是用鼻胃管对胃进行减压,并进行腹部摄片和钡摄入以确认没有渗漏。患者于术后第4天出院。我们在已发表的文献中发现了16例类似的病例。潜水事故引起的胃穿孔是罕见的,但需要快速诊断和手术治疗。
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来源期刊
Diving and hyperbaric medicine
Diving and hyperbaric medicine 医学-公共卫生、环境卫生与职业卫生
CiteScore
1.70
自引率
22.20%
发文量
37
审稿时长
>12 weeks
期刊介绍: Diving and Hyperbaric Medicine (DHM) is the combined journal of the South Pacific Underwater Medicine Society (SPUMS) and the European Underwater and Baromedical Society (EUBS). It seeks to publish papers of high quality on all aspects of diving and hyperbaric medicine of interest to diving medical professionals, physicians of all specialties, scientists, members of the diving and hyperbaric industries, and divers. Manuscripts must be offered exclusively to Diving and Hyperbaric Medicine, unless clearly authenticated copyright exemption accompaniesthe manuscript. All manuscripts will be subject to peer review. Accepted contributions will also be subject to editing.
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