open access

Vol 56, No 1-4 (2005)
DIVING. HYPERBARIC MEDICINE
Submitted: 2013-02-18
Published online: 2010-03-26
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Pneumoperitoneum after diving – two clinical cases and literature review

Jacek Kot, Zdzisław Sićko, Maria Michałkiewicz, Paweł Pikiel
International Maritime Health 2005;56(1-4):135-145.

open access

Vol 56, No 1-4 (2005)
DIVING. HYPERBARIC MEDICINE
Submitted: 2013-02-18
Published online: 2010-03-26

Abstract

Pneumoperitoneum after diving is a rare symptom. Diagnosis and treatment strongly depends on the primary source of the air in the abdominal cavity. There are two main sources of air entering the perineum: perforation of the gastrointestinal tract and pulmonary barotrauma. The management is different and additionally, in both cases, the decompression sickness and arterial gas embolism as consequences of inappropriate decompression phase of the diving should be included in the clinical diagnosis and treatment. The multidisciplinary team including hyperbaric physicians and surgeons is necessary for proper management of such cases. In this paper two cases of pneumoperitoneum of different origins are presented and similar cases reported in the literature are discussed. 1 National Center for

Abstract

Pneumoperitoneum after diving is a rare symptom. Diagnosis and treatment strongly depends on the primary source of the air in the abdominal cavity. There are two main sources of air entering the perineum: perforation of the gastrointestinal tract and pulmonary barotrauma. The management is different and additionally, in both cases, the decompression sickness and arterial gas embolism as consequences of inappropriate decompression phase of the diving should be included in the clinical diagnosis and treatment. The multidisciplinary team including hyperbaric physicians and surgeons is necessary for proper management of such cases. In this paper two cases of pneumoperitoneum of different origins are presented and similar cases reported in the literature are discussed. 1 National Center for
Get Citation
About this article
Title

Pneumoperitoneum after diving – two clinical cases and literature review

Journal

International Maritime Health

Issue

Vol 56, No 1-4 (2005)

Pages

135-145

Published online

2010-03-26

Bibliographic record

International Maritime Health 2005;56(1-4):135-145.

Authors

Jacek Kot
Zdzisław Sićko
Maria Michałkiewicz
Paweł Pikiel

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