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
, , ,
IMH 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 articleTitle
Pneumoperitoneum after diving – two clinical cases and literature review
Journal
Issue
Pages
135-145
Published online
2010-03-26
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Bibliographic record
IMH 2005;56(1-4):135-145.
Authors
Jacek Kot
Zdzisław Sićko
Maria Michałkiewicz
Paweł Pikiel
