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Acute ischemic colitis secondary to air embolism after diving.
MedLine Citation:
PMID:  22096777     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Ischemic colitis (IC) secondary to air embolism from decompression sickness or barotrauma during diving is an extremely rare condition. After extensive review of the available literature, we found that there has been only one reported case of IC secondary to air embolism from diving. Although air embolization from diving and the various medical complications that follow have been well documented, the clinical manifestation of IC from an air embolism during diving is very rare and thus far unstudied. Common symptoms of IC include abdominal pain, bloody or non-bloody diarrhea or nausea or vomiting or any combination. Emergency physicians and Critical Care specialists should consider IC as a potential diagnosis for a patient with the above-mentioned symptoms and a history of recent diving. We report a case of IC from air embolism after a routine dive to 75 feet below sea level in a 53-year-old White female who presented to a community Emergency Department complaining of a 2-day history of diffuse abdominal pain and nausea. She was diagnosed by colonoscopy with biopsies and treated conservatively with antibiotics, bowel rest, and a slow advancement in diet.
Authors:
Austin Daniel Payor; Veronica Tucci
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of critical illness and injury science     Volume:  1     ISSN:  2231-5004     ISO Abbreviation:  Int J Crit Illn Inj Sci     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-11-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101571136     Medline TA:  Int J Crit Illn Inj Sci     Country:  India    
Other Details:
Languages:  eng     Pagination:  73-8     Citation Subset:  -    
Affiliation:
Largo Medical Center, Department of General Surgery, Largo Medical Center General Surgery Residency Program, Largo Medical Center- Indian Rocks Campus, 2025 Indian Rocks Road, Largo, FL 33774, USA.
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