[Gastric rupture secondary to barotrauma in the framework of a diving accident. Apropos of a case report and literature review].
Gastric perforation secondary to barotrauma is rare. The case of a diver suffering from gastric rupture due to a decompression accident is presented here. This rupture was a linear one, localized on the lesser curvature and responsible for a large pneumoperitoneum. Rupture occurs with an excluded stomach, a condition implying cardio-pyloric occlusion. The expansion of intra-gastric air, further worsened by accelerated surfacing provokes excessive gastric dilatation leading to partial or complete rupture (by virtue of the Boyle-Mariotte law: Pressure x Volume = constant). The lesion is always on the lesser curvature. However, it is often difficult to locate, even when peroperative gastroscopy is performed.
Vuilleumier
H
H
Service de Chirurgie, CHUV, Lausanne.
Vouillamoz
D
D
Cuttat
J F
JF
D000328:Adult; D001469:Barotrauma / Q000150:complications* / Q000628:therapy; D003131:Combined Modality Therapy; D003665:Decompression Sickness / Q000628:therapy; D004242:Diving / Q000293:injuries*; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D013275:Stomach Rupture / Q000209:etiology* / Q000601:surgery
Rupture gastrique secondaire à un barotraumatisme dans le cadre d'un accident de plongée. A propos d'une observation et revue de la littérature.