Haller C, Guenot C, Azagury D, Rosso R
Ensemble hospitalier de la Côte, Hôpital de Morges, service de chirurgie, Morges.
Swiss Surg. 2003;9(4):181-3. doi: 10.1024/1023-9332.9.4.181.
A few hours after a self-contained underwater breathing apparatus (SCUBA) dive at 30 meters depth, a 49 years-old man complained of diffuse abdominal pain with nausea and vomitus. A laparotomy was performed 36 hours after a conservative treatment because of persistent mechanical small bowel obstruction. The last ileal loop was strangulated between a mobile ceacum and a long sigmoid loop. The man never had previous abdominal surgery. In absence of intestinal necrosis, a caecopexy was done and there was no post-operative complications. The gas distension during the ascension following the Boyle-Mariotte law and its distribution induced in this man with a special anatomy a mechanical small bowel obstruction. The treatment of mobile caecum and the literature of abdominal barotrauma is reviewed.
一名49岁男性在30米深度进行自给式水下呼吸器（SCUBA）潜水数小时后，出现弥漫性腹痛伴恶心和呕吐。保守治疗36小时后，由于持续性机械性小肠梗阻进行了剖腹手术。最后一段回肠袢被活动的盲肠和冗长的乙状结肠袢绞窄。该男子既往从未接受过腹部手术。在没有肠坏死的情况下，进行了盲肠固定术，术后无并发症。上升过程中的气体膨胀遵循玻意耳 - 马里奥特定律，其分布在这名具有特殊解剖结构的男子身上诱发了机械性小肠梗阻。本文回顾了活动盲肠的治疗方法以及腹部气压伤的相关文献。
