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减压病的腹部CT扫描表现:一例报告

Abdominal CT Scan Findings of Decompression Sickness: A Case Report.

作者信息

Schwartz Taylor, Gough-Fibkins Shawn, Santini Roberta, Kopylov David

机构信息

Nova Southeastern University College of Medicine, Davie, FL, USA.

Department of Radiology, Broward General Hospital, Fort Lauderdale, FL, USA.

出版信息

J Radiol Case Rep. 2018 Oct 31;12(10):17-23. doi: 10.3941/jrcr.v12i10.3425. eCollection 2018 Oct.

DOI:10.3941/jrcr.v12i10.3425
PMID:30651907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6312119/
Abstract

This case report depicts the radiologic findings of a 51-year-old male presenting with Decompression Sickness. Decompression Sickness is diagnosed clinically, therefore radiologic imaging of this disease entity is limited. Our patient's history includes a scuba dive to depth of 110 feet with a descending time of 24 minutes and an ascending time of 8 minutes. The patient subsequently presented to the Emergency Room with symptoms of shortness of breath and abdominal pain. The abdominal pain prompted physicians to explore further, and hence computed tomography (CT) imaging of the abdomen and pelvis was performed. This case report demonstrates a striking and unique gas pattern in both the systemic and portal venous system of our patient and provides an excellent example of the imaging findings of Decompression Sickness in the literature.

摘要

本病例报告描述了一名51岁患有减压病男性的放射学检查结果。减压病通过临床诊断,因此对该疾病实体的放射学成像有限。我们患者的病史包括一次深度达110英尺的水肺潜水,下潜时间为24分钟,上升时间为8分钟。患者随后因呼吸急促和腹痛症状前往急诊室。腹痛促使医生进一步检查,因此对腹部和骨盆进行了计算机断层扫描(CT)成像。本病例报告展示了我们患者体循环和门静脉系统中显著且独特的气体模式,并为文献中减压病的影像学表现提供了一个很好的例子。

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Abdominal CT Scan Findings of Decompression Sickness: A Case Report.减压病的腹部CT扫描表现:一例报告
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2
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本文引用的文献

1
Hepatic portal venous gas after diving.潜水后肝门静脉气体
BMJ Case Rep. 2018 Jan 12;2018:bcr-2017-223844. doi: 10.1136/bcr-2017-223844.
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Neuroimaging of diving-related decompression illness: current knowledge and perspectives.潜水相关减压病的神经影像学:当前认知与展望
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Acute gastric dilatation: a transient cause of hepatic portal venous gas-case report and review of the literature.急性胃扩张:肝门静脉气体的一个短暂病因——病例报告及文献综述
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The roentgenographic findings associated with air embolism in sport scuba divers.与运动潜水员空气栓塞相关的X线检查结果。
J Emerg Med. 1993 Jul-Aug;11(4):443-9. doi: 10.1016/0736-4679(93)90248-6.
10
Radiology of Dysbaric osteonecrosis.减压性骨坏死的放射学
J Clin Pathol. 1972 Nov;25(11):1005-6. doi: 10.1136/jcp.25.11.1005.