Avivi Eyal, Zelnik Yovel Dana, Cohen Daniel L, Shirin Haim
The Gonczarowski Family Institute of Gastroenterology and Liver Diseases, Shamir (Assaf Harofeh) Medical Center, Zerifin, Israel.
ACG Case Rep J. 2022 Nov 24;9(11):e00856. doi: 10.14309/crj.0000000000000856. eCollection 2022 Nov.
Scuba divers are at risk of decompression illness, of which arterial gas embolism is the most feared consequence. Severe complications involving the gastrointestinal tract are rare. In this report, we describe a case of an experienced scuba diver who was forced to rapidly ascend because of a mechanical failure. His course was complicated by severe esophageal mucosal injury including multiple ulcerations. Although he improved clinically, an esophageal stricture subsequently formed, which required dilation. This seems to be the first case report of significant esophageal injury resulting from decompression illness in a scuba diver.
水肺潜水员有患减压病的风险，其中动脉气体栓塞是最可怕的后果。涉及胃肠道的严重并发症很少见。在本报告中，我们描述了一名经验丰富的水肺潜水员因机械故障被迫快速上升的病例。他的病程因严重的食管黏膜损伤（包括多处溃疡）而复杂化。尽管他的临床症状有所改善，但随后形成了食管狭窄，需要进行扩张治疗。这似乎是第一例关于水肺潜水员减压病导致严重食管损伤的病例报告。
