Diver with acute abdominal pain, right leg paresthesias and weakness: A case report

J. Wang, K. Corson, K. Minky, J. Mader

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

A 29-year-old man was brought to an emergency department by the United States Coast Guard with chief complaints of severe abdominal pain, right leg paresthesia and weakness following four deep air dives. Physical examination before recompression treatment was remarkable for diffuse abdominal tenderness and right leg weakness. The patient was diagnosed in the emergency room with type II decompression sickness (DCS) and underwent standard recompression therapy. He experienced complete resolution of weakness after hyperbaric oxygen (HBO) therapy, but his abdominal pain was persistent. Further investigation led to the diagnosis of acute appendicitis with perforation. The patient underwent appendectomy and intravenous antibiotic therapy and was discharged to his home on hospital day five without complications. This case reinforces the importance of careful clinical assessment of divers and illustrates the potentially wide differential diagnosis of DCS. This is the first reported case of recompression treatment of a diver with acute appendicitis and type II DCS.

Original languageEnglish (US)
Pages (from-to)242-246
Number of pages5
JournalUndersea and Hyperbaric Medicine
Volume29
Issue number4
StatePublished - Dec 1 2002

Fingerprint

Paresthesia
Acute Pain
decompression
Decompression Sickness
Abdominal Pain
pain
Leg
legs
case studies
therapeutics
Appendicitis
leg weakness
Hospital Emergency Service
perforation
antibiotics
clinical examination
Hyperbaric Oxygenation
Appendectomy
Military Personnel
Therapeutics

Keywords

  • Abdominal pain
  • Appendectomy
  • DCS
  • Diver
  • HBO
  • Paresthesias

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Physiology (medical)

Cite this

Diver with acute abdominal pain, right leg paresthesias and weakness : A case report. / Wang, J.; Corson, K.; Minky, K.; Mader, J.

In: Undersea and Hyperbaric Medicine, Vol. 29, No. 4, 01.12.2002, p. 242-246.

Research output: Contribution to journalArticle

Wang, J, Corson, K, Minky, K & Mader, J 2002, 'Diver with acute abdominal pain, right leg paresthesias and weakness: A case report', Undersea and Hyperbaric Medicine, vol. 29, no. 4, pp. 242-246.
Wang, J. ; Corson, K. ; Minky, K. ; Mader, J. / Diver with acute abdominal pain, right leg paresthesias and weakness : A case report. In: Undersea and Hyperbaric Medicine. 2002 ; Vol. 29, No. 4. pp. 242-246.
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