Titre
Fatal diving: could it be an immersion pulmonary edema? Case report.
Type
étude de cas
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Evain, F.
Auteure/Auteur
Louge, P.
Auteure/Auteur
Pignel, R.
Auteure/Auteur
Fracasso, T.
Auteure/Auteur
Rouyer, F.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
1437-1596
Statut éditorial
Publié
Date de publication
2022-05
Volume
136
Numéro
3
Première page
713
Dernière page/numéro d’article
717
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Publication Status: ppublish
Résumé
Immersion pulmonary edema is a rare, underrecognized, and potentially lethal pathology developing during scuba diving and other immersion-related activities (swimming or apnoea). Physiopathology is complex and not fully understood, but its mechanisms involve an alteration of the alveolo-capillary barrier caused by transcapillary pressure elevation during immersion, leading to an accumulation of fluid and blood in the alveolar space. Diagnosis remains a challenge for clinicians and forensic practionner. The symptoms begin during ascent, with cough, frothy sputum, and hemoptysis. Auscultation reveals signs of pulmonary edema. Pulmonary CT scan, which is the radiological exam of choice, shows ground glass opacities and interlobular thickening, eventually demonstrating a patterned distribution, likely in the anterior segments of both lungs. Apart from the support of vital functions, there is no specific treatment and hyperbaric oxygen therapy is not systematically recommended. We present a case of fatal IPE occurring in a recreational diver who unfortunately died shortly after his last dive. Diagnosis was made after complete forensic investigations including post-mortem-computed tomography, complete forensic autopsy, histological examination, and toxicological analysis.
PID Serval
serval:BIB_0A3EC9298586
PMID
Open Access
Oui
Date de création
2022-12-13T12:39:53.824Z
Date de création dans IRIS
2025-05-20T16:46:28Z
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Nom
35284967_BIB_0A3EC9298586.pdf
Version du manuscrit
published
Taille
817.83 KB
Format
Adobe PDF
PID Serval
serval:BIB_0A3EC9298586.P001
URN
urn:nbn:ch:serval-BIB_0A3EC92985861
Somme de contrôle
(MD5):41ff5cfa9b3eb249b6246f4fc7be9006