Kaohsiung Journal of Medical Sciences
Volume 26, Issue 7 , Pages 389-392, July 2010

Alveolar Hemorrhage After Scuba Diving: A Case Report

  • Ming-Ju Tsai

      Affiliations

    • Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Mee-Sun Tsai

      Affiliations

    • Division of Pulmonary and Critical Care Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Internal Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Mee-Sun Tsai, Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan
    • ,
  • Ying-Ming Tsai

      Affiliations

    • Division of Pulmonary and Critical Care Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Chi-Tun Lien

      Affiliations

    • Division of Pulmonary and Critical Care Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • ,
  • Jhi-Jhu Hwang

      Affiliations

    • Division of Pulmonary and Critical Care Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Respiratory Therapy, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
    • ,
  • Ming-Shyan Huang

      Affiliations

    • Division of Pulmonary and Critical Care Medicine, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Department of Internal Medicine, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

Received 24 April 2009; accepted 12 November 2009.

Article Outline

Self-contained underwater breathing apparatus (scuba) diving is increasingly popular in Taiwan. There are few references in the literature regarding pulmonary hemorrhage as the sole manifestation of pulmonary barotrauma in scuba divers, and no study from Taiwan was found in the literature. We present the case of a 25-year-old man who suffered alveolar hemorrhage related to pulmonary barotrauma as a complication of scuba diving. To our knowledge, this is the first case report describing a Taiwanese subject suffering from non-fatal pulmonary hemorrhage after scuba diving.

Key Words:  alveolar hemorrhage , computed tomography , hemoptysis , scuba diving

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References 

  1. Boussuges A , Pinet C , Thomas P , et al.   Haemoptysis after breath-hold diving . Eur Respir J . 1999;13:697–699
  2. Lindholm P , Ekborn A , Oberg D , et al.   Pulmonary edema and hemoptysis after breath-hold diving at residual volume . J Appl Physiol . 2008;104:912–917
  3. Kiyan E , Aktas S , Toklu AS . Hemoptysis provoked by voluntary diaphragmatic contractions in breath-hold divers . Chest . 2001;120:2098–2100
  4. Balk M , Goldman JM . Alveolar hemorrhage as a manifestation of pulmonary barotrauma after scuba diving . Ann Emerg Med . 1990;19:930–934
  5. DeGorordo A , Vallejo-Manzur F , Chanin K , et al.   Diving emergencies . Resuscitation . 2003;59:171–180

PII: S1607-551X(10)70064-4

doi:10.1016/S1607-551X(10)70064-4

Kaohsiung Journal of Medical Sciences
Volume 26, Issue 7 , Pages 389-392, July 2010

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