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A SCUBA diver with acute kidney injury
Patrick James Gleeson1, Yvelynne Kelly2, Eadaoin Ni Sheaghdha3
1Department of Medicine, University College Hospital, Galway, Ireland.
BMJ Case Reports
|May 8, 2015
Summary
A young man developed acute kidney injury after a diving incident due to arterial gas embolism (AGE). This case highlights the importance of biochemical assessment in diving emergencies.
Area of Science:
- Nephrology
- Diving Medicine
- Emergency Medicine
Background:
- Diving incidents can lead to various physiological complications.
- Pulmonary barotrauma is a known risk associated with uncontrolled ascents.
- Acute kidney injury (AKI) is a serious condition requiring prompt diagnosis and management.
Observation:
- A young man presented with elevated creatinine and creatine kinase levels post-diving incident.
- Radiology indicated pulmonary barotrauma and intrinsic renal disease.
- The patient denied typical symptoms of decompression sickness.
Findings:
- The patient experienced AKI secondary to gas embolization of renal vasculature.
- Arterial gas embolism (AGE) was identified as the cause, indicated by elevated creatine kinase.
- AKI resolved with aggressive intravenous fluid resuscitation.
Implications:
- This is the first reported case of AKI secondary to AGE.
- Biochemical studies, including creatinine and creatine kinase, are crucial in assessing diving incident patients.
- Routine inclusion of biochemical assessments can aid in early diagnosis and treatment of diving-related renal complications.
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