Mesenteric venous thrombosis as a rare complication of decompression sickness
Abstract Background Decompression sickness (DCS) induced by extravascular and intravascular gas bubbles during decompression can present with varying manifestations, such as joint pain, numbness, cutaneous symptoms, and cardiopulmonary dysfunction. However, mesenteric venous thrombosis (MVT) is a ra...
| Main Authors: | , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-01-01
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| Series: | Surgical Case Reports |
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| Online Access: | https://doi.org/10.1186/s40792-020-0780-9 |
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| author | Satoshi Toyota Shigeyuki Nagata Shinichiro Yoshino Sota Kono Syogo Kawanami Syohei Maeda Erina Kuramitsu Michihiro Ichimannda Satoko Nagamatsu Seiichiro Kai Yasuro Fukuyama Hiroyuki Orita Daisuke Korenaga |
| author_facet | Satoshi Toyota Shigeyuki Nagata Shinichiro Yoshino Sota Kono Syogo Kawanami Syohei Maeda Erina Kuramitsu Michihiro Ichimannda Satoko Nagamatsu Seiichiro Kai Yasuro Fukuyama Hiroyuki Orita Daisuke Korenaga |
| author_sort | Satoshi Toyota |
| collection | DOAJ |
| description | Abstract Background Decompression sickness (DCS) induced by extravascular and intravascular gas bubbles during decompression can present with varying manifestations, such as joint pain, numbness, cutaneous symptoms, and cardiopulmonary dysfunction. However, mesenteric venous thrombosis (MVT) is a rare complication of DCS. To the best of our knowledge, only a few cases have been reported, and surgical cases of MVT secondary to DCS have not yet been reported. Case presentation A 59-year-old man who was a fisherman and recreational diver dived to a depth of 100 feet. After diving, he noted abdominal and postcervical pain and visited a community hospital. Computed tomography (CT) revealed a large amount of intravenous gas, so he was diagnosed with DCS. He was then transferred to a previous hospital, where hyperbaric oxygen therapy (HBOT) was performed. HBOT reduced the amount of venous gas, but his abdominal pain worsened, so he was transferred to our hospital. CT showed pneumatosis cystoides intestinalis. Because of the possibility of intestinal necrosis, a laparoscopic examination was performed, which revealed necrosis of the transverse colon. We therefore performed a transverse colon resection. He was discharged 36 days after the surgery and followed an uneventful postoperative course. Conclusions DCS is likely to cause MVT. If intestinal necrosis is suspected, a laparoscopic examination may be useful for determining the diagnosis and treatment. MVT should be included as a differential diagnosis of abdominal pain that persists after HBOT. |
| first_indexed | 2024-12-14T15:37:20Z |
| format | Article |
| id | doaj.art-f00476ba79d746c4beb4216cd9ad9258 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-14T15:37:20Z |
| publishDate | 2020-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-f00476ba79d746c4beb4216cd9ad92582022-12-21T22:55:41ZengSpringerOpenSurgical Case Reports2198-77932020-01-01611510.1186/s40792-020-0780-9Mesenteric venous thrombosis as a rare complication of decompression sicknessSatoshi Toyota0Shigeyuki Nagata1Shinichiro Yoshino2Sota Kono3Syogo Kawanami4Syohei Maeda5Erina Kuramitsu6Michihiro Ichimannda7Satoko Nagamatsu8Seiichiro Kai9Yasuro Fukuyama10Hiroyuki Orita11Daisuke Korenaga12Department of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu UniversityDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalDepartment of Surgery, Nakatsu Municipal HospitalAbstract Background Decompression sickness (DCS) induced by extravascular and intravascular gas bubbles during decompression can present with varying manifestations, such as joint pain, numbness, cutaneous symptoms, and cardiopulmonary dysfunction. However, mesenteric venous thrombosis (MVT) is a rare complication of DCS. To the best of our knowledge, only a few cases have been reported, and surgical cases of MVT secondary to DCS have not yet been reported. Case presentation A 59-year-old man who was a fisherman and recreational diver dived to a depth of 100 feet. After diving, he noted abdominal and postcervical pain and visited a community hospital. Computed tomography (CT) revealed a large amount of intravenous gas, so he was diagnosed with DCS. He was then transferred to a previous hospital, where hyperbaric oxygen therapy (HBOT) was performed. HBOT reduced the amount of venous gas, but his abdominal pain worsened, so he was transferred to our hospital. CT showed pneumatosis cystoides intestinalis. Because of the possibility of intestinal necrosis, a laparoscopic examination was performed, which revealed necrosis of the transverse colon. We therefore performed a transverse colon resection. He was discharged 36 days after the surgery and followed an uneventful postoperative course. Conclusions DCS is likely to cause MVT. If intestinal necrosis is suspected, a laparoscopic examination may be useful for determining the diagnosis and treatment. MVT should be included as a differential diagnosis of abdominal pain that persists after HBOT.https://doi.org/10.1186/s40792-020-0780-9Decompression sicknessMesenteric venous thrombosisHyperbaric oxygen therapy |
| spellingShingle | Satoshi Toyota Shigeyuki Nagata Shinichiro Yoshino Sota Kono Syogo Kawanami Syohei Maeda Erina Kuramitsu Michihiro Ichimannda Satoko Nagamatsu Seiichiro Kai Yasuro Fukuyama Hiroyuki Orita Daisuke Korenaga Mesenteric venous thrombosis as a rare complication of decompression sickness Surgical Case Reports Decompression sickness Mesenteric venous thrombosis Hyperbaric oxygen therapy |
| title | Mesenteric venous thrombosis as a rare complication of decompression sickness |
| title_full | Mesenteric venous thrombosis as a rare complication of decompression sickness |
| title_fullStr | Mesenteric venous thrombosis as a rare complication of decompression sickness |
| title_full_unstemmed | Mesenteric venous thrombosis as a rare complication of decompression sickness |
| title_short | Mesenteric venous thrombosis as a rare complication of decompression sickness |
| title_sort | mesenteric venous thrombosis as a rare complication of decompression sickness |
| topic | Decompression sickness Mesenteric venous thrombosis Hyperbaric oxygen therapy |
| url | https://doi.org/10.1186/s40792-020-0780-9 |
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