Mesenteric venous thrombosis as sole complication of decompression sickness

Gertler, Stanford L.; Stein, Joseph; Simon, Thomas; Miyai, Katsumi

doi:10.1007/bf01296869

Cited by 12 publications

(10 citation statements)

References 14 publications

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“…Most divers present with aerophagy, while some patients, including our patient, have abdominal pain [4], although portal venous gas itself is generally not thought to cause pain [5]. The mechanism is not clear, but micro-congestive ischemia from mechanical embolisms and endothelial damage induces vascular hyperpermeability and hypercoagulation due to intravascular bubbles [3], which are the main cause of MVT and may be related to pain.…”

Section: Discussionmentioning

confidence: 97%

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Mesenteric venous thrombosis as a rare complication of decompression sickness

et al. 2020

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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.

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Section: Discussionmentioning

confidence: 97%

“…Gastrointestinal symptoms account for approximately 2.8% [1] of cases of DCS, and mesenteric venous thrombosis (MVT) is a rare complication secondary to DCS. To the best of our knowledge, only one case of MVT caused by DCS has ever been reported in 1984 [3].…”

Section: Introductionmentioning

confidence: 99%

Mesenteric venous thrombosis as a rare complication of decompression sickness

et al. 2020

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“…Blunt abdominal trauma 64 Decompression sickness 65 Klinefelter's syndrome 66 described 6 0,6 1 . Portal hypertension and cirrhosis are also part of the long list of causes 62 .…”

Section: Mixedmentioning

confidence: 99%

Mesenteric venous thrombosis

Stansby¹,

Overbeck²

2004

Phlebology

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Mesenteric venous thrombosis is a rare condition associated with a high rate of morbidity and mortality. There have been no randomized trials, but most recent authors advocate the combination of a high clinical index of suspicion combined with noninvasive imaging with computerized tomography to make the diagnosis. When there is no evidence of perforation or peritonitis the condition is best managed conservatively with anticoagulation treatment.

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“…Gastrointestinal barotrauma has been reported, though rarely, to cause serious gastrointestinal symptoms, such as gastric perforation or small bowel infarction due to thrombosis. [5,6] Hyperbaric oxygen therapy and other conservative therapies are usually effective, but may sometimes cause serious symptoms due to air embolism. [7] Air embolism may cause ischemic colitis, but it is rare.…”

Section: Introductionmentioning

confidence: 99%

Surgical approach for acute ischemic colitis after scuba diving: a case report

Choi

Kwak

2019

Ulus Travma Acil Cerrahi Derg

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The clinical manifestations that may occur due to decompression during scuba diving vary widely, but only mild symptoms have been reported mainly in the gastrointestinal tract. In particular, ischemic colitis caused by air embolism is rare. We report a case of full-thickness ischemic colitis treated with failed conservative treatment but successfully treated surgically. The case that was presented here suggests that decompression after scuba diving may cause severe symptoms in the gastrointestinal tract and may require a surgical approach. Treatment depends on the severity of the symptoms and the patient's condition, but surgical approaches should be considered.

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Mesenteric venous thrombosis as sole complication of decompression sickness

Cited by 12 publications

References 14 publications

Mesenteric venous thrombosis as a rare complication of decompression sickness

Mesenteric venous thrombosis as a rare complication of decompression sickness

Mesenteric venous thrombosis

Surgical approach for acute ischemic colitis after scuba diving: a case report

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