{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T09:32:18Z","timestamp":1774344738350,"version":"3.50.1"},"reference-count":8,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T00:00:00Z","timestamp":1579132800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T00:00:00Z","timestamp":1579132800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>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\u2009days after the surgery and followed an uneventful postoperative course.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>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.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-020-0780-9","type":"journal-article","created":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T15:03:53Z","timestamp":1579187033000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Mesenteric venous thrombosis as a rare complication of decompression sickness"],"prefix":"10.1186","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9502-9698","authenticated-orcid":false,"given":"Satoshi","family":"Toyota","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shigeyuki","family":"Nagata","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichiro","family":"Yoshino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sota","family":"Kono","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syogo","family":"Kawanami","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syohei","family":"Maeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erina","family":"Kuramitsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michihiro","family":"Ichimannda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoko","family":"Nagamatsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiichiro","family":"Kai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuro","family":"Fukuyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Orita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daisuke","family":"Korenaga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,1,16]]},"reference":[{"key":"780_CR1","doi-asserted-by":"publisher","first-page":"153","DOI":"10.1016\/S0140-6736(10)61085-9","volume":"377","author":"RD Vann","year":"2010","unstructured":"Vann RD, Butler FK, Mitchell SJ, Moon RE. Decompression illness. Lancet. 2010;377:153\u201364.","journal-title":"Lancet."},{"key":"780_CR2","doi-asserted-by":"publisher","first-page":"1157","DOI":"10.1002\/cphy.c130039","volume":"4","author":"RT Mahon","year":"2014","unstructured":"Mahon RT, Regis DP. Decompression and decompression sickness. Compr Physiol. 2014;4:1157\u201375.","journal-title":"Compr Physiol."},{"key":"780_CR3","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1007\/BF01296869","volume":"29","author":"SL Gertler","year":"1984","unstructured":"Gertler SL, Stein J, Simon T, Miyai K. Mesenteric venous thrombosis as sole complication of decompression sickness. Dig Dis Sci. 1984;29:91\u20135.","journal-title":"Dig Dis Sci."},{"key":"780_CR4","first-page":"393","volume":"34","author":"N Bird","year":"2007","unstructured":"Bird N. CT finding of VGE in the portal veins and IVC in a diver with abdominal pain: a case report. Undersea Hyperb Med. 2007;34:393\u20137.","journal-title":"Undersea Hyperb Med."},{"key":"780_CR5","doi-asserted-by":"publisher","first-page":"e7","DOI":"10.1016\/j.jemermed.2012.11.039","volume":"45","author":"S Morita","year":"2013","unstructured":"Morita S, Yamagiwa T, Inokuchi S. Portal venous gas on computed tomography imaging in patients with decompression sickness. J Emerg Med. 2013;45:e7\u201311.","journal-title":"J Emerg Med."},{"key":"780_CR6","doi-asserted-by":"publisher","first-page":"638","DOI":"10.1016\/j.jvsv.2017.04.011","volume":"5","author":"HK Kim","year":"2017","unstructured":"Kim HK, Hwang D, Park S, Lee JM, Huh S. Treatment outcomes and risk factors for bowel infarction in patients with acute superior mesenteric venous thrombosis. J Vasc Surg Venous Lymphat Disord. 2017;5:638\u201346.","journal-title":"J Vasc Surg Venous Lymphat Disord."},{"key":"780_CR7","doi-asserted-by":"publisher","first-page":"1599","DOI":"10.1161\/CIRCULATIONAHA.114.012871","volume":"131","author":"CE Russell","year":"2015","unstructured":"Russell CE, Wadhera RK, Piazza G. Mesenteric venous thrombosis. Circulation. 2015;131:1599\u2013603.","journal-title":"Circulation."},{"key":"780_CR8","first-page":"1031","volume-title":"Underwater and hyperbaric physiology IX proceedings of the Ninth International Symposium Underwater and Hyperbaric Physiology","author":"DF Gorman","year":"1987","unstructured":"Gorman DF, Browning DM, Parsons DW. Redistribution of cerebral arterial gas emboli: a comparison of treatment regimens. In: Bove AA, Bacharach AJ, Greenbaum LJ, editors. Underwater and hyperbaric physiology IX proceedings of the Ninth International Symposium Underwater and Hyperbaric Physiology. Bethesda, MD: Undersea and Hyperbaric Medical Society; 1987. p. 1031\u201354."}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-0780-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-020-0780-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-0780-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,15]],"date-time":"2021-01-15T00:06:49Z","timestamp":1610669209000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-0780-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1,16]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["780"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-0780-9","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1,16]]},"assertion":[{"value":"28 August 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 January 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 January 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Not applicable","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"24"}}