Yanagawa Youichi, Takeuchi Ikuto, Ishiyama Junzo
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University 410-2295, 1129 Nagaoka, Izunokuni city, Shizuoka, Japan.
Shizuoka Saiseikai General Hospital.
Radiol Case Rep. 2021 Jan 9;16(3):698-700. doi: 10.1016/j.radcr.2021.01.004. eCollection 2021 Mar.
A 53-year-old man, who performed a 44-minute dive to a depth of 21 meters, felt severe abdominal pain with dyspnea after surfacing. An ultrasound study showed a marked snowstorm pattern in the portal vein of the liver and right ventricle, and whole body computed tomography revealed multiple gas bubbles in the right ventricle, inferior vena cava, portal, mesenteric and femoral vein. He was thus diagnosed to have decompression sickness and was therefore transported to another hospital to undergo hyperbaric oxygen therapy. Patients who present with abdominal symptoms after diving should be immediately evaluated by ultrasound and computed tomography.
一名53岁男子进行了一次时长44分钟、深度达21米的潜水，浮出水面后感到严重腹痛并伴有呼吸困难。超声检查显示肝脏门静脉和右心室有明显的暴风雪样表现，全身计算机断层扫描显示右心室、下腔静脉、门静脉、肠系膜静脉和股静脉有多个气泡。因此，他被诊断为减压病，并被转送至另一家医院接受高压氧治疗。潜水后出现腹部症状的患者应立即接受超声和计算机断层扫描评估。
