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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">In recent years&#44; attempts have been made to create algorithms for managing portal pneumatosis to avoid unnecessary laparotomies and achieve optimal treatment&#46; The main objective is to differentiate whether the cause is an emergency surgical disease&#44; whether it involves a reversible cause or whether it is only a casual finding&#46; A good differential diagnosis is therefore important&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 50-year-old male professional diver was admitted to the emergency department after experiencing a diving accident after performing 2 dives of up to 23<span class="elsevierStyleHsp" style=""></span>m&#46; The patient complained of general discomfort&#44; epigastric pain and vomiting&#46; The patient was hemodynamically stable&#44; and the abdominal examination was normal&#46; We performed whole-body computed tomography&#44; the results of which showed abundant portomesenteric gas but no other findings&#46; With the diagnosis of decompression sickness and stable at all times&#44; the patient was urgently transported to the hyperbaric chamber for recompression therapy&#46; The patient showed good subsequent progress &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Portal pneumatosis is a radiological sign with numerous etiologies and is usually associated with advanced stages of mesenteric ischemia&#44; although it is also associated with other causes such as infectious disease&#44; hollow viscus perforations and abdominal trauma&#46; The finding of portal pneumatosis has increased due to the greater use and precision of radiological examinations&#46;</p><p id="par0020" class="elsevierStylePara elsevierViewall">Decompression sickness can have significant systemic implications in its severe forms&#46; Although it is a highly specific condition&#44; decompression sickness should be known by all clinicians because recovery mostly depends on emergency recompression therapy&#46; Once diagnosed&#44; or when there is any doubt&#44; the patient should be urgently transferred to a decompression chamber&#44; applying the appropriate support measures during the transfer&#46; In the chamber&#44; the diagnosis can be confirmed&#44; and treatment can be started&#46;</p></span>"
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Medicine in Images
DOI: 10.1016/j.rceng.2018.10.007
Portal pneumatosis after diving accident
Neumatosis portal tras accidente de buceo
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P. Rodríguez García
Corresponding author
pablorg924@gmail.com

Corresponding author.
, M. Balsalobre Salmerón, A. García López
Servicio de Cirugía General y del Aparato Digestivo, Hospital General Universitario Santa Lucía, Cartagena, Murcia, Spain

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