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Decompression Sickness - The physical examination revealed diffuse violaceous skin mottling over his trunk and arms (Panel A). Given the extent of the nausea and vomiting as well as the elevated lactate level, abdominal computed tomography was performed, which showed air in the portal venous system (Panel B). #Clinical #Derm #EM #Radiology #DecompressionSickness #CutisMarmorata #PortalVenousGas #Pneumatosis #CT #NEJM