Exceptional Case Acute kidney injury due to decompression illness

Decompression illness is a rare but serious complication of diving caused by intravascular or extra-vascular gas bubble formation. We report the first case of acute kidney injury in a 27-year-old diver following three rapid ascents. He presented with transient neurological symptoms and abdominal pain followed by rapidly progressive acute kidney injury (creatinine peak 1210 µmol/L) due to arter-ial air emboli. He received supportive care and 100 % oxygen followed by hyperbaric therapy and re-covered fully. Arterial air emboli caused by rapid decompression can affect multiple organs including the kidneys. Early transfer to a hyperbaric unit is important as complications may present delayed