Much like Metal Gear Solid V: Ground Zeroes, one of the cutscenes in The Phantom Pain has been censored in Japan to make it less graphic. Same as in the prologue, subject of the censorship is Paz’ stomach wound, and visual tricks are used to cover some of the nasty things going on.
The most noticeable difference is that the Japanese version doesn’t have the intestines slipping out of the cut. You can see a side-by-side comparison of the untouched version and the censored one below (spoilers for those who haven’t completed Paz’ storyline in The Phantom Pain).
Source: Censored Gaming