Evidence map›Paper›PMID 40272159›Full record

ArticleAnnals of the Royal College of Surgeons of England2026

Deer velvet powder-induced antral stricture mimicking infantile hypertrophic pyloric stenosis in a 3-month-old infant: a case report.

C E Azmat, U Mahmood, N Talat, M B Mirza, W U Rehman, R Khalid

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

C E AzmatThe Children Hospital and University of Child Health Sciences, Lahore, Pakistan.
U MahmoodThe Children Hospital and University of Child Health Sciences, Lahore, Pakistan.
N TalatThe Children Hospital and University of Child Health Sciences, Lahore, Pakistan.
M B MirzaThe Children Hospital and University of Child Health Sciences, Lahore, Pakistan.
W U RehmanThe Children Hospital and University of Child Health Sciences, Lahore, Pakistan.
R KhalidThe Children Hospital and University of Child Health Sciences, Lahore, Pakistan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Antral stricture is a rare cause of gastric outlet obstruction in infants, typically linked to infantile hypertrophic pyloric stenosis (IHPS). We report a case of a 3-month-old male with a 1.5-month history of progressively worsening, nonbilious vomiting. Although initial imaging suggested IHPS, intraoperative findings revealed a sealed antral perforation with dense adhesions, leading to a distal gastrectomy with Billroth I reconstruction. A detailed retrospective history disclosed that the infant had been given deer velvet powder, suspected to have contributed to the perforation and subsequent stricture formation. This novel association highlights potential risks of unregulated supplement use in infants and underscores the need for further investigation.

Indexed as

Gastric Outlet ObstructionPyloric AntrumPyloric Stenosis, HypertrophicConstriction, PathologicDiagnosis, DifferentialGastrectomyHumansInfantMalePowdersVomitingPowdersBillroth I procedureDeer velvet powderGastric outlet obstructionInfantile hypertrophic pyloric stenosis

Identifiers

PMID40272159
PMCPMC13038352

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.