Evidence map›Paper›PMID 42315327›Full record

ArticleThe Journal of international medical research2026

Barium-associated intestinal ischemia complicated with massive hepatic portal venous gas: A successful survival case report.

Peng Xu, Shili Zhong, Xiaoyu Peng

Abstract readCase Reports
In one paragraph

Article in The Journal of international medical research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

3 authors.

Peng XuDepartment of Rehabilitation Medicine, Daping Hospital, Army Medical University, China
Shili ZhongDepartment of Critical Care Medicine, Daping Hospital, Army Medical University, ChinaORCID 0000-0002-0922-8787
Xiaoyu PengDepartment of Critical Care Medicine, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, China

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Barium-associated intestinal ischemia is a rare but life-threatening complication following upper gastrointestinal barium contrast examinations, with an incidence of less than 0.01%. Hepatic portal venous gas is a condition secondary to intra-abdominal lesions, such as intestinal ischemia and intestinal necrosis. When complicated by intestinal necrosis, the mortality rate of this condition can be as high as 50%-90%. Cases involving both barium-associated intestinal ischemia and hepatic portal venous gas are even rarer. We report the case of a 62-year-old male patient who underwent upper gastrointestinal barium contrast examination for evaluating potential gastrointestinal disorder. Eight hours after the procedure, he developed clinical symptoms, including abdominal pain, decreased blood pressure, and increased heart rate. Abdominal computed tomography revealed enteritis, with gas detected in the hepatic portal vein, superior mesenteric vein, and intestinal wall. After 12 h of active anti-infective treatment, the gas in the hepatic portal vein was absorbed, and the symptoms improved by the second day. The patient's condition improved on the fourth day of treatment, and follow-up at 1 month confirmed complete recovery. Barium-associated intestinal ischemia is a medical emergency characterized by rapid infection and multiorgan involvement. Hepatic portal venous gas is an important indicator of underlying intra-abdominal pathology. Early anti-infective treatment and intensive care unit monitoring are critical for favorable outcomes.

Indexed as

BariumContrast MediaIntestinesIschemiaPortal VeinHumansMaleMiddle AgedTomography, X-Ray ComputedBariumContrast MediaBarium-associated intestinal ischemiafatal complicationhepatic portal venous gasintestinal ischemiaseptic shock

Identifiers

PMID42315327
PMCPMC13291562

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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.