Publication Name	World Journal of Gastroenterology
Manuscript ID	124673
DOI	10.3748/wjg.124673
Country	China

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Serial contrast-enhanced computed tomography guides conservative management of extensive portal venous gas in reversible ischemia: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Pan-Pan Cheng, Ying Li, Hong-Mei Zhou, Meng-Di Fan and Xiang-Yang Xu
Funding Agency and Grant Number
Corresponding Author	Xiang-Yang Xu, Consultant, Full Professor, MD, Department of Radiology, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, No. 39 Yanhu Avenue, Wuchang District, Wuhan 430077, Hubei Province, China. 1993ly0538@hust.edu.cn
Key Words	Portal venous gas; Serial contrast-enhanced computed tomography; Conservative management; Elderly; Ischemic enteritis; Case report
Core Tip	This case demonstrates that resolution of portal venous gas does not mean relief of ischemia. Serial contrast-enhanced computed tomography assessment of bowel wall enhancement - preserved enhancement allowing continued conservative management, intact enhancement confirming restored perfusion - offers a new perspective for guiding conservative treatment in elderly patients with reversible ischemia. Additionally, serial contrast-enhanced computed tomography captured a distinctive migratory edema pattern with progressive venous engorgement, suggesting hemodynamic recovery and favorable prognosis.
Citation	Cheng PP, Li Y, Zhou HM, Fan MD, Xu XY. Serial contrast-enhanced computed tomography guides conservative management of extensive portal venous gas in reversible ischemia: A case report. World J Gastroenterol 2026; In press DOI: https://doi.org/10.3748/wjg.124673
PDF	124673-in-press.pdf

Received	2026-06-23 09:21
Peer-Review Started	2026-06-23 09:21
First Decision by Editorial Office Director
Return for Revision	2026-07-27 06:21
Revised	2026-08-02 07:08
Publication Fee Transferred	2026-08-13 12:15
Second Decision by Editor	2026-09-16 02:43
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-09-16 09:37
Articles in Press	2026-09-16 09:37
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1007-9327 (print) and 2219-2840 (online)
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