* Correspondence should be addressed to: Kentaro Tominaga,
Division of Gastroenterology and Hepatology
Graduate School of Medical and Dental Sciences
Niigata University
1–757 Asahimachi–dori
Chuo–ku, Niigata, Niigata, 9518510, JAPAN
Tel: +81 (25) 227–2207
Fax: +81 (25) 227–0776
E–mail: k-tominaga@med.niigata-u.ac.jp
Disclosure: Written informed consent was obtained from the patient to publish this report in accordance with the journal’s patient consent policy. The authors declare that they have no current financial arrangement or affiliation with any organization that may have a direct influence on their work. We do not have any conflict of interest.
Acknowledgment: This work was supported by an academic research grant (J22G0211) from the Niigata Medical Association.
Number of Figures, Videos, and Tables: 1 Figure.
Keywords: Portal venous gas; barium complications; barium swallow examination; prednisolone
Key clinical message: We found an extremely rare case of PVG after barium swallow examination. This may be related to vulnerable intestinal mucosa in the patient undergoing prednisolone treatment. Conservative therapy should be considered for patients with PVG without bowel ischemia or perforation. Caution should be exercised during barium examination undergoing prednisolone treatment.