Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy
Case We report a 2‐year‐old boy with duodenal ulcer with active bleeding that occurred as a result of norovirus gastroenteritis. On admission, the patient presented with shock accompanied with vomiting and melena. Abdominal contrast enhanced computed tomography scan showed signs of duodenal bleeding...
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doaj-56f8cad6fd184da186b2c764cc577d062021-05-02T14:20:39ZengWileyAcute Medicine & Surgery2052-88172016-10-013441541810.1002/ams2.213Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boyWakato Matsuoka0Noriyuki Kaku1Yuichiro Hirata2Sooyoung Lee3Tomohiko Akahoshi4Hiroshi Sugimori5Makoto Hayashida6Ryota Souzaki7Norihiro Fujita8Yoshiki Asayama9Tomoaki Taguchi10Hidetoshi Takada11Yoshihiko Maehara12Emergency and Critical Care Center Kyushu University Hospital Fukuoka JapanEmergency and Critical Care Center Kyushu University Hospital Fukuoka JapanEmergency and Critical Care Center Kyushu University Hospital Fukuoka JapanEmergency and Critical Care Center Kyushu University Hospital Fukuoka JapanEmergency and Critical Care Center Kyushu University Hospital Fukuoka JapanEmergency and Critical Care Center Kyushu University Hospital Fukuoka JapanDepartment of Pediatric Surgery Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Pediatric Surgery Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Radiology Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Radiology Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Pediatric Surgery Graduate School of Medical Sciences Kyushu University Fukuoka JapanDepartment of Pediatrics Graduate School of Medical Sciences Kyushu University Fukuoka JapanEmergency and Critical Care Center Kyushu University Hospital Fukuoka JapanCase We report a 2‐year‐old boy with duodenal ulcer with active bleeding that occurred as a result of norovirus gastroenteritis. On admission, the patient presented with shock accompanied with vomiting and melena. Abdominal contrast enhanced computed tomography scan showed signs of duodenal bleeding. Outcome He was successfully treated with emergent transcatheter arterial embolization. After the treatment, endoscopic examination revealed duodenal ulcer and the stool norovirus antigen test was found to be positive. The patient recovered completely without any sequelae. Conclusion Life‐threatening duodenal ulcer bleeding in children can be caused by viral gastroenteritis. When endoscopic therapy is unsuccessful or difficult, in cases of small children, angiographic intervention can be a safe alternative treatment option of gastrointestinal bleeding.https://doi.org/10.1002/ams2.213Norovirus infectionpediatric duodenal ulcerpediatricstranscatheter arterial embolization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Wakato Matsuoka Noriyuki Kaku Yuichiro Hirata Sooyoung Lee Tomohiko Akahoshi Hiroshi Sugimori Makoto Hayashida Ryota Souzaki Norihiro Fujita Yoshiki Asayama Tomoaki Taguchi Hidetoshi Takada Yoshihiko Maehara |
spellingShingle |
Wakato Matsuoka Noriyuki Kaku Yuichiro Hirata Sooyoung Lee Tomohiko Akahoshi Hiroshi Sugimori Makoto Hayashida Ryota Souzaki Norihiro Fujita Yoshiki Asayama Tomoaki Taguchi Hidetoshi Takada Yoshihiko Maehara Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy Acute Medicine & Surgery Norovirus infection pediatric duodenal ulcer pediatrics transcatheter arterial embolization |
author_facet |
Wakato Matsuoka Noriyuki Kaku Yuichiro Hirata Sooyoung Lee Tomohiko Akahoshi Hiroshi Sugimori Makoto Hayashida Ryota Souzaki Norihiro Fujita Yoshiki Asayama Tomoaki Taguchi Hidetoshi Takada Yoshihiko Maehara |
author_sort |
Wakato Matsuoka |
title |
Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy |
title_short |
Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy |
title_full |
Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy |
title_fullStr |
Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy |
title_full_unstemmed |
Emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy |
title_sort |
emergent transcatheter arterial embolization for norovirus‐associated life‐threatening ulcer bleeding to achieve successful hemostasis in 2‐year‐old boy |
publisher |
Wiley |
series |
Acute Medicine & Surgery |
issn |
2052-8817 |
publishDate |
2016-10-01 |
description |
Case We report a 2‐year‐old boy with duodenal ulcer with active bleeding that occurred as a result of norovirus gastroenteritis. On admission, the patient presented with shock accompanied with vomiting and melena. Abdominal contrast enhanced computed tomography scan showed signs of duodenal bleeding. Outcome He was successfully treated with emergent transcatheter arterial embolization. After the treatment, endoscopic examination revealed duodenal ulcer and the stool norovirus antigen test was found to be positive. The patient recovered completely without any sequelae. Conclusion Life‐threatening duodenal ulcer bleeding in children can be caused by viral gastroenteritis. When endoscopic therapy is unsuccessful or difficult, in cases of small children, angiographic intervention can be a safe alternative treatment option of gastrointestinal bleeding. |
topic |
Norovirus infection pediatric duodenal ulcer pediatrics transcatheter arterial embolization |
url |
https://doi.org/10.1002/ams2.213 |
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