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Intestinal necrosis due to norovirus enteritis

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An Erratum to this article was published on 31 July 2015

Abstract

Noroviruses cause epidemic and sporadic acute gastroenteritis in both children and adults. We report a rare case of intestinal necrosis due to norovirus gastroenteritis in a healthy adult. A 47-year-old man presented with worsening abdominal pain, diarrhea, vomiting, and abdominal fullness. Physical examination revealed abdominal distension and diffuse tenderness. Contrast-enhanced computed tomography revealed intestinal distention, pneumatosis, and portal venous gas, findings suggestive of intestinal necrosis. Norovirus genome was detected in his stools using the RT-PCR method. Upon laparotomy, a segment of necrotic bowel 170 cm from the ileocecal valve was identified, and the lesion was resected with an end ileostomy. The patient‘s recovery was uneventful, and he was transferred to another hospital on the 7th post-operative day. Ileostomy closure was performed one month after the first surgery at the transfer hospital. He had no recurrent episodes.

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Disclosures

Conflict of Interest:

Hiromi Yasuda, Yoshiki Okita, Yuhki Imaoka, Hiroyuki Fujikawa, Masaki Ohi, Toshimitsu Araki, Koji Tanaka, Tsunehiko Shigemori, Toshio Kato,Yasuhiko Mohri and Masato Kusunoki declare that they have no conflict of interest.

Human/Animal Rights:

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.

Informed Consent:

Informed consent was obtained from all patients for being included in the study.

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Authors and Affiliations

  1. Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu, Mie, 514-8507, Japan

    Hiromi Yasuda, Yoshiki Okita, Yuhki Imaoka, Hiroyuki Fujikawa, Toshimitsu Araki, Koji Tanaka, Yasuhiko Mohri & Masato Kusunoki

  2. Department of Innovative Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan

    Masaki Ohi

  3. Department of Surgery, Toyama Hospital, Tsu, Mie, Japan

    Tsunehiko Shigemori & Toshio Kato

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  1. Hiromi Yasuda
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  2. Yoshiki Okita
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  3. Yuhki Imaoka
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  4. Hiroyuki Fujikawa
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  5. Masaki Ohi
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  6. Toshimitsu Araki
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  7. Koji Tanaka
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  8. Tsunehiko Shigemori
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  9. Toshio Kato
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  10. Yasuhiko Mohri
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  11. Masato Kusunoki
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Corresponding author

Correspondence to Hiromi Yasuda.

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Yasuda, H., Okita, Y., Imaoka, Y. et al. Intestinal necrosis due to norovirus enteritis. Clin J Gastroenterol 8, 10–13 (2015). https://doi.org/10.1007/s12328-014-0540-0

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  • DOI: https://doi.org/10.1007/s12328-014-0540-0

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