Emergent transcatheter arterial embolization for norovirus-associated life-threatening ulcer bleeding to achieve successful hemostasis in 2-year-old boy

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

doi:10.1002/ams2.213

Emergent transcatheter arterial embolization for norovirus-associated life-threatening ulcer bleeding to achieve successful hemostasis in 2-year-old boy

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

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Abstract

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.

Original language	English
Pages (from-to)	415-418
Number of pages	4
Journal	Acute medicine & surgery
Volume	3
Issue number	4
DOIs	https://doi.org/10.1002/ams2.213
Publication status	Published - Oct 2016

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Matsuoka, W., Kaku, N., Hirata, Y., Lee, S., Akahoshi, T., Sugimori, H., Hayashida, M., Souzaki, R., Fujita, N., Asayama, Y., Taguchi, T., Takada, H., & Maehara, Y. (2016). Emergent transcatheter arterial embolization for norovirus-associated life-threatening ulcer bleeding to achieve successful hemostasis in 2-year-old boy. Acute medicine & surgery, 3(4), 415-418. https://doi.org/10.1002/ams2.213

Matsuoka, W , Kaku, N , Hirata, Y, Lee, S, Akahoshi, T, Sugimori, H, Hayashida, M, Souzaki, R, Fujita, N, Asayama, Y, Taguchi, T, Takada, H & Maehara, Y 2016, 'Emergent transcatheter arterial embolization for norovirus-associated life-threatening ulcer bleeding to achieve successful hemostasis in 2-year-old boy', Acute medicine & surgery, vol. 3, no. 4, pp. 415-418. https://doi.org/10.1002/ams2.213

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title = "Emergent transcatheter arterial embolization for norovirus-associated life-threatening ulcer bleeding to achieve successful hemostasis in 2-year-old boy",

abstract = "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.",

author = "Wakato Matsuoka and Noriyuki Kaku and Yuichiro Hirata and Sooyoung Lee and Tomohiko Akahoshi and Hiroshi Sugimori and Makoto Hayashida and Ryota Souzaki and Norihiro Fujita and Yoshiki Asayama and Tomoaki Taguchi and Hidetoshi Takada and Yoshihiko Maehara",

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doi = "10.1002/ams2.213",

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AU - Matsuoka, Wakato

AU - Kaku, Noriyuki

AU - Hirata, Yuichiro

AU - Lee, Sooyoung

AU - Akahoshi, Tomohiko

AU - Sugimori, Hiroshi

AU - Hayashida, Makoto

AU - Souzaki, Ryota

AU - Fujita, Norihiro

AU - Asayama, Yoshiki

AU - Taguchi, Tomoaki

AU - Takada, Hidetoshi

AU - Maehara, Yoshihiko

PY - 2016/10

Y1 - 2016/10

N2 - 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.

AB - 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.

U2 - 10.1002/ams2.213

DO - 10.1002/ams2.213

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SN - 2052-8817

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SP - 415

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JO - Acute medicine & surgery

JF - Acute medicine & surgery

IS - 4

ER -

Emergent transcatheter arterial embolization for norovirus-associated life-threatening ulcer bleeding to achieve successful hemostasis in 2-year-old boy

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