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Intestinal necrosis due to norovirus enteritis
Hiromi Yasuda1, Yoshiki Okita, Hiroki Imaoka
1Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Edobashi 2-174, Tsu, Mie, 514-8507, Japan, yasuda19792@yahoo.co.jp.
Clinical Journal of Gastroenterology
|December 5, 2014
Summary
Norovirus gastroenteritis, typically mild, caused rare intestinal necrosis in a healthy adult. This case highlights a severe complication of norovirus infection requiring surgical intervention.
Area of Science:
- Gastroenterology
- Virology
- Surgical Pathology
Background:
- Noroviruses are a leading cause of acute gastroenteritis outbreaks globally.
- Gastroenteritis is generally self-limiting, with symptoms like diarrhea and vomiting.
Observation:
- A healthy 47-year-old male presented with severe abdominal pain, distension, and vomiting.
- Imaging revealed signs of intestinal necrosis, including pneumatosis and portal venous gas.
Findings:
- Norovirus infection was confirmed via RT-PCR in stool samples.
- Laparotomy identified a 170 cm segment of necrotic bowel, necessitating resection and ileostomy.
Implications:
- This case demonstrates a rare but severe complication of norovirus gastroenteritis.
- Highlights the importance of considering severe pathology in norovirus cases presenting with abdominal emergencies.
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