Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccination

Abstract The Pfizer‐BioNTech coronavirus disease 2019 (COVID‐19) vaccine is extensively used worldwide, and its safety has been proven. Herein, we report a case of an acute necrotic disorder in the small intestine post‐COVID‐19 vaccination. The patient developed severe abdominal pain the day after t...

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Main Authors: Tomoyuki Nishimura, Seiji Onogawa, Takuya Yamamoto, Yasuhiro Okuda, Morito Ikeda, Nozomu Matsumoto, Keisuke Kurihara, Akinori Shimizu, Shosuke Kitamura, Yoshio Katamura, Naomichi Hirano, Shingo Itamoto, Masahiro Nakahara, Shuji Yonehara, Fumio Shimamoto, Keiji Hanada
Format: Article
Language:English
Published: Wiley 2023-04-01
Series:DEN Open
Subjects:
Online Access:https://doi.org/10.1002/deo2.137
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author Tomoyuki Nishimura
Seiji Onogawa
Takuya Yamamoto
Yasuhiro Okuda
Morito Ikeda
Nozomu Matsumoto
Keisuke Kurihara
Akinori Shimizu
Shosuke Kitamura
Yoshio Katamura
Naomichi Hirano
Shingo Itamoto
Masahiro Nakahara
Shuji Yonehara
Fumio Shimamoto
Keiji Hanada
author_facet Tomoyuki Nishimura
Seiji Onogawa
Takuya Yamamoto
Yasuhiro Okuda
Morito Ikeda
Nozomu Matsumoto
Keisuke Kurihara
Akinori Shimizu
Shosuke Kitamura
Yoshio Katamura
Naomichi Hirano
Shingo Itamoto
Masahiro Nakahara
Shuji Yonehara
Fumio Shimamoto
Keiji Hanada
author_sort Tomoyuki Nishimura
collection DOAJ
description Abstract The Pfizer‐BioNTech coronavirus disease 2019 (COVID‐19) vaccine is extensively used worldwide, and its safety has been proven. Herein, we report a case of an acute necrotic disorder in the small intestine post‐COVID‐19 vaccination. The patient developed severe abdominal pain the day after the first vaccination. Contrast‐enhanced computed tomography showed extensive ileum wall thickening and ascites. Colonoscopy revealed a ring‐shaped ulcer and stricture in the terminal ileum. Ileocecal resection was performed, and the patient did not have further episodes of a necrotic disorder in the small intestine. Although it is unknown if this event is associated with vaccination, and this occurrence also does not outweigh the efficacy and safety of the Pfizer‐BioNTech COVID‐19 vaccine, gastroenterologists need to be aware of this rare case, given its noteworthy timing.
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publisher Wiley
record_format Article
series DEN Open
spelling doaj-art-a46cecdc4c2e491dbbf4f47221ac91452025-08-20T03:49:41ZengWileyDEN Open2692-46092023-04-0131n/an/a10.1002/deo2.137Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccinationTomoyuki Nishimura0Seiji Onogawa1Takuya Yamamoto2Yasuhiro Okuda3Morito Ikeda4Nozomu Matsumoto5Keisuke Kurihara6Akinori Shimizu7Shosuke Kitamura8Yoshio Katamura9Naomichi Hirano10Shingo Itamoto11Masahiro Nakahara12Shuji Yonehara13Fumio Shimamoto14Keiji Hanada15Department of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanDepartment of Surgery Onomichi General Hospital Hiroshima JapanDepartment of Surgery Onomichi General Hospital Hiroshima JapanDepartment of Pathology Onomichi General Hospital Hiroshima JapanDepartment of Nursing Faculty of Health Sciences Hiroshima Cosmopolitan University Hiroshima JapanDepartment of Gastroenterology Onomichi General Hospital Hiroshima JapanAbstract The Pfizer‐BioNTech coronavirus disease 2019 (COVID‐19) vaccine is extensively used worldwide, and its safety has been proven. Herein, we report a case of an acute necrotic disorder in the small intestine post‐COVID‐19 vaccination. The patient developed severe abdominal pain the day after the first vaccination. Contrast‐enhanced computed tomography showed extensive ileum wall thickening and ascites. Colonoscopy revealed a ring‐shaped ulcer and stricture in the terminal ileum. Ileocecal resection was performed, and the patient did not have further episodes of a necrotic disorder in the small intestine. Although it is unknown if this event is associated with vaccination, and this occurrence also does not outweigh the efficacy and safety of the Pfizer‐BioNTech COVID‐19 vaccine, gastroenterologists need to be aware of this rare case, given its noteworthy timing.https://doi.org/10.1002/deo2.137COVID‐19necrosisside effectssmall intestinevaccines
spellingShingle Tomoyuki Nishimura
Seiji Onogawa
Takuya Yamamoto
Yasuhiro Okuda
Morito Ikeda
Nozomu Matsumoto
Keisuke Kurihara
Akinori Shimizu
Shosuke Kitamura
Yoshio Katamura
Naomichi Hirano
Shingo Itamoto
Masahiro Nakahara
Shuji Yonehara
Fumio Shimamoto
Keiji Hanada
Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccination
DEN Open
COVID‐19
necrosis
side effects
small intestine
vaccines
title Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccination
title_full Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccination
title_fullStr Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccination
title_full_unstemmed Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccination
title_short Acute necrotic disorder of the small intestine post‐coronavirus disease‐2019 vaccination
title_sort acute necrotic disorder of the small intestine post coronavirus disease 2019 vaccination
topic COVID‐19
necrosis
side effects
small intestine
vaccines
url https://doi.org/10.1002/deo2.137
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