J Korean Pediatr Soc.  2002 Mar;45(3):406-412.

A Case of Intestinal Perforation in Henoch-Sch nlein Purpura

• Kang WS
• Oh CH
• Kim JY
• Lee YT
• Lee HJ
• Kim HJ
• Kim SW

Abstract

Henoch-Sch nlein purpura(HSP) is one of the most common vasculitic diseases of childhood, referred to as a leukocytoclastic vasculitis affecting small vessels. Although HSP related gastrointestinal symptoms are seen in up to 80% of patients during acute illness, these symptoms are usually transient. However, some patients with HSP have gastrointestinal major surgical complications such as intussusception, bowel infarction, necrosis, stricture, and perforation. We experienced a rare case of HSP-related ileal perforation developed after corticosteroid treatment. We report a case with HSP-related intestinal perforation and assess the effect of corticosteroid on the outcome of abdominal pain in children with HSP.

Keyword

Henoch-Sch nlein purpura; Ileal perforation

MeSH Terms

Abdominal Pain
Child
Constriction, Pathologic
Humans
Infarction
Intestinal Perforation*
Intussusception
Necrosis
Purpura*
Vasculitis