| A Case of Intestinal Necrosis Associated with Henoch-Schönlein Purpura |
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Soo Jung Lee1, Young Yoo Kim1, Sung Soo Whang1, Kyung Yil Lee1, Won Ik Lee1, Jeong Soo Kim2, Chang Joon Ahn2, Mi Kyung Jee3 |
1Department of Pediatrics, Catholic University Medical College, Seoul, Korea
2Department of Surgery, Catholic University Medical College, Seoul, Korea
3Department of Clinical Pathology, Catholic University Medical College, Seoul, Korea |
| Henoch-Schönleinìžë°˜ì¦ì— í•©ë³‘ëœ ìž¥ê´´ì‚¬ì¦ 1ë¡€ |
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3가톨ë¦ì˜ê³¼ëŒ€í•™êµ 병리학êµì‹¤ |
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| Abstract |
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Gastrointestinal symptoms of Henoch-Schönlein commonly present abdominal pain, nausea, nomitting, melena and hematemesis and resolve mostly without any complications. Some times life threatening gastrointestinal manifestations such as massive hemorrhage, intussusception, intestinal necrosis and perforation may develop
We report a case of the Henoch-Schönlein purpura with intestinal lesion in 11 year female patient who presented with colicky abdominal pain and bloody stool and abdominal rigidity later. Exploratory laparotomy revealed clear dark reddish discoloration in part of ileum with wedge-shaped mesenteric involvement and suggested ileal necrosis due to infarction. Histologic findings of resected ileum showed characteristic leukocytoclastic vasculitis. |
| Key Words:
Henoch-Schö, nlein purpura, Intestinal necrosis, Leukocytoclastic vasculitis |
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