All issues > Volume 35(9); 1992

Case Report

J Korean Pediatr Soc. 1992;35(9):1291-1297. Published online September 15, 1992.

A Case of Intestinal Necrosis Associated with Henoch-Schönlein Purpura

Soo Jung SJ Lee¹, Young Yoo YY Kim¹, Sung Soo SS Whang¹, Kyung Yil KY Lee¹, Won Ik WI Lee¹, Jeong Soo JS Kim², Chang Joon CJ Ahn², Mi Kyung MK 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

Abstract

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.

Keywords :Henoch-Schönlein purpura, Intestinal necrosis, Leukocytoclastic vasculitis