All issues > Volume 45(3); 2002

Case Report

J Korean Pediatr Soc. 2002;45(3):406-412. Published online March 15, 2002.

A Case of Intestinal Perforation in Henoch-Sch nlein Purpura

Won Sik WS Kang¹, Chang Hwan CH Oh¹, Jae Young JY Kim¹, Young Taek YT Lee², Hye Jin HJ Lee³, Hee Jin HJ Kim⁴, Sung Won SW Kim¹

¹Department of Pediatrics, St. Benedict Hospital, Pusan, Korea
²Department of Surgery, St. Benedict Hospital, Pusan, Korea
³Department of Pathology, St. Benedict Hospital, Pusan, Korea
⁴Department of Pediatrics, Chunhae Hospital, Pusan, Korea

Correspondence Jae Young JY Kim ,Email: jykim9@korea.com

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.

Keywords :Henoch-Sch nlein purpura, Ileal perforation