Korean J Gastroenterol.  2017 Jun;69(6):372-376. 10.4166/kjg.2017.69.6.372.

Henoch-Schönlein Purpura Presenting as Intussusception

Affiliations
  • 1Department of Surgery, Wonkwang University School of Medicine, Iksan, Korea. saint@wonkwang.ac.kr
  • 2Institute of Medical Science, Wonkwang University School of Medicine, Iksan, Korea.

Abstract

Henoch-Schönlein purpura (HSP) is systemic vasculitis disease with various clinical manifestations. Gastrointestinal symptoms in patients with HSP are usually common, with an incidence rate of 62-90%. Most of these gastrointestinal symptoms occur after typical skin purpura, which is a very important clinical evidence for making a diagnosis of HSP. It is difficult to diagnose HSP without skin rash. About 25% of patients may experience gastrointestinal symptoms as their first symptoms. Herein, we report a case of ileo-colic intussusception associated with HSP in a 5-years-old girl presented with diffuse abdominal distension. Our patient did present any symptoms of HSP, such as purpura, arthralgia or arthritis, before surgery.

Keyword

Henoch-Schonlein purpura; Ileus; Intussusception

MeSH Terms

Arthralgia
Arthritis
Diagnosis
Exanthema
Female
Humans
Ileus
Incidence
Intussusception*
Purpura*
Purpura, Schoenlein-Henoch
Skin
Systemic Vasculitis
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