Journal of the Korean Pediatric Society 1992;35(9):1291-1297.
Published online September 15, 1992.
A Case of Intestinal Necrosis Associated with Henoch-Schönlein Purpura
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-Schönlein자반증에 합병된 장괴사증 1례
이수중1, 김영유1, 황성수1, 이경일1, 이원익1, 김정수2, 안창준2, 지미경3
1가톨릭의과대학교 소아과학교실
2가톨릭의과대학교 외과학교실
3가톨릭의과대학교 병리학교실
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.
Key Words: Henoch-Schö, nlein purpura, Intestinal necrosis, Leukocytoclastic vasculitis


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