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A Case of Intestinal Perforation in Henoch-Sch nlein Purpura

Journal of the Korean Pediatric Society 2002;45(3):406-412.
Published online March 15, 2002.
A Case of Intestinal Perforation in Henoch-Sch nlein Purpura
Won Sik Kang1, Chang Hwan Oh1, Jae Young Kim1, Young Taek Lee2, Hye Jin Lee3, Hee Jin Kim4, Sung Won 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
Henoch-Sch nlein 자반증에서 발생된 장천공 1례
강원식1, 오창환1, 김재영1, 이영택2, 이혜진3, 김희진4, 김성원1
1성분도병원 소아과
2성분도병원 외과
3성분도병원 해부병리과
4춘해병원 소아과
Jae Young Kim, Email: jykim9@korea.com
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.
Key Words: Henoch-Sch nlein purpura, Ileal perforation

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