Henoch-Schönlein Purpura Presenting as Intussusception

Keun Young Kim

doi:10.4166/kjg.2017.69.6.372

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Korean J Gastroenterol < Volume 69(6); 2017 < Articles

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

Henoch-Schönlein Purpura Presenting as Intussusception

Keun Young Kim^1,2

Department of Surgery¹ and Institute of Medical Science², Wonkwang University School of Medicine, Iksan, Korea

Published online: June 25, 2017.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.; Keywords: Henoch-Schonlein purpura; Ileus; Intussusception