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World J Gastroenterol. Apr 28, 2013; 19(16): 2574-2577
Published online Apr 28, 2013. doi: 10.3748/wjg.v19.i16.2574
Published online Apr 28, 2013. doi: 10.3748/wjg.v19.i16.2574
Henoch-Schonlein purpura with intestinal perforation and cerebral hemorrhage: A case report
Hong-Liang Wang, Hai-Tao Liu, Qi Chen, Yang Gao, Kai-Jiang Yu, Intensive Care Unit, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Author contributions: Wang HL and Liu HT contributed equally to this work; Gao Y collected materials and prepared figures; Yu KJ and Chen Q revised the manuscript.
Correspondence to: Kai-Jiang Yu, MM, Intensive Care Unit, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China. drkaijiang@sohu.com
Telephone: +86-451-86296376 Fax: +86-451-86296376
Received: December 3, 2012
Revised: January 3, 2013
Accepted: January 17, 2013
Published online: April 28, 2013
Revised: January 3, 2013
Accepted: January 17, 2013
Published online: April 28, 2013
Abstract
Henoch-Schonlein purpura (HSP) with intestinal perforation and cerebral hemorrhage is a very rare clinical condition. There has been no report of HSP complicated with both intestinal perforation and cerebral hemorrhage until October 2012. Here we describe a case of HSP with intestinal perforation and cerebral hemorrhage in a 5-year-old girl. Plain abdominal radiograph in the erect position showed heavy gas in the right subphrenic space with an elevated diaphragm. Partial resection of the small intestine was performed, and pathological analysis suggested chronic suppurative inflammation in all layers of the ileal wall and mesentery. Seventeen days after surgery, cerebral hemorrhage developed and the patient died.
Keywords: Henoch-Schonlein purpura, Anaphylactoid purpura, Small intestine, Cerebral hemorrhage, Child