2005, Number 5
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Cir Cir 2005; 73 (5)
Henoch-Schönlein purpura and intestinal perforation
Baeza-Herrera C, Atzín-Fuentes JL, León-Cruz A, Medellín-Sierra UD, Escobar-Izquierdo MA
Language: Spanish
References: 9
Page: 389-391
PDF size: 98.24 Kb.
ABSTRACT
Schönlein-Henoch purpura is one of the most common forms of vasculitis in childhood, and intestinal perforation, necrosis and intussusception constitute the major surgical conditions. We present one recent case of spontaneous small bowel perforation without intussusception. An intestinal resection and ileostomy were performed. Perforation, usually ileal, frequently is accompanied by intussusception. We believe that the perforation is secondary to deep ischemic phenomenon of the bowel.
REFERENCES
Cappell SM, Gupta MA. Colonic lesions associated with Henoch-Schönlein purpura. Am J Gastroenterol 1990;85:1186-1188.
Sauter ER, Vauthey JN, Bolton JS, et al. Selective management of patients with neutropenic enterocolitis using peritoneal lavage. J Surg Oncol 1990;45:63-67.
Godkin A, Thompson M, Summerfield J. Abdominal pain melaena: an unusual cause. Lancet 2000;356:362.
Weber RT, Grosfeld LJ, Bergstein J, et al. Massive gastric hemorrhage: an unusual complication of Henoch-Schönlein purpura. J Pediatr Surg 1983;18:576-578.
van den Broek RWFR, van Rossum MAJ, van Duinen CM. A new surgical complication related to corticosteroids in a patient with Henoch-Schönlein purpura. J Pediatr Surg 1995;30:1341-1343.
Martínez-Frontanilla LA, Hasse MG, Ernster AJ, et al. Surgical complications in Henoch-Schönlein purpura. J Pediatr Surg 1984;19:434-436.
Cull LD, Rosario V, Lally PK, et al. Surgical complications of Henoch-Schönlein purpura. J Pediatr Surg 1990;25:741-743.
Quiroz FG. Anatomía Humana. Volumen III. Mexico, D.F.: Editorial Porrúa;1974. pp. 156-157.
Smith JH, Krupski CW. Spontaneous intestinal perforation in Schönlein-Henoch purpura. South Med J 1980;73:603-606.