Department of Emergency Medicine, Cathay General Hospital, Taipei, Taiwan.
Am J Emerg Med. 2012 Nov;30(9):2085.e1-3. doi: 10.1016/j.ajem.2011.12.003. Epub 2012 Feb 4.
We described a 14-year-old boy with initial presentation of recurrent intermittent abdominal pain, with subsequent development of jejunojejunum intussusception. The characteristic purpuric skin rash of Henoch-Schönlein purpura appeared later after the surgical manual reduction. When abdominal pain is the single initial manifestation in patients with undiagnosed Henoch-Schönlein purpura, emergency physicians should evaluate if the patient required early surgical intervention such as intussusception or perforation and always keep Henoch-Schönlein purpura as a possibility in mind.
我们描述了一名 14 岁男孩，最初表现为反复发作的间歇性腹痛，随后出现空肠-空肠肠套叠。手术手动复位后，出现了典型的过敏性紫癜性紫癜性皮疹。当腹痛是未经诊断的过敏性紫癜患者的唯一初始表现时，急诊医生应评估患者是否需要早期手术干预，如肠套叠或穿孔，并始终将过敏性紫癜作为一种可能性考虑。
