Park S H, Kim C J, Chi J G, Seo J K, Park K W
Department of Pathology, Seoul National University Children's Hospital, Korea.
J Korean Med Sci. 1990 Jun;5(2):101-4. doi: 10.3346/jkms.1990.5.2.101.
We report a case of the intestinal lesion in Henoch-Schönlein purpura, presented with an acute abdomen in a 4 year old boy. Five days after sudden colicky abdominal pain, skin purpura and painful joint swelling developed. These manifestations were associated with abdominal distension, hematemesis, hematochezia and hematuria. Exploratory laparotomy revealed a marked bowel distension with edema and patchy dark reddish discoloration of the jejunum and ileum. These patchy areas showed transmural hemorrhage and necrosis associated with characteristic leukocytoclastic vasculitis in and around the hemorrhagic lesions. These vasculitis was thought to be related to Henoch-Schönlein purpura.
我们报告一例过敏性紫癜肠道病变病例，该病例为一名4岁男孩，以急腹症表现就诊。突发绞痛性腹痛5天后，出现皮肤紫癜和疼痛性关节肿胀。这些表现伴有腹胀、呕血、便血和血尿。剖腹探查发现肠道明显扩张，空肠和回肠有水肿及散在的暗红色变色。这些散在区域显示透壁出血和坏死，并伴有出血性病变内及周围特征性的白细胞破碎性血管炎。这种血管炎被认为与过敏性紫癜有关。
