Massive gastric hemorrhage: an unusual complication of Henoch-Schönlein purpura.

Two severely ill children with multisystem involvement of Henoch-Schönlein purpura developed massive upper gastrointestinal hemorrhage, requiring operative ligation of gastric stress ulcers, and vagotomy and pyloroplasty. Arteriographic embolization was also used in one of the children when she developed recurrent hemorrhage. Survival in both children emphasizes the need for aggressive management of the many complications these children may develop.