van den Broek R W, van Rossum M A, van Duinen C M
Department of Surgery, University of Maastricht, The Netherlands.
J Pediatr Surg. 1995 Sep;30(9):1341-3. doi: 10.1016/0022-3468(95)90500-6.
In this case presentation of a 4-year-old boy with histopathologically proven Henoch-Schönlein purpura the authors report a surgical complication that occurred under corticosteroids; this had not been described previously. Relief of abdominal pain was dramatic and the hematemesis disappeared, but an entero-enteral fistula and abscess developed without any sign of peritonitis. Therefore, when corticosteroids are used for symptomatic relief, and intermittent bowel obstruction persists during their use, surgical complications should be suspected. In such cases, intermittent small bowel obstruction might be the only sign of a grave surgical complication.
在本病例报告中，作者报道了一名4岁经组织病理学证实为过敏性紫癜的男孩在使用皮质类固醇治疗期间发生的手术并发症，此前未见相关描述。腹痛明显缓解，呕血消失，但出现了肠-肠瘘和脓肿，且无任何腹膜炎迹象。因此，当使用皮质类固醇进行症状缓解治疗，且在治疗期间间歇性肠梗阻持续存在时，应怀疑有手术并发症。在这种情况下，间歇性小肠梗阻可能是严重手术并发症的唯一迹象。
