Acute Appendicitis in Henoch-Schönlein Purpura : A Case Report
Open Access
- 1 January 2005
- journal article
- case report
- Published by Korean Academy of Medical Sciences in Journal of Korean Medical Science
- Vol. 20 (5), 899-900
- https://doi.org/10.3346/jkms.2005.20.5.899
Abstract
Common complications of Henoch-Schönlein purpura (HSP) that lead to surgical intervention include intussusception, perforation, necrosis, and massive gastrointestinal bleeding. Acute appendicitis is rarely seen as a complication of HSP. A seven-year-old boy was admitted for arthralgia, abdominal pain, hematochezia, melena, and purpuric rash on the lower extremities. On admission day abdominal ultrasonography was normal, but on day 5, he became pyrexial and developed right iliac fossa pain and tenderness with guarding. Ultrasonography showed distended appendix surrounded by hyperechoic inflamed fat. On exploration an acutely inflamed, necrotic appendix was removed and grossly there was an appendiceal perforation in the appendiceal tip. Microscopically some of the small blood vessels in the submucosa showed fibrinoid necrosis with neutrophilic infiltrations. The authors report the case of a child who developed acute perforative appendicitis requiring appendectomy while on treatment for HSP.Keywords
This publication has 11 references indexed in Scilit:
- Intra‐abdominal manifestations of Henoch‐Schönlein PurpuraJournal of Paediatrics and Child Health, 1998
- Sonographic evaluation of the abdomen in henoch-schonlein purpuraClinical Radiology, 1994
- Ultrasonography to diagnose and exclude intussusception in Henoch-Schonlein purpura.Archives of Disease in Childhood, 1991
- Surgical Evaluation of Henoch-Schönlein Purpura Experience With 110 ChildrenArchives of Surgery, 1991
- Surgical implications of Henoch-Schölein purpuraJournal of Pediatric Surgery, 1990
- Surgical Complications in Henoch-Schönlein Purpura in ChildhoodEuropean Journal of Pediatric Surgery, 1988
- Henoch-Schönlein purpura and the acute scrotumJournal of Pediatric Surgery, 1986
- Surgical complications in Henoch-Schönlein purpuraJournal of Pediatric Surgery, 1984
- Surgical aspects of Henoch-Schönlein's purpura.1966
- The gastrointestinal manifestations of anaphylactoid purpura in children.1962