Intramural Hematoma of the Duodenum following Endoscopic Biopsy in a Child with Henoch-Schonlein Purpura.
- Author:
Joon Sung KIM
1
;
Kyung Mo KIM
Author Information
1. Department of Pediatrics, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan, Korea. pedkjs@uuh.ulsan.kr
- Publication Type:Case Report
- Keywords:
Henoch-Schonlein purpura;
Duodenum;
Intramural hematoma
- MeSH:
Biopsy*;
Child*;
Duodenal Obstruction;
Duodenum*;
Female;
Gastrointestinal Tract;
Hematoma*;
Humans;
Joints;
Kidney;
Purpura, Schoenlein-Henoch*;
Skin;
Tomography, X-Ray Computed;
Vasculitis
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2006;9(2):256-261
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Henoch-Schonlein purpura is a systemic small-vessel IgA-dominant vasculitis with involvement of skin, gastrointestinal tract, joint and kidney. Henoch-Schonlein purpura and an endoscopic biopsy are rare causes of intramural hematoma of the duodenum. We herein report a case of intramural hematoma of the duodenum and duodenal obstruction following endoscopic biopsy in an 8-year-old girl with Henoch-Schonlein purpura. Abdominal CT scan showed intramural hematoma in the second and third portions of the duodenum, which caused marked narrowing of the lumen. She was treated with supportive care and improved completely without any gastrointestinal complications.