Korean Journal of Pediatric Gastroenterology and Nutrition  2001;4(2):228-232

A Case of Jejuno-jejunal Intussusception in Henoch-Schonlein Purpura.

Hyun Kyung PARK 1 ; Yoon Sook CHUNG ; Ki Joong KIM ; Yong Joo KIM ; Hahng LEE ; Hyun Chul RHIM

Affiliations

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Keywords

Henoch-Schonlein purpura; Intussusception; Jejuno-jejunal

Country

Republic of Korea

Language

Korean

Abstract

Gastrointestinal involvement occurs in two thirds of children with Henoch-Schonlein purpura (HSP) and intussusception is by far the most common abdominal complication. Intussusception in HSP almost originates in the small bowel, which is in contrast with idiopathic intussusception. Earlier diagnosis and prompt treatment of intra-abdominal complications can reduce the mortality and ultrasound is the imaging modality of choice in evaluation the bowel manifestations of HSP. We report a case of jejuno-jejunal intussusception associated with HSP in a 5-year-old boy who presented with diffuse abdominal pain and vomiting after a few days of HSP onset. Abdominal ultrasound demonstrated intussusception in the jejunum with well defined target appearance because of the thickened intussusceptum, which disappeared on the computerized tomographic examination checked approximately 24 hours later. A brief review of literature was made.