Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report

Henoch-Schönlein purpura (HSP) is caused by deposition of IgA-containing immune complexes within the blood vessels. HSP mostly occurs in children and is less common in adults. In addition to palpable purpura, arthritis or arthralgia, renal disease and abdominal pain, gastrointestinal symptoms occur...

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Main Authors: F. Almassinokiani, A. Mehdizadeh Kashi, A. Musavi, S. Khodaverdi, K. Tahermanesh, S. Ariana
Format: Article
Language:English
Published: PAGEPress Publications 2017-09-01
Series:Reumatismo
Subjects:
Online Access:http://www.reumatismo.org/index.php/reuma/article/view/948
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author F. Almassinokiani
A. Mehdizadeh Kashi
A. Musavi
S. Khodaverdi
K. Tahermanesh
S. Ariana
author_facet F. Almassinokiani
A. Mehdizadeh Kashi
A. Musavi
S. Khodaverdi
K. Tahermanesh
S. Ariana
author_sort F. Almassinokiani
collection DOAJ
description Henoch-Schönlein purpura (HSP) is caused by deposition of IgA-containing immune complexes within the blood vessels. HSP mostly occurs in children and is less common in adults. In addition to palpable purpura, arthritis or arthralgia, renal disease and abdominal pain, gastrointestinal symptoms occur in 50% of children. These can be caused by gastrointestinal hemorrhage, bowel ischemia and necrosis, intussusception, and bowel perforation. In adults, intussusception is less frequent than in children. We report a 42-year-old woman referred to our hospital with acute abdominal pain. After laboratory and radiologic examinations, laparatomy was performed which revealed rectal perforation due to HSP. HSP is a multisystem disorder. Abdominal pain in patients with HSP may herald a serious gastrointestinal problem also in adult patients.
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spelling doaj.art-23240bdc64df4e54a68a4fc26360a2b42022-12-22T00:49:34ZengPAGEPress PublicationsReumatismo0048-74492240-26832017-09-0169313113310.4081/reumatismo.2017.948754Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case reportF. Almassinokiani0A. Mehdizadeh Kashi1A. Musavi2S. Khodaverdi3K. Tahermanesh4S. Ariana5Department of Minimally Invasive Gynecology Surgery, Minimally Invasive Surgery Research Center, Iran University of Medical Sciences (IUMS), TehranDepartment of Minimally Invasive Gynecology Surgery, Endometriosis Research Center, Iran University of Medical Sciences (IUMS), TehranDepartment of Obstetrics & Gynecology, Iran University of Medical Sciences (IUMS), TehranDepartment of Minimally Invasive Gynecology Surgery, Endometriosis Research Center, Iran University of Medical Sciences (IUMS), TehranDepartment of Minimally Invasive Gynecology Surgery, Endometriosis Research Center, Iran University of Medical Sciences (IUMS), TehranDepartment of Obstetrics & Gynecology, Iran University of Medical Sciences (IUMS), TehranHenoch-Schönlein purpura (HSP) is caused by deposition of IgA-containing immune complexes within the blood vessels. HSP mostly occurs in children and is less common in adults. In addition to palpable purpura, arthritis or arthralgia, renal disease and abdominal pain, gastrointestinal symptoms occur in 50% of children. These can be caused by gastrointestinal hemorrhage, bowel ischemia and necrosis, intussusception, and bowel perforation. In adults, intussusception is less frequent than in children. We report a 42-year-old woman referred to our hospital with acute abdominal pain. After laboratory and radiologic examinations, laparatomy was performed which revealed rectal perforation due to HSP. HSP is a multisystem disorder. Abdominal pain in patients with HSP may herald a serious gastrointestinal problem also in adult patients.http://www.reumatismo.org/index.php/reuma/article/view/948Henoch-Schönlein purpuraBowel perforationAbdominal painRectal perforation.
spellingShingle F. Almassinokiani
A. Mehdizadeh Kashi
A. Musavi
S. Khodaverdi
K. Tahermanesh
S. Ariana
Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report
Reumatismo
Henoch-Schönlein purpura
Bowel perforation
Abdominal pain
Rectal perforation.
title Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report
title_full Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report
title_fullStr Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report
title_full_unstemmed Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report
title_short Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report
title_sort rectal perforation in a 42 year old woman due to henoch schonlein purpura a case report
topic Henoch-Schönlein purpura
Bowel perforation
Abdominal pain
Rectal perforation.
url http://www.reumatismo.org/index.php/reuma/article/view/948
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