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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PAGEPress Publications
2017-09-01
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Series: | Reumatismo |
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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. |
first_indexed | 2024-12-11T21:47:39Z |
format | Article |
id | doaj.art-23240bdc64df4e54a68a4fc26360a2b4 |
institution | Directory Open Access Journal |
issn | 0048-7449 2240-2683 |
language | English |
last_indexed | 2024-12-11T21:47:39Z |
publishDate | 2017-09-01 |
publisher | PAGEPress Publications |
record_format | Article |
series | Reumatismo |
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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