Evaluation of abdominal pain in Henoch-Schönlein syndrome by high frequency ultrasound.
The authors report the use of high frequency ultrasound (7.5-10 MHz probes) for the detection of intestinal complications in 14 children with Henoch-Schönlein purpura. Ultrasound gave information of 3 levels: (1) It explained the acute abdominal pain by showing in all cases the oedematous haemorrhagic infiltration of the intestinal wall, which appeared thickened (3-11 mm): lesions were diffuse (6 cases) or focal (duodenal in 5 cases, jejunal in 2 cases and ileal in one). (2) It followed the evolution of the disease: extension of lesions (5 cases) or resolution (progressive decrease of parietal thickening, reexpansion of small bowel lumen, reappearance of peristalsis). (3) It always detected surgical complication: ileo-ileal intussusception (3 cases), perforation (1 case).
Couture
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A
Département de Radiopédiatrie, Hôpital St-Charles, Montpellier, France.
Veyrac
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C
Baud
C
C
Galifer
R B
RB
Armelin
I
I
D015746:Abdominal Pain / Q000000981:diagnostic imaging*; D002648:Child; D002675:Child, Preschool; D004378:Duodenal Diseases / Q000000981:diagnostic imaging; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging; D006406:Hematoma / Q000000981:diagnostic imaging; D006801:Humans; D011695:IgA Vasculitis / Q000000981:diagnostic imaging*; D007077:Ileal Diseases / Q000000981:diagnostic imaging; D007223:Infant; D007410:Intestinal Diseases / Q000000981:diagnostic imaging*; D007443:Intussusception / Q000000981:diagnostic imaging; D007579:Jejunal Diseases / Q000000981:diagnostic imaging; D008297:Male; D014463:Ultrasonography