title: Colo-colic intussusception associated with Henoch-Schönlein purpura in adults.
abstract: Henoch-Schönlein purpura (HSP) is often seen in childhood and is a self-limiting illness, and complication with intussusception is rare in adults. The case is reported of a 74-year-old man who was diagnosed with intussusception with HSP by ultrasonography on day of admission. Conservative therapy was started. However, his abdominal symptoms worsened, so he underwent laparotomy 3 days after admission. Histological study of the resected specimens demonstrated necrosis in the intussuscepted colon induced by HSP vasculitis. Bowel necrosis with intussusception in adult HSP is rare and might easily be overlooked. Thus special attention should be paid to gastrointestinal manifestations and, in an abdominal emergency, timely surgical intervention is life-saving.
authors.affiliation: First Department of Surgery, Kagawa Medical University, Kagawa, Japan. fgoda@kms.ac.jp
authors.forename: Fuminori
authors.initials: F
authors.lastname: Goda
authors.forename: Takashi
authors.initials: T
authors.lastname: Maeba
authors.forename: Hisashi
authors.initials: H
authors.lastname: Usuki
authors.forename: Yukihiko
authors.initials: Y
authors.lastname: Karasawa
authors.forename: Kunihiko
authors.initials: K
authors.lastname: Izuishi
authors.forename: Ken
authors.initials: K
authors.lastname: Ishimura
authors.forename: Shoichi
authors.initials: S
authors.lastname: Senda
authors.forename: Hajime
authors.initials: H
authors.lastname: Maeta
mesh_terms: D000368:Aged; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications*; D007443:Intussusception / Q000209:etiology* / Q000601:surgery; D008297:Male