Jejunojejunum intussusception as the single initial manifestation of Henoch-Schönlein purpura in a teenager.
We described a 14-year-old boy with initial presentation of recurrent intermittent abdominal pain, with subsequent development of jejunojejunum intussusception. The characteristic purpuric skin rash of Henoch-Schönlein purpura appeared later after the surgical manual reduction. When abdominal pain is the single initial manifestation in patients with undiagnosed Henoch-Schönlein purpura, emergency physicians should evaluate if the patient required early surgical intervention such as intussusception or perforation and always keep Henoch-Schönlein purpura as a possibility in mind.
Department of Emergency Medicine, Cathay General Hospital, Taipei, Taiwan.
Cherng-Jyr
CJ
Lim
Jiann-Hwa
JH
Chen
Wei-Lung
WL
Chen
Ying-Sheng
YS
Shen
Chien-Cheng
CC
Huang
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D004636:Emergency Service, Hospital; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications*; D007443:Intussusception / Q000000981:diagnostic imaging / Q000209:etiology*; D007579:Jejunal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D007583:Jejunum / Q000000981:diagnostic imaging; D008297:Male; D011859:Radiography