title: Henoch-Schonlein purpura with intestinal perforation and cerebral hemorrhage: a case report.
abstract: Henoch-Schonlein purpura (HSP) with intestinal perforation and cerebral hemorrhage is a very rare clinical condition. There has been no report of HSP complicated with both intestinal perforation and cerebral hemorrhage until October 2012. Here we describe a case of HSP with intestinal perforation and cerebral hemorrhage in a 5-year-old girl. Plain abdominal radiograph in the erect position showed heavy gas in the right subphrenic space with an elevated diaphragm. Partial resection of the small intestine was performed, and pathological analysis suggested chronic suppurative inflammation in all layers of the ileal wall and mesentery. Seventeen days after surgery, cerebral hemorrhage developed and the patient died.
authors.affiliation: Intensive Care Unit, the Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China.
authors.forename: Hong-Liang
authors.initials: HL
authors.lastname: Wang
authors.forename: Hai-Tao
authors.initials: HT
authors.lastname: Liu
authors.forename: Qi
authors.initials: Q
authors.lastname: Chen
authors.forename: Yang
authors.initials: Y
authors.lastname: Gao
authors.forename: Kai-Jiang
authors.initials: KJ
authors.lastname: Yu
mesh_terms: D001706:Biopsy; D002533:Cerebral Angiography / Q000379:methods; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D002675:Child, Preschool; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000175:diagnosis; D007077:Ileal Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007416:Intestinal Perforation / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Anaphylactoid purpura; Cerebral hemorrhage; Child; Henoch-Schonlein purpura; Small intestine