title: Henoch-Schönlein purpura complicated by acalculous cholecystitis and intussusception, and following recurrence with appendicitis.
abstract: Henoch-Schönlein purpura (HSP) is the most common childhood systemic vasculitis. Gastro-intestinal involvement occurs in two-thirds of patients. The characteristic skin lesions generally precede abdominal symptoms or present concurrently. A 7-year-old boy presented with intussusception and acalculous cholecystitis and had a cholecystectomy. Two weeks later he was re-admitted with features typical of HSP which responded to corticosteroids. Eleven months later he presented with abdominal pain and recurrence of HSP and, at laparotomy, there was acute appendicitis. This is the first case of a child presenting with HSP complicated by acalculous cholecystitis.
authors.affiliation: a Department of Pediatric Emergency, Faculty of Medicine , Kahramanmaras Sutcu Imam University , Kahramanmaras.
authors.forename: Ahmet Kağan
authors.initials: AK
authors.lastname: Özkaya
authors.affiliation: b Department of Pediatric Emergency, Faculty of Medicine , Gazi University , Ankara.
authors.forename: Ekrem
authors.initials: E
authors.lastname: Güler
authors.affiliation: c Departments of Pediatrics.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Çetinkaya
authors.affiliation: d Pediatric Surgery, Faculty of Medicine , Kahramanmaras Sutcu Imam University , Kahramanmaras.
authors.forename: Ali Erdal
authors.initials: AE
authors.lastname: Karakaya
authors.affiliation: c Departments of Pediatrics.
authors.forename: Yalçın
authors.initials: Y
authors.lastname: Göksügür
authors.affiliation: e Department of Pediatric Surgery , Necip Fazil City Hospital , Kahramanmaras , Turkey.
authors.forename: Ömer
authors.initials: Ö
authors.lastname: Katı
authors.affiliation: e Department of Pediatric Surgery , Necip Fazil City Hospital , Kahramanmaras , Turkey.
authors.forename: Ahmet Gökhan
authors.initials: AG
authors.lastname: Güler
authors.affiliation: c Departments of Pediatrics.
authors.forename: Mehmet
authors.initials: M
authors.lastname: Davutoğlu
mesh_terms: D042101:Acalculous Cholecystitis / Q000150:complications*; D001064:Appendicitis / Q000150:complications* / Q000601:surgery; D002648:Child; D002763:Cholecystectomy; D003937:Diagnosis, Differential; D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D011695:IgA Vasculitis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D007443:Intussusception / Q000150:complications*; D007813:Laparotomy; D008297:Male; D012008:Recurrence
chemical_list: D005938:Glucocorticoids
keywords: Appendicitis; Cholecystitis; Henoch–Schönlein purpura