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Rectal perforation in a 42-year-old woman due to Henoch-Schönlein purpura: a case report

F. Almassinokiani, A. Mehdizadeh Kashi, A. Musavi, S. Khodaverdi, K. Tahermanesh, S. Ariana
  • F. Almassinokiani
    Department of Minimally Invasive Gynecology Surgery, Minimally Invasive Surgery Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran, Islamic Republic of
  • A. Mehdizadeh Kashi
    Department of Minimally Invasive Gynecology Surgery, Endometriosis Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran, Islamic Republic of
  • A. Musavi
    Department of Obstetrics & Gynecology, Iran University of Medical Sciences (IUMS), Tehran, Iran, Islamic Republic of
  • S. Khodaverdi
    Department of Minimally Invasive Gynecology Surgery, Endometriosis Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran, Islamic Republic of | research.rasoul@gmail.com
  • K. Tahermanesh
    Department of Minimally Invasive Gynecology Surgery, Endometriosis Research Center, Iran University of Medical Sciences (IUMS), Tehran, Iran, Islamic Republic of
  • S. Ariana
    Department of Obstetrics & Gynecology, Iran University of Medical Sciences (IUMS), Tehran, Iran, Islamic Republic of

Abstract

Henoch-Schönlein purpura (HSP) is caused by deposition of IgA-containing immune complexes within the blood vessels. HSP mostly occurs in children and is less common in adults. In addition to palpable purpura, arthritis or arthralgia, renal disease and abdominal pain, gastrointestinal symptoms occur in 50% of children. These can be caused by gastrointestinal hemorrhage, bowel ischemia and necrosis, intussusception, and bowel perforation. In adults, intussusception is less frequent than in children. We report a 42-year-old woman referred to our hospital with acute abdominal pain. After laboratory and radiologic examinations, laparatomy was performed which revealed rectal perforation due to HSP. HSP is a multisystem disorder. Abdominal pain in patients with HSP may herald a serious gastrointestinal problem also in adult patients.

Keywords

Henoch-Schönlein purpura; Bowel perforation; Abdominal pain; Rectal perforation.

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Submitted: 2016-11-23 08:02:35
Published: 2017-09-21 12:06:26
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Copyright (c) 2017 F. Almassinokiani, A. Mehdizadeh Kashi, A. Musavi,S. Khodaverdi, K. Tahermanesh, S. Ariana

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