回腸狭窄によりイレウス症状を呈した Schonlein-Henoch 紫斑病の 1 治験例

概要

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Abdominal diseases complicated with Schonlein-Henoch Purupura have been frequently reported lately. These include intussusception and hemorrhagic necrosis with perforation of the intestinal wall. A 5 yr old boy who had been treated for Schonlein-Henoch purupura with steroid for 34 days developed mechanical intestinal obstruction and underwent an emergency operation. At laparotomy, an intestinal stricture was observed due to the scar of ileal ulcer. such complication as an intestinal stricture in Schonlein-Henoch purupura has been reported considerably rarely in the past. Only two (2) cases of this disease have been reported previously in Japan. The operation should be performed for abdominal disease associated with S-H purpra as early as possible when initial steroid treatment is ineffective.
日本小児外科学会の論文