nlein Purpura"> A Case of Jejuno-jejunal Intussusception in Henoch-Sch$\"{o}$nlein Purpura

nlein 자반증 환아에서 동반된 공장-공장형 장중첩증 1례"> Henoch-Sch$\"{o}$nlein 자반증 환아에서 동반된 공장-공장형 장중첩증 1례

  • Park, Hyun-Kyung (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Chung, Yoon-Sook (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Kim, Ki-Joong (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Kim, Yong-Joo (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Lee, Hahng (Department of Pediatrics, College of Medicine, Hanyang University) ;
  • Rhim, Hyun-Chul (Department of Diagnostic Radiology, College of Medicine, Hanyang University)
  • 박현경 (한양대학교 의과대학 소아과학교실) ;
  • 정윤숙 (한양대학교 의과대학 소아과학교실) ;
  • 김기중 (한양대학교 의과대학 소아과학교실) ;
  • 김용주 (한양대학교 의과대학 소아과학교실) ;
  • 이항 (한양대학교 의과대학 소아과학교실) ;
  • 임현철 (한양대학교 의과대학 진단방사선과학교실)
  • Received : 2001.05.25
  • Accepted : 2001.07.10
  • Published : 2001.09.30

Abstract

Gastrointestinal involvement occurs in two thirds of children with Henoch-Sch$\"{o}$nlein purpura (HSP) and intussusception is by far the most common abdominal complication. Intussusception in HSP almost originates in the small bowel, which is in contrast with idiopathic intussusception. Earlier diagnosis and prompt treatment of intra-abdominal complications can reduce the mortality and ultrasound is the imaging modality of choice in evaluation the bowel manifestations of HSP. We report a case of jejuno-jejunal intussusception associated with HSP in a 5-year-old boy who presented with diffuse abdominal pain and vomiting after a few days of HSP onset. Abdominal ultrasound demonstrated intussusception in the jejunum with well defined target appearance because of the thickened intussusceptum, which disappeared on the computerized tomographic examination checked approximately 24 hours later. A brief review of literature was made.

저자들은 복부 통증 및 구토를 주소로 내원한 HSP를 진단받은 5세의 남아에서, 복부 초음파 검사를 통해 공장-공장형 장중첩증을 진단하였으며 그 후 자연감압으로 증세가 호전되었고, 복부 전산화 단층 촬영 검사로 자연정복되었음을 확인한 환아 1례를 경험하였기에 보고하는 바이다.

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