Surgical manifestations of Henoch-Schonlein purpura in children

ABSTRACT

Eleven patients of Henoch-Schonlein purpura presented with surgical conditions between 1988-1994. Of these, three patients, two presenting with gastrointestinal haemorrhage and one with an acute scrotum, were managed conservatively whereas eight patients required laparotomy. The latter group included 5 intussusceptions and one intestinal perforation. The remaining 2 patients had haemorrhagic, but viable, bowel. Continuous evaluation by a surgeon is invaluable in prompt management of these uncommon but potentially lethal complications