An adult case of schönlein-henoch purpura

Abstract

A 37-year-old woman was admitted to our hospital with a 2 day history of severe gradually worsening, upper abdominal pain. Abdominal CT scan showed thickening of the intestinal wall in the ileum and ascites. Emergency surgery was performed given the diagnosis of acute abdomen. Laparoscopic findings showed hemorrhagic ascites and edematous thickness of the ileum and mesentery. A segmentectomy of the ileum was performed. Three days after the operation, purpura appeared on both lower extremities and the back. Histopathological examination of the ileum and skin findings showed leukocytoclastic vasculitis. Thus, Schönlein-Henoch purpura was diagnosed and the patient was treated with 30 mg/day of prednisolone ; her symptoms improved.