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KMID : 0816120010040020228
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Korean Journal of Pediatric Gastroenterolology and Nutrition
2001 Volume.4 No. 2 p.228 ~ p.232
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A Case of Jejuno-jejunal Intussusception in Henoch-Sch nlein Purpura
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Park Hyun-Kyung
Chung Yoon-Sook
Kim Ki-Joong
Kim Yong-Joo
Lee Hahng
Rhim Hyun-Chul
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Abstract
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Gastrointestinal involvement occurs in two thirds of children with Henoch-Sch 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.
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KEYWORD
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Henoch-Sch nlein purpura, Intussusception, Jejuno-jejunal
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