过敏性紫癜致肠套叠引起肠梗阻  

Intussusception and intestinal obstruction in the patient with Henoch-Schonlein purpura:a case report

作　　者：赵乃波 苟晓梅 程家平 ZHAO Nai-bo;GOU Xiao-mei;CHENG Jia-ping(Department of Gastrointestinal Surgery,Affiliated Hospital of Zunyi Medical University,Zunyi 563003,China)

机构地区：[1]遵义医科大学附属医院胃肠外科,贵州遵义563003

出　　处：《临床皮肤科杂志》2021年第5期291-293,共3页Journal of Clinical Dermatology

摘　　要：患者男,16岁。全身紫癜和瘀斑伴腹痛与关节痛12 d、加重3 d。查体见四肢皮肤、臀部、躯干散在暗红色瘀点、瘀斑及少许色素沉着斑,少许血痂,左侧足背、踝关节肿胀/红肿,全腹伴压痛、反跳痛,右手肘关节、双腕关节压痛。于外院及我院皮肤科诊断为腹膜性紫癜,予糖皮质激素治疗后瘀点、瘀斑减少。因腹痛加重不缓解,急诊行手术治疗,术中见升结肠套叠、梗阻并穿孔。诊断:过敏性紫癜并发肠梗阻。We report a case of Henoch-Schonlein purpura complicated with intussusception and intestinal obstruction.A 16-year-old male presented with generalized purpura and ecchymosis,abdominal pain as well as arthralgia for 12 days.The symptoms worsened for 3 days.Dermatological examination showed scattered dark red petechiae,ecchymosis and slightly hy-perpigmentation with a few blood scabs on the skin of the limbs,buttocks,and trunk.There were swelling of the dorsum of the left foot and ankle joint,tenderness and rebound pain on the abdomen,as well as tenderness in the elbow joint and wrist joint of the right hand.The patient was diagnosed with Henoch Schonlein purpura.The petechiae and ecchymosis im-proved after treatment with glucocorticoid.Due to persistent worsening of abdominal pain,emergency surgery was performed.During the operation,the ascending colon was found to be intussuscepted,obstructed and perforated.Diagnosis of Henoch Schonlein purpura complicated with intestinal obstruction was made.

关 键 词：紫癜 过敏性 结肠套叠 肠梗阻 穿孔 

分 类 号：R758.2[医药卫生—皮肤病学与性病学]