Hosting 718 files, 2916 images, and 4 contributors.

 
Random Case

Congenital Pseudocyst
Joseph Junewick, MD FACR
over 6 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Henoch-Schonlein Purpura

Case Detail

Anatomy: Gastrointestinal
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Vascular
Created: over 4 years ago
Updated: over 4 years ago
Tags: PEDS
Modality/Study Types: CT
Activities:
Adobe32 PDF Imagej32 ImageJA

History

16 year old male with acute abdominal pain.


Case Images


Diagnosis

Henoch-Schonlein Purpura

Findings

CT – Axial images with vascular and enteric contrast demonstrate multifocal areas of small bowel mural thickening and ascites.

Discussion

Henoch-Schönlein syndrome is a hypersensitivity-related acute small-vessel vasculitis possibly related to immunization, insect bites, medications, infections, or certain foods. Henoch-Schönlein syndrome occurs most commonly in children between 3 and 10 years of age, but can occur in adults. The diagnosis is based on characteristic clinical signs and symptoms such as skin rash, arthritis involving the large joints, colicky abdominal pain, gastrointestinal bleeding, and hematuria. The gastrointestinal manifestations are thought to be related to edema and intramural hemorrhage. Gastrointestinal hemorrhage is mostly confined to the mucosa and submucosa. Most gastrointestinal manifestations are self-limited but can lead to infarction, perforation, or intussusception. While the findings in this case are characteristic of HSP, other vasculidities, infectious enteritis, and Crohns disease should be considered.

Reference

Ha HK, Lee SH, Rha SE, et al. Radiologic Features of Vasculitis Involving the Gastrointestinal Tract. Radiographics (2000); 20:779-794.



Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare