A CASE OF SCHÖNLEIN-HENOCH PURPURA WITH INTUSSUCEPTION IN AN ADULT

We experienced a case of intussusception associated with Schonlein-Henoch purpura (SHP) in an adult. A 69-year-old man was admitted to the hospital because with of abdominal pain. Ultrasonography and CT scan showed multiple concentric signs, and a gastrograffin enema study showed an invagination at the transverse colon. Abdominal pain intensified and general condition worsened, emagency laparotomy was carried out. During operation an ileo-colic type intussusception was revealed. Ileocecal resection was performed. Edematous bowel provoked the intussusception and the bowel became the top of the intussusception. Finally, he was diagnosed as SHP by histopathological examination and purpura of lower limbs which appeared after the operation. Cases having SHP in adults, in which open laparatomy is carried out, are very rare. Only nine cases have been reported in Japan so far.