Masszív gasztrointesztinális vérzés felnóttkori Schónlein-Henoch purpurában.

Translated title of the contribution: Massive gastrointestinal bleeding in Henoch-Schoenlein purpura in an adult

Péter Sipos, István Sugár, Gábor Fritúz, Lajos Berczi, József Faller, Pál Ondrejka

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Henoch-Schoenlein syndrome in an adult patient, localised only to the gastrointestinal system is very rare. A 50 year old male was treated in our Intensive Department because of acute respiratory distress syndrome (ARDS) and renal failure. After temporary improvement massive gastrointestinal bleeding developed with shock. Blood was found in the descending duodenum without evident pathology at endoscopy. Angiogram showed bleeding at the hepatic flexure of the colon, which was successfully treated by a coil and bleeding was also present in the terminal part of the small intestine. The catheter was left in situ and the bleeding part of the bowel was painted intraoperatively, so we could resect the stained part of the intestine. Because of rebleeding, bowel resection was performed an other two occasions in the same way. The histology of the bowel showed Henoch-Schoenlein syndrome in each specimen. Our patient was totally non-responsive to treatment, which is usually successful in this disease. After the resections the bleeding stopped temporarily, but as the underlying disease was unmanageable the patient died but we have not found any surgical complication at autopsy. We think that this method in the surgical treatment of massive intestinal bleeding is very useful and effective.

Translated title of the contributionMassive gastrointestinal bleeding in Henoch-Schoenlein purpura in an adult
Original languageHungarian
Pages (from-to)93-96
Number of pages4
JournalMagyar sebészet
Volume55
Issue number2
Publication statusPublished - Apr 2002

ASJC Scopus subject areas

  • Medicine(all)

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    Sipos, P., Sugár, I., Fritúz, G., Berczi, L., Faller, J., & Ondrejka, P. (2002). Masszív gasztrointesztinális vérzés felnóttkori Schónlein-Henoch purpurában. Magyar sebészet, 55(2), 93-96.