Related Experiment Video

Updated: Aug 17, 2026

Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects
07:34

Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects

Published on: May 11, 2011

Different management options for anaphylactoid purpura with intussusception: a case report

W C Li1, S F Ko, H W Kuo

  • 1Department of Pediatrics, Chang Gung Children's Hospital, 123 Ta-Pei Road, Niaosung, Kaohsiung, Taiwan, ROC.

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
|October 3, 2001
PubMed

Insights

Intussusception, a common complication of anaphylactoid purpura, can sometimes resolve spontaneously. This case suggests that treating bowel-wall edema with steroids and antihistamines may facilitate spontaneous reduction of ileo-ileal intussusception.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Immunology

Background:

  • Intussusception is the most frequent surgical indication for anaphylactoid purpura (also known as Henoch-Schönlein purpura).
  • Ileal intussusception accounts for approximately 50% of these cases.
  • Surgical intervention is typically preferred over radiologic reduction in older children, especially when a lead point lesion is present.

Observation:

  • This report details a rare case of anaphylactoid purpura with intussusception that underwent spontaneous reduction.
  • The patient's intussusception resolved without surgical or radiologic intervention.

Findings:

  • The study postulates that relieving bowel-wall edema through antihistamine and steroid therapy may be a mechanism for spontaneous reduction.
  • This therapeutic approach could potentially resolve ileo-ileal intussusception in select cases.

Implications:

  • This finding suggests a potential non-surgical management strategy for certain cases of intussusception associated with anaphylactoid purpura.
  • Further research into the role of anti-inflammatory treatments in managing intussusception is warranted.
  • This approach may help avoid surgical or radiologic interventions in eligible patients.

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Peptic Ulcer Disease IV: Management01:26

Peptic Ulcer Disease IV: Management

Medical treatment strategies for peptic ulcers encompass various methods. The primary goal of treatment is to diminish gastric acidity and strengthen mucosal defense mechanisms.
The therapeutic approach involves ensuring adequate rest, implementing drug therapy, promoting smoking cessation, making dietary modifications, and emphasizing long-term follow-up care.
Pharmacological management
The prevailing therapy for peptic ulcers involves a combination of managing the patient's current medication...
Inflammatory Bowel Disease IV: Pharmacological Management01:29

Inflammatory Bowel Disease IV: Pharmacological Management

Upon diagnosis, managing Inflammatory Bowel Disease (IBD) involves addressing several crucial aspects. The primary goals include resting the bowel, correcting malnutrition, and providing symptomatic relief. Resting the bowel may consist of medications to reduce inflammation and promote healing. Correcting malnutrition is essential, often requiring dietary adjustments and nutritional supplements. Symptomatic relief aims to ease pain, diarrhea, and other discomforts in IBD.
Pharmacologic...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease