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Contrast enema in children with Henoch-Schönlein purpura

Joel Schwab1, Ellen Benya, Ruth Lin

  • 1Department of Pediatrics, Pritzker School of Medicine, The University of Chicago, Chicago, IL 60637, USA. jschwab@peds.bsd.uchicago.edu

Journal of Pediatric Surgery
|August 6, 2005
PubMed

Insights

Contrast enemas (CEs) are safe for diagnosing and treating intussusceptions in children with Henoch-Schönle purpura (HSP) and abdominal pain. This study found no complications, supporting CE use in these cases.

Area of Science:

  • Pediatric Gastroenterology
  • Diagnostic Imaging
  • Vascular Disorders

Background:

  • Henoch-Schönle purpura (HSP) is a common vasculitis affecting children.
  • Abdominal pain is a frequent symptom in HSP, often mimicking intussusception.
  • Contrast enemas (CEs) are used for intussusception diagnosis and reduction, but their safety in HSP patients with abdominal pain has been questioned.

Purpose of the Study:

  • To investigate the safety of performing contrast enemas (CEs) in patients presenting with both abdominal pain and Henoch-Schönle purpura (HSP).
  • To evaluate the diagnostic and therapeutic utility of CEs in this specific patient cohort.

Main Methods:

  • A retrospective chart review was performed.
  • A comprehensive literature search was conducted to supplement the chart review data.

Main Results:

  • Contrast enemas (CEs) were performed in patients with Henoch-Schönle purpura (HSP) and concurrent abdominal pain and intussusceptions.
  • No complications were observed in patients who underwent CEs.
  • CEs proved effective for both diagnosis and potential reduction of intussusceptions.

Conclusions:

  • Performing contrast enemas (CEs) is a safe procedure for pediatric patients experiencing abdominal pain and suspected intussusceptions, even when Henoch-Schönle purpura (HSP) is present.
  • CEs can be a valuable tool for both diagnosing and treating intussusceptions in this population.
Abstract

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