Henoch-Schönlein purpura--a surgical review

A review of the complications associated with Henoch-Schönlein purpura is presented with particular reference to those requiring surgical management. Gastrointestinal involvement occurred in 105 patients and was complicated by intussusception in three patients and by perforation in one. Laparotomy was undertaken in 10 patients. Involvement of the scrotum and testis occurred in 29 patients and suggested torsion of the testis on occasion. Renal involvement occurred in 45 patients and was associated with renal impairment in six. Recommendations for the management of surgical complications are discussed.