Abstract
The authors report the use of high frequency ultrasound (7.5–10 MHz probes) for the detection of intestinal complications in 14 children with Henoch-Schönlein purpura. Ultrasound gave information of 3 levels: (1) It explained the acute abdominal pain by showing in all cases the oedematous haemorrhagic infiltration of the intestinal wall, which appeared thickened (3–11 mm): lesions were diffuse (6 cases) or focal (duodenal in 5 cases, jejunal in 2 cases and ileal in one). (2) It followed the evolution of the disease: extension of lesions (5 cases) or resolution (progressive decrease of parietal thickening, reexpansion of small bowel lumen, reappearance of peristalsis). (3) It always detected surgical complication: ileo-ileal intussusception (3 cases), perforation (1 case).
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Couture, A., Veyrac, C., Baud, C. et al. Evaluation of abdominal pain in Henoch-Schönlein syndrome by high frequency ultrasound. Pediatr Radiol 22, 12–17 (1992). https://doi.org/10.1007/BF02011602
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DOI: https://doi.org/10.1007/BF02011602