caa a22 4500 477079431 CHVBK 20180405111446.0 cr unu---uuuuu 170330e19960101xx s 000 0 eng 10.1007/BF01508158 doi (NATIONALLICENCE)springer-10.1007/BF01508158 Gastrointestinal sonographic findings in Henoch-Schönlein purpura [Elektronische Daten] [Susan John, E. Swischuk, C. Keith Hayden Jr.] The objective of this study was to document the spectrum of sonographic findings in the gastrointestinal tract of children with abdominal pain due to Henoch-Schönlein purpura. The abdominal ultrasound images of 13 consecutive patients with Henoch-Schönlein purpura were retrospectively analyzed, with special attention to the following findings: thickened bowel wall; dilated, obstructed intestinal loops; free peritoneal fluid; intussusception; and miscellaneous findings. All 13 patients demonstrated one or more segments of thickened intestine, usually in the small intestine. Circumferential, echogenic thickening of the mucosa and submucosa was the most common finding (10 of 13 patients). In one patient, mucosal thickening was asymetric, and two patients demonstrated findings which at first suggested intussusception but later were found to represent intramural hematomas. Free peritoneal fluid was seen in seven patients (53.8%). Ultrasound is sensitive, but not specific, in detecting gastrointestinal manifestations of Henoch-Schönlein purpura. The most common finding is segmental, circumferential, echogenic thickening of the intestinal wall. Free peritoneal fluid also is a relatively common finding, and, in addition, intramural hematoma can be a problem because its configuration can be mistaken for intussusception, a well-known complication of this disease. American Society of Emergency Radiology, 1996 Henoch-Schönlein purpura nationallicence Ultrasound nationallicence Abdominal pain nationallicence Bowel wall thickening nationallicence Intestinal hematoma nationallicence John Susan Department of Pediatrics, Children's Hospital, University of Texas Medical Branch, Galveston, Texas aut Swischuk E. Department of Pediatrics, Children's Hospital, University of Texas Medical Branch, Galveston, Texas aut Keith Hayden Jr. C. Cook-Fort Worth Medical Center, Fort Worth, Texas aut Emergency Radiology Springer-Verlag 3/1(1996-01-01), 4-8 1070-3004 3:1<4 1996 3 10140 https://doi.org/10.1007/BF01508158 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01508158 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- John Susan Department of Pediatrics, Children's Hospital, University of Texas Medical Branch, Galveston, Texas aut NATIONALLICENCE 700 1- Swischuk E. Department of Pediatrics, Children's Hospital, University of Texas Medical Branch, Galveston, Texas aut NATIONALLICENCE 700 1- Keith Hayden Jr C. Cook-Fort Worth Medical Center, Fort Worth, Texas aut NATIONALLICENCE 773 0- Emergency Radiology Springer-Verlag 3/1(1996-01-01), 4-8 1070-3004 3:1<4 1996 3 10140 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer