Colo-colic intussusception in Henoch-Schönlein purpura

Abstract

Intussusception is the commonest surgical complication of Henoch-Schönlein purpura (HSP), occurring in 1.3%–13.6% of affected children. Colo-colic intussusception is a rare occurrence in HSP, with only three other reported cases. Intussusception in HSP almost always originates in the ileum (90%) or jejunum (7%), and more than one-half of cases (58.4%) are confined to the small bowel. This is in contrast to idiopathic intussusception, where the majority (80%–90%) are ileo-colic and can be diagnosed and reduced by contrast enema.