Extensive perforation of ileum in a adult with Henoch Schweinline purpura

Henoch Schoenline (HSP) purpura is a type of inflammation that results in blockage of small blood vessels (1) with skin and systemic complications (2). It is the most common vasculitis in children under the age of 10, with the highest prevalence in boys. The disease is characterized by a leukocytoclastic vasculitis involving small vessels, along with evidence of immune complexes including Iga (3). Unlike other systemic vasculitis, the disease is usually self-limiting, with four clinical symptoms including kidney involvement, abdominal pain, arthritis or joint pain, and palpable perforation without coagulation disorder or a decrease in platelet count. It leads to blockage of small blood vessels, which is often seen in children. The onset of the disease in adulthood is uncommon and is associated with more severe clinical syndrome and worse outcomes. We present a case of extensive perforation in the ileum in a 40-year-old man with vasculitis and treated with corticosteroids who have been operated on with a diffuse abdominal pain with a tendon and rebound on examination.