Abstract
Henoch-Schonlein Purpura (HSP) is a small vessel vasculitis mediated by IgA-immune complex deposition. It is characterized by non-thrombocytopenic purpura, arthritis or arthralgia, abdominal pain, and nephropathy. HSP has an overall excellent prognosis in children, but very rarely reported in adult. There are hardly any evidence for the anesthetic management of adult patients with HSP. We report a sucessful management of a case of a young adult with HSP who presented with acute abdomen for laparotomy. A 25yr old male with HSP presented with acute abdomen two days after admission. Under general anaesthesia with epidural anagesia, emergency laparotomy and resection anastomosis was done. Patient was stable post op and discharged on 5th post operative day. Bowel ischaemia secondary to HSP is a very rare complication. Monitoring and frequent reassessment with early surgical intervention helps to reduce morbidity, and improves outcome. Epidural analgesia can be safely administered in a patient with HSP as it avoids the use of non steroidal anti inammatory drugs for post operative analgesia.
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