Abstract
Summary The clinical and radiological abnormalities observed in 2 children with HenochSchoenlein purpura are reported. These consisted of abdominal pain, vomiting, melena, and intestinal perforation. A coarse mucosa with spiculations was demonstrated roentgenologically. In the 1st case, the gastrointestinal symptoms and radiological abnormalities preceded the typical skin rash. The radiological changes were reversible. The clinical course of the 2nd case was complicated by small bowel perforations, limited to a 20-cm jejunal segment. The described radiological abnormalities are not specific for HenochSchoenlein purpura; however, their presence should alert the clinician and the radiologist to the possibility of this diagnosis even in the absence of a typical skin rash. In patients whose clinical course is stormy, intestinal perforation should be considered as a possible complication.
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