Different management options for anaphylactoid purpura with intussusception: Case report

Intussusception is the most common surgical indication of anaphylactoid pur pura. About 50% of cases are of the ileo-ileal type. Surgical intervention, rather than radiologic reduction, is preferable for older children sufferi ng from anaphylactoid purpura with intussusception, where a lead point lesi on is often found. The authors report a case of anaphylactoid purpura with intussusception with spontaneous reduction, and postulate that subsequent t o relieving bowel-wall edema using antihistamine and steroid therapy, the i leo-ileal intussusception may spontaneously reduce.