Henoch-Schonlein purpura with intestinal perforation and cerebral hemorrhage: A case report

Figure 1 Abdominal bulge was found on examination at admission.

Figure 2 Plain abdominal radiograph in the erect position showed heavy gas in the right subphrenic space with an elevated diaphragm.

Figure 3 Histopathological analyses of the patient’s ileal biopsy specimens. A: Hematoxylin and eosin-stained sections of the biopsy specimens revealed mucosal discontinuity (magnification × 10); B: Multiple site bleeding (magnification × 20); C: Inflammatory cell infiltration in all layers of the ileal wall (magnification × 20); D: Infiltration of a large number of neutrophils and cell deformation in the area of edema (magnification × 40).

Figure 4 Cerebral computed tomography demonstrated subarachnoid hemorrhage, right thalamic and intraventricular hemorrhage, and multiple ischemic changes in the left cerebellar hemisphere and bilateral cerebral hemispheres. A: Right thalamic hemorrhage ruptured into the ventricle; B-D: Thalamic hemorrhage complicated with subarachnoid hemorrhage, cerebral hemispheres multiple focal ischemia.