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Kay S. Kane, MD; Daniel M. Quirk, MD; James MacLean, MD; Bonnie T. Mackool, MD, MSPH

Arch Dermatol. 1996;132(6):615-616.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Purpura may be an important cutaneous sign of intra-abdominal or intrapelvic hemorrhage. Perianal purpura in this patient was a cutaneous sign of a ruptured iliac artery aneurysm.

REPORT OF A CASE

An 85-year-old man presented with a history of sudden onset of intense rectal pain accompanied by suprapubic pain, tenesmus, and difficulty with urination. He was lying down after a large breakfast when he suffered 10 to 15 seconds of exquisite perirectal pain. He denied melena, hematochezia, fever, nausea, vomiting, epistaxis, or other systemic complaints. He had a history of severe peripheral arteriosclerotic vascular disease requiring several repair grafts for an aortic aneurysm, bilateral iliac aneurysms, and bilateral popliteal aneurysms. He underwent a nephrectomy secondary to surgical complications and also suffered from chronic renal insufficiency.

On physical examination, his temperature was 100°C; heart rate, 100 beats per minute; and blood pressure, 148/70 mm Hg. His abdomen was supple with audible . . . [Full Text PDF of this Article]

Author Affiliations
Massachusetts General Hospital, Harvard Medical School, Boston

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