In the course of Henoch-Schönlein purpura, diverse gastrointestinal manifestations are common. We report a patient with Henoch-Schönlein purpura complicated by upper gastrointestinal bleeding. A peculiar endoscopic picture not previously described is presented and articles about the endoscopic findings in this disease are reviewed. It is concluded that endoscopy can be useful in the diagnosis of Henoch-Schönlein purpura, especially for those patients without typical skin rash.