Article

[Massive gastrointestinal bleeding due to aneurysmal rupture of ileo-colic artery in a patient with Behcet's disease].

Department of Internal Medicine and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.
The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi 07/2007; 49(6):400-4.
Source: PubMed

ABSTRACT Behcet's disease has been recognized as a systemic vasculitis characterized by the involvement of multiple organs such as orogenital ulcers, eye lesions including uveitis and optic neuritis, and skin lesions including folliculitis and erythema nodosum. Vascular involvement occurs occasionally and is classified into thrombosis and aneurysm. However, massive gastrointestinal bleeding from arterial aneurysm is a rare manifestation of intestinal Behcet's disease. Recently, we experienced a case of intestinal Behcet's disease presenting with massive gastrointestinal bleeding due to aneurysmal rupture of ileo-colic artery. A 30-year-old male with Behcet's disease was admitted because of massive gastrointestinal bleeding. A large ileo-cecal ulcer was revealed as a bleeding focus on colonoscopic examination. Celiac angiography showed aneurysm and stenosis of ileo-colic artery. After the failure of hemostasis with arterial embolization, ileocecectomy was performed. After the resection hematochezia was completely stopped.

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    ABSTRACT: La maladie de Behçet est une vascularite caractérisée par une aphtose buccale et génitale et une uvéite. L’atteinte du tube digestif est désignée par le terme entéro-Behçet. La localisation gastro-intestinale la plus fréquente est représentée par le côlon et la région iléocæcale. L’atteinte gastrique est plus rare. Nous rapportons l’observation d’un patient âgé de 45 ans atteint d’une maladie de Behçet et chez qui une endoscopie œsogastroduodénale, réalisée suite à des épigastralgies, a révélé une large ulcération gastrique en rapport avec une localisation de la maladie de Behçet. Behçet’s disease (BD) is a vasculitis characterized by oral and genital ulcers and uveitis. Involvement of the digestive tract is called entero-Behçet’s disease. The most frequent sites of gastrointestinal involvement are the colon and the ileocecal region. Gastric involvement is rarely seen. We report the case of a 45-year-old man with a history of Behçet’s disease, in whom an upper gastrointestinal endoscopy performed because of gastric pain revealed a large gastric ulcer which was diagnosed as related to Behçet’s disease.
    Journal Africain d?Hépato-Gastroentérologie 12/2009; 2(4):167-169. DOI:10.1007/s12157-008-0047-8

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