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

ArticleinThe Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi 49(6):400-4 · July 2007with6 Reads
Source: PubMed
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.
  • [Show abstract] [Hide abstract] 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.
    Article · Dec 2009
  • [Show abstract] [Hide abstract] ABSTRACT: Background: Behcet's disease (BD) is a vasculitis characterized by oral and genital ulcers and uveitis. Involvement of the gastrointestinal system is called Entero-behcet's disease. There are rare reports of gastric ulcer in patients with BD in scientific journals. Case Report: A 33 years old woman with history of BD was admitted to emergency service with melena for 3 days. An esophagogastroduedonoscopy was performed and 5 aphthous ulcers were seen in on antrum and corpus. Conclusions: Gastric involvement is seen rarely. Gastric involvement in BD may present with gastric bleeding.
    Article · Jan 2008
  • [Show abstract] [Hide abstract] ABSTRACT: Reports indicate that the prevalence of gastrointestinal involvement of Behçet’s disease (BD) shows geographic variation. Since no true population surveys are available, at least some of this variation could be due to selection bias. The usually reported prevalence is less than 1% among patients from the Western countries and the Middle East while this frequency becomes 10% or higher in the Far East with reports of around 25% from Japan. As in Crohn’s disease (CD), gastrointestinal Behçet’s disease (GIBD) is seen most commonly in the ileocecal area. Lesions in the esophagus and stomach are distinctly rare. It is quite difficult to differentiate GIBD from CD disease unless other stigmata of either condition are present. The rarity of rectal involvement and the absence of granulomas in GIBD can on occasion be helpful. On the other hand, the presence of these two features in CD (∼10% for rectal disease and 10–15% for granuloma formation) is not frequent either, reducing their usefulness in differential diagnosis. Thus far, outcome perforation is more common in GIBD (25–50%) than in Crohn’s (∼2%). Management of GIBD is very similar to what we do in CD. Surgical treatment is reserved for complications like perforation, bleeding, obstruction, and stubborn fistula formation. Since relapses are frequent even under medical treatment, surgical resection should be conservative. KeywordsAnastomotic site ulcers-Azatihoprine-Behçet’s disease-Crohn’s disease-Diagnostic criteria for GIBD-Enteroclysis-Esophageal disease-Fistulas-Gastrointestinal involvement-Ileocecal disease-Inflammatory bowel disease-Intestinal pathology-Intestinal ulcers-NSAID entero-colitis-Prognosis-Radiology-Rectal involvement-Recto-sigmeodoscopy-Smoking-Stomach involvement-Surgical management-Top–down therapy
    Chapter · Jun 2010 · American Journal of Case Reports
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