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Ruptured Suprarenal Abdominal Aortic Pseudoaneurysm with Superior Mesenteric and Celiac Arteries Occlusion, Revealing Behcet's Disease: A Case Report

Vascular Specialist International 2019년 35권 3호 p.160 ~ 164
 ( Rashaideh Mohammed A. ) - Royal Medical Services King Hussin Medical Center Vascular Surgery Department

 ( Janho Kristi E. ) - Royal Medical Services King Hussin Medical Center Vascular Surgery Department
 ( Jalokh Muhannad ) - Royal Medical Services King Hussin Medical Center Vascular Surgery Department
 ( Ajarmeh Eyad S. ) - Royal Medical Services King Hussin Medical Center Vascular Surgery Department
 ( As’ad Mohammed ) - Royal Medical Services King Hussin Medical Center Vascular Surgery Department

Abstract


Behcet's disease (BD) is a multisystemic, chronic autoimmune inflammatory vasculitic disease with an unknown etiology. Although the literature reports that vascular involvement occurs in 7% to 38% of all BD cases, the arteries are rarely involved; however, arterial involvement is usually associated with significant mortality and morbidity. We report the case of a young female patient who presented to the emergency department with severe abdominal pain and a history of weight loss. The patient was evaluated using computed tomography angiography, which revealed a ruptured suprarenal aortic pseudoaneurysm with occlusion of both the superior mesenteric and celiac arteries. Urgent surgery was performed with aortic repair with an interposition graft and superior mesenteric artery embolectomy. The patient's clinical history and radiological imaging findings were strongly suggestive of the diagnosis of BD with vascular involvement.

키워드

Behcet disease; False aneurysm; Superior mesenteric artery; Suprarenal aorta; Vasculitis
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