Behcet's Disease With Abdominal Aortic Aneurism: A Case Report



Karimifar M¹ ; Karimzadeh H¹ ; Salesi M¹ ; Bonakdar ZS¹ ; Mottaghi P¹ ; Karimifar M¹ Show Affiliations
Source: Journal of Isfahan Medical School Published:2009

Abstract

Background: Behcet's disease is a multisystem disease and mainly classified as a vasculitis. In this disease many organs like skin, mucosa, eyes, joints, vessels, nervous system, gastrointestinal tract, testis, heart and lungs maybe involved. Case Report: This case is a rare presentation of Behcet's disease with multiple saccular aneurisms in a 33 year old man. A patient with a permanent pain in back and flanks with radiation to the testis without relationship with position and feeding was admitted in Al-Zahra Hospital, Isfahan. In the abdominopelvic ultrasonography, an abdominal aneurism with thick wall borders and 37 mm in total diameter and 15 mm in open lumen diameter was reported. In spiral CT-scan of abdomen and pelvis with contrast, aneurism of abdominal aorta (4 × 4.5 cm in diameter) beginning below the renal arteries was seen, that extended downwardly to the near of the aortic bifurcation. Finally in MRA multiple saccular aneurism of the abdominal aorta at the same places was reported. After repairing of aneurism by surgical operation. The patient was referred to the clinic of rheumatology. After taking of history and physical and laboratory examination, because of the recurrent oral aphthous, erythemnodosum, positive result on pathergy test and abdominal aorta aneurism, the diagnosis of behcet's disease was confirmed and the patient was treated with medical drugs. © 2009, Isfahan University of Medical Sciences(IUMS). All rights reserved.