Vasc Spec Int.  2019 Sep;35(3):160-164. 10.5758/vsi.2019.35.3.160.

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

• Rashaideh
• Janho KE
• Jalokh M
• Ajarmeh ES
• As’ad M

• KMID: 2460013
• DOI: http://doi.org/10.5758/vsi.2019.35.3.160

Abstract

Behçet'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.

Keyword

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

MeSH Terms

Abdominal Pain
Aneurysm, False*
Angiography
Arteries
Behcet Syndrome
Celiac Artery*
Diagnosis
Embolectomy
Emergency Service, Hospital
Female
Humans
Mesenteric Artery, Superior
Mortality
Transplants
Vasculitis
Weight Loss