[Behçet's disease revealed by bilateral femoral aneurysm].
Behçet's disease is a chronic vascularitis characterized by recurrent ulcers of the mouth and genitalia and iridocyclitis. Vascular complications involving venous thrombosis and arterial lesions are rare. We report a case of Behçet's disease in 30 year-old man revealed by a voluminous right femoral aneurysm and a thrombosed aneurysm of the left iliofemoral trunk. Disease exacerbation was marked by oral ulceration and ocular lesions that delayed surgical cure for 7 days. After surgical resection of the aneurysm, a femoro-femoral bypass was constructed with a polytetrafluoroethylene graft. The left iliofemoral aneurysm was left intact. After 4 years of regular follow-up, there have been no surgical complications. The timing of surgery in patients with a voluminous aneurysm is debated during phases of active disease.
Alami
A A
AA
Service de Chirurgie Cardio-Vasculaire, Hôpital Ibn Rochd, Casablanca, Maroc.
Haddani
J
J
Abidallah
M
M
Ouardi
F
F
Driguil
A
A
Mehadji
B A
BA
D000328:Adult; D000783:Aneurysm / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D001528:Behcet Syndrome / Q000150:complications / Q000175:diagnosis*; D005263:Femoral Artery; D006801:Humans; D008297:Male