Recurrent aortic aneurysms in Behçet disease.
The following is a case of a 22-year-old male with recurrent thoracic aneurysms with several constitutional symptoms, including gastrointestinal discomfort, irritable bowel syndrome, lactose intolerance, and a 2-week history of severe lower back pain. The patient underwent an initial thoracoabdominal repair of a visceral aneurysm followed by endovascular repair of a recurrent thoracic pseudoaneurysm. The etiology of the visceral aneurysm was initially hypothesized to be mycotic; however, further information revealed signs and symptoms consistent with the diagnostic criteria for Behçet disease (BD). We suggest that BD be considered in younger patients who present with an aortic aneurysm. Although open repair is the traditional approach for arterial lesions in BD, the role for endovascular intervention should be considered as it represents a surgical repair with a significant reduction in morbidity.
Adams
Corey
C
Division of Vascular Surgery, London Health Sciences Centre, 800 Commissioners Road East, London, Ontario, Canada.
Zhen-Yu Tong
Michael
M
Lawlor
D Kirk
DK
DeRose
Guy
G
Forbes
Thomas L
TL
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D017545:Aortic Aneurysm, Thoracic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001027:Aortography / Q000379:methods; D001528:Behcet Syndrome / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D002445:Celiac Artery / Q000000981:diagnostic imaging; D006801:Humans; D017116:Low Back Pain / Q000209:etiology; D008297:Male; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D055815:Young Adult