title: Spontaneous Intra-Abdominal Hemorrhage Due to Rupture of Jejunal Artery Aneurysm in Behcet Disease: Case Report and Literature Review.
abstract: Rupture of jejunal artery aneurysm is a very rare event resulting in life-threatening hemorrhage in Behcet disease (BD). We report a case of ruptured jejunal artery aneurysm in a 35-year-old patient with BD. The patient had a 1-year history of intermittent abdominal pain caused by superior mesenteric artery aneurysm with thrombosis. Anticoagulation treatment showed a good response. Past surgical history included stenting for aortic pseudoaneurysm. On admission, the patient underwent an urgent operation due to sudden hemorrhagic shock. Resection was performed for jejunal artery aneurysm and partial ischemia of intestine. The patient was diagnosed with BD, based on a history of recurrent oral and skin lesions over the past 6 years. Treatment with anti-inflammatory medications showed a good response during the 8-month follow-up.An increased awareness of BD and its vascular complications is essential. Aneurysms in BD involving jejunal artery are rare, neglected and require proper management to prevent rupture and death. To our knowledge, this is the first reported case of jejunal artery aneurysm caused by BD.
authors.affiliation: From the Department of General Surgery (X-YW, J-PW, X-YZ, YW, GL, TL); Department of Radiology (H-HW); and Department of Pathology, Tianjin Medical University General Hospital, Tianjin, China (TS).
authors.forename: Xiao-Yan
authors.initials: XY
authors.lastname: Wu
authors.forename: Jiang-Peng
authors.initials: JP
authors.lastname: Wei
authors.forename: Xiu-Yuan
authors.initials: XY
authors.lastname: Zhao
authors.forename: Yue
authors.initials: Y
authors.lastname: Wang
authors.forename: Huan-Huan
authors.initials: HH
authors.lastname: Wu
authors.forename: Tao
authors.initials: T
authors.lastname: Shi
authors.forename: Tong
authors.initials: T
authors.lastname: Liu
authors.forename: Gang
authors.initials: G
authors.lastname: Liu
mesh_terms: D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications*; D001528:Behcet Syndrome / Q000150:complications*; D006465:Hemoperitoneum / Q000209:etiology*; D006801:Humans; D007583:Jejunum / Q000098:blood supply*; D008297:Male; D012422:Rupture, Spontaneous / Q000150:complications