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Published on: September 19, 2018
Rupture of abdominal aortic aneurysms in Behçet's disease
Vedat Erentuğ1, Nilgün Bozbuğa, Suat Nail Omeroğlu
1Department of Cardiovascular Surgery, Koşuyolu Heart and Research Hospital, Istanbul, Turkey.
Insights
Behget's disease can cause life-threatening aortic aneurysms, even in younger patients. Early vascular screening is crucial for timely diagnosis and life-saving treatment of these serious complications.
Area of Science:
- Vascular Surgery
- Rheumatology
- Internal Medicine
Background:
- Behget's disease is a systemic inflammatory condition with unknown causes.
- It typically presents with oral ulcers, genital ulcers, and eye inflammation.
- Vascular complications, including aneurysms, are significant but sometimes asymptomatic concerns.
Observation:
- This study reports on two male patients diagnosed with Behget's disease.
- Both patients, aged 41 and 30, presented with ruptured infrarenal abdominal aortic aneurysms.
- Urgent surgical repair was successfully performed for both aortic aneurysms.
Findings:
- Ruptured abdominal aortic aneurysms are a critical, potentially fatal complication of Behget's disease.
- Successful surgical intervention is possible even in emergency situations.
- The disease's association with younger patient demographics underscores the need for proactive vascular assessment.
Implications:
- Routine vascular assessments should be considered for all Behget's disease patients, regardless of age.
- Early detection and management of vascular issues in Behget's disease can be life-saving.
- This highlights the importance of interdisciplinary collaboration between rheumatology and vascular surgery.
Abstract:
Behget's disease is a systemic disease of unknown etiology with a chronic relapsing course,characterized by oral aphtous, genital ulcers, ocular lesions, and occasionally vasculitis. Major asymptomatic vascular complications should always be considered in patients with Behget'sdisease. We present the surgical treatment of two male Behget's patients of 41 and 30 years of age with ruptured infrarenal abdominal aortic aneurysms. The urgent repairs of ruptured abdominal aortic aneurysms were performed successfully in both patients. Because Behget's disease is usually seen at young ages, vascular assessment should also be done routinely for early diagnosis and therapy, which can be life-saving.
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