Secondary aortoenteric fistula in Behçet's disease

Area of Science:

• Vascular Surgery
• Rheumatology
• Immunology

Background:

• Behçet's disease is a multisystem inflammatory disorder.
• Vascular involvement is a common and serious manifestation of Behçet's disease.
• Surgical treatment of vascular lesions in Behçet's disease is associated with high complication rates.

Observation:

• A patient with Behçet's disease presented with multiple complications following aortic reconstructive surgery.
• Complications included perigraft infection, distal abscess, lower extremity arterial occlusion, aortoenteric fistula, and distal anastomotic aneurysm rupture.

Findings:

• This case illustrates the complex and severe vascular complications that can arise in Behçet's disease patients undergoing aortic surgery.
• The high incidence of recurrent aneurysms, thrombosis, and fistulization poses significant challenges in managing these patients.

Implications:

• Aggressive management and multidisciplinary care are crucial for patients with Behçet's disease and vascular complications.
• Further research into optimal surgical strategies and long-term outcomes for vascular lesions in Behçet's disease is warranted.