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Giant abdominal aortic aneurysm of uncommon etiology due to Behçet disease

Sanjay C Desai1, Ashwini Naveen Gangadharan1, Rajendra Prasad Basavanthappa1

  • 1Department of Vascular Surgery, MS Ramaiah Medical College, Bangalore, India.

Journal of Vascular Surgery
|July 23, 2019
PubMed

Insights

Behçet disease can cause dangerous arterial aneurysms. This case highlights surgical repair of a giant aortic aneurysm in a young man with this rare condition.

Area of Science:

  • Vascular Surgery
  • Rheumatology
  • Internal Medicine

Background:

  • Behçet disease is a rare multisystem inflammatory disorder.
  • Vascular complications, including arterial aneurysms, affect up to 50% of patients.
  • Aneurysms in Behçet disease carry a high risk of rupture, thrombosis, and recurrence.

Observation:

  • A 34-year-old man with Behçet disease presented with a giant infrarenal abdominal aortic aneurysm.
  • The aneurysm was saccular and posed a significant risk of rupture.

Findings:

  • The patient underwent successful aneurysmorrhaphy and aortobifemoral bypass.
  • This surgical intervention addressed the life-threatening aortic aneurysm.

Implications:

  • Surgical management is crucial for managing giant aortic aneurysms in Behçet disease patients.
  • Early diagnosis and intervention can prevent catastrophic vascular events.
  • This case underscores the importance of recognizing vascular manifestations in Behçet disease.

Keywords:
Abdominal aortic aneurysmAbdominal massAneurysmorrhaphyAortitisBehçet diseaseComputed tomography

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