Journal List > J Korean Rheum Assoc > v.17(1) > 1003777

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Son, Kim, Kim, Jeon, and Seo: A Case of Abdominal Aortic Pseudoaneurysm That Was Treated with Inserting an Endovascular Stent Graft in a Patient with Behcet's Disease
Original Article

J Korean Rheum Assoc 2010;17(1):71-75.

Published online: 23 March 2010

DOI: https://doi.org/10.4078/jkra.2010.17.1.71

A Case of Abdominal Aortic Pseudoaneurysm That Was Treated with Inserting an Endovascular Stent Graft in a Patient with Behcet's Disease

Kyung-Min Son1, In-Je Kim1, Hyun-Ah Kim1, Eui-Yong Jeon2, Young-Il Seo1

1Departments of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Korea

2Departments of and Radiology, Hallym University Sacred Heart Hospital, Anyang, Korea

Received 13 October 200916 October 2009       Accepted 23 October 2009

Copyright © 2010 The Korean Rheumatism Association

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Behcet's disease is a chronic inflammatory disease of an unknown etiology, and it is characterized by recurrent oral and genital ulcerations, eye lesions skin lesions, and other involvement such as gastrointestinal ulcerations and lesions of the central nervous system and major vessels. The vascular lesions include deep vein thrombosis, superficial thrombophlebitis, arterial aneurysm and arterial occlusion. Aortic aneurysm or pseudoaneurysm is a rare complication, but it is one of the most common causes of death in Behcet's disease. We report here on a case of a 43 year old female with Behcet's disease that was complicated by an abdominal aortic pseudoaneurysm, and this was all successfully treated with percutaneous endovascular stent graft insertion, steroid pulse therapy and azathioprine.

Keywords: Behcet's disease, Aortic pseudoaneurysm, Stent graft

REFERENCES

1). Chajek T., Fainarum M. Behcet's disease. Medicine. 1975. 54:179–96.
2). Nakae K., Masaki F., Hashimoto T., Inaba G., Mochizuki M., Sakane T. Recent epidemiological features of Behcet's disease in Japan. In: Wechsler B, Godeau P, eds. Behcet's disease. p. 145-51, Amsterdam, Excerpta Medica. 1993.
3). Shimuzu T. Vascular lesions of Behcet's disease. Cadioangiology. 1977. 1:124.
4). Lie JT. Vascular involvement in Behcet's disease; arterial and venous and vessels of all sizes. J Rheumatol. 1992. 19:341–2.
5). Shimuzu T., Tanaka I. Epidemiological studies on Behcet's syndrome. ShaishinIngku. 1971. 26:451.
6). Park JH., Han MC., Bettmann MA. Arterial manifestations of Behcet's disease. AJR Am J Roentgenol. 1984. 143:821–5.
7). Barlett ST., McCarthy WI., Palmer AS., Flinn WR., Bergan JJ., Yao JS. Multiple aneurysm in Behcet's disease. Arch Surg. 1988. 123:1004–8.
8). Freyrie A., Paragona O., Cennachi G., Pasquinelli G., Guiducci G., Faggioli GL. True and false aneurysm in Behcet's disease. J Vasc Surg. 1993. 17:762–7.
9). Alpagur U., Ugurlucan M., Dayioglu E. Major arterial involvement and review. Ann Vasc Surg. 2007. 21:232–9.
10). Iscan ZH., Vural KM., Bazit M. Compelling nature of arterial manifestations in Behcet disease. J Vasc Surg. 2005. 41:53–8.
11). Kalko Y., Basaran M., Aydin U., Kafa U., Basaranoglu G., Yasar T. The surgical treatment of arterial aneurysms in Behcet's disease: a report of 16 patients. J Vasc Surg. 2005. 42:673–7.
12). Nitecki SS., Ofer A., Karram T., Schwartz H., Engel A., Hoffman A. Abdominal aortic aneurysm in Behcet's disease: new treatment options for an old and challenging problem. Isr Med Assoc J. 2004. ;6;152-5.
13). Park JH., CHung JW., Joh JH., Song SY., Shin SJ., Chung KS, et al. Aortic and arterial aneurysm in Behcet disease: management with stent-graft-initial study. Radiology. 2001. 220:745–50.
14). Liu CW., Ye W., Liu B., Zeng R., Wu W., Dake MD. Endovascular treatment of aortic pseudoaneurysm in Behcet disease. J Vasc Surg. 2009. 50:1029–30.

Fig. 1.
The abdominal CT: (A) On admission, a 4×2.5×3 cm sized, abdominal pseudoaneurysm was seen at the infra abdominal aorta. (B) The abdominal pseudoaneurysm disappeared 27 months later.
jkra-17-71f1.tif
Fig. 2.
The reconstructed CT angiogram shows a successfully inserted stent graft in the infrarenal aortic area.
jkra-17-71f2.tif
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