Spontaneous Intra-Abdominal Hemorrhage Due to Rupture of Jejunal Artery Aneurysm in Behcet Disease
| Autor: | Jiang-peng Wei, Xiu-yuan Zhao, Huan-huan Wu, Yue Wang, Xiao-yan Wu, Gang Liu, Tao Shi, Tong Liu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry Behcet disease Ischemia Jejunal arteries General Medicine Intra-Abdominal Hemorrhage medicine.disease Thrombosis Surgery Jejunum Aneurysm medicine.anatomical_structure cardiovascular system medicine cardiovascular diseases Radiology Hemoperitoneum medicine.symptom business |
| Zdroj: | Medicine. 94:e1979 |
| ISSN: | 0025-7974 |
| DOI: | 10.1097/md.0000000000001979 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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