Rupture of celiac trunk aneurysm in patient with Behçet Disease

Lucas, Márcio Luı́s; Frankini, Tiago; Frankini, Angelo; Aerts, Newton; Tourinho, Tatiana Freitas

doi:10.1590/0100-69912016005007

Rev. Col. Bras. Cir.

2016

DOI: 10.1590/0100-69912016005007

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Rupture of celiac trunk aneurysm in patient with Behçet Disease

Márcio Luı́s Lucas¹,

Tiago Frankini²,

Angelo Frankini³

et al.

Abstract: We report a case of a ruptured aneurysm of the celiac trunk in a 32-year-old, male patient with Behçet Disease (BD). Aneurysm resection was performed and the patient is well during a follow up of 32 months. To our knowledge, this is the first reported case of a ruptured celiac trunk aneurysm successfully treated in a patient with BD. RESUMO Relatamos o caso de um aneurisma roto do tronco celíaco em um paciente de 32 anos, do sexo masculino, portador de Doença de Behçet (DB). A ressecção do aneurisma foi realiz… Show more

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Cited by 3 publications

References 7 publications

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Coeliac artery dissection as a rare manifestation of Behcet’s disease

Ocon¹,

Mehta

Peredo-Wende

2018

BMJ Case Reports

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Behcet's disease is a multisystemic vasculitis. Arterial involvement in the form of acute dissection is rare. A 42-year-old Lebanese man with Behcet's disease presented with severe abdominal pain. On exam, blood pressure was 162/104 mm Hg, and he exhibited epigastric tenderness. CT angiogram demonstrated an acute dissection of the coeliac artery trunk, common hepatic artery and proper hepatic arteries, with asymmetric thickening of the proximal left subclavian artery and circumferential thickening of the abdominal infrarenal aorta suggestive of vasculitis. Treatment included intravenous clevidipine, nitroprusside and methylprednisolone, which transitioned to oral metoprolol, amlodipine and prednisone. He responded well. Arterial dissections have been described with Behcet's. We report a coeliac artery aneurysm in association with a flare of Behcet's disease. Arterial wall inflammation combined with the sheering forces of hypertension likely predisposes to arterial dissection.

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Coeliac artery dissection as a rare manifestation of Behcet’s disease

Ocon¹,

Mehta

Peredo-Wende

2018

BMJ Case Reports

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Tratamento endovascular na doença de Behçet: uma revisão integrativa

et al. 2022

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Resumo A doença de Behçet (DB) é caracterizada por ser uma doença rara, crônica, recidivante, inflamatória e multissistêmica. Quanto ao diagnóstico, não existe nenhum teste universalmente descrito; logo, ele é feito de maneira clínica, por meio da presença da sua tríade clássica de sinais: úlceras orais, úlceras genitais e uveíte (inflamação do trato uveal do olho). O objetivo deste estudo foi avaliar a importância do tratamento endovascular na doença de Behçet, sendo que a revisão de literatura para obter essa resposta foi realizada a partir de 30 artigos publicados entre 2002 e 2021. A DB acomete tanto o sistema venoso quanto o arterial. A ruptura de aneurismas é a principal causa de morte e necessita de tratamento, podendo ser clínico, cirúrgico aberto ou por via endovascular. A cirurgia endovascular vem ganhando espaço no tratamento cirúrgico nos casos de aneurismas arteriais, inclusive nos relacionados com DB, apesar de a terapia de escolha ainda ser controversa.

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Aneurysmal celiac trunk dissection caused by median arcuate ligament syndrome successfully treated by endovascular technique: a case report

Li¹,

Luo²,

Yin³

et al. 2021

AME Case Rep

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Rupture of celiac trunk aneurysm in patient with Behçet Disease

Cited by 3 publications

References 7 publications

Coeliac artery dissection as a rare manifestation of Behcet’s disease

Coeliac artery dissection as a rare manifestation of Behcet’s disease

Tratamento endovascular na doença de Behçet: uma revisão integrativa

Aneurysmal celiac trunk dissection caused by median arcuate ligament syndrome successfully treated by endovascular technique: a case report

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