Behçet’s syndrome with left ventricular aneurysm and ruptured renal artery pseudoaneurysm

Lee

Kidney Research and Clinical Practice

et al. 2016

Renal artery aneurysms and pseudoaneurysms are an uncommon clinical problem with a low incidence rate. They are abnormal dilatations of the vessel lumen with some different natures. However, the rupture of an aneurysm and pseudoaneurysm is the most dreaded complication because it causes death of the patient. There are many causes of renal artery aneurysm and pseudoaneurysm, including Behçet's disease; however, renal involvement in Behçet's disease is less frequent. We report a case of renal artery pseudoaneurysm induced by Behçet's disease and treated successfully with coil embolization. A 56-year-old woman with Behçet's disease presented with an incidental left renal artery pseudoaneurysm measuring 18 mm. We successfully performed endovascular treatment with coil embolization instead of surgical treatment.

Section: Discussionmentioning

confidence: 99%

Successfully treated isolated renal artery pseudoaneurysm in a patient with Behçet's disease

Lee

Kidney Research and Clinical Practice

et al. 2016

“…A surgical repair of the cardiac aneurysm was done after transcatheter embolization was performed to the ruptured renal artery aneurysm. 16 Selective embolization has the advantage of being a minimally invasive procedure and, as in our case, with the salvage of an organ. We think that this procedure, combined with corticosteroids and immunosuppression therapy, is adequate in selected patients.…”

Section: Discussionmentioning

confidence: 72%

Transcatheter embolization of renal artery aneurysm in Behçet’s disease

2001

A 20-year-old man with Behçet's disease presented with a ruptured renal artery aneurysm. This patient had previously had aneurysms of the coronary arteries and coronary vein thrombosis that were treated with immunosuppression. A selective transcatheter embolization of the renal artery branch was done successfully and treatment with corticosteroids and methotrexate was added. Presented here is a rare complication of Behçet's disease, with discussion on the pathophysiology, differential diagnosis, and the advantages and disadvantages of the angiographic treatment. This paper is supplemented with a comprehensive review of the literature.

“…Murakami et al [2] reported that they investigated 97 cases of vasculo-Behçet's disease and found no patient who developed abnormalities in the small renal, celiac or superior mesenteric arteries. To the best of our knowledge, at least six cases of vasculo-Behçet's disease, including our case, have been reported with the complication of renal artery abnormalities [3][4][5][6][7]. Moreover, including our case, only five cases of vasculo-Behçet's disease have been reported to be complicated with abnormalities in the celiac and superior mesenteric arteries [4,[8][9][10].…”

Section: Discussionmentioning

confidence: 77%

Vasculo-Behçet’s disease with non-traumatic subcapsular hematoma of the kidney and aneurysmal dilatations of the celiac and superior mesenteric arteries

et al. 2008

We report a patient with vasculo-Behçet's disease treated successfully with a high dose of prednisolone. In 2002, the patient was diagnosed with vasculo-Behçet's disease. He was admitted to our hospital because of sudden-onset right lower back pain in June 2006. Upon admission, abdominal angiography revealed aneurysmal dilatations of the celiac and superior mesenteric arteries. He was treated promptly with high-dose prednisolone, after which the aneurysms displayed no further enlargement. As we believe this case to be quite rare, we report this case with a literature review in support of this characterization.