Iliac Primitive Aneurysm Revealing Behçet Disease

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Mouna Snoussi
Chifa Damak
Moez Jallouli
Faten Frikha
Raida Ben Salah
Sameh Marzouk
Imed Frikha
Zouhir Bahloul

Abstract

Thirty-one year old woman with a history of recurrent oral aphtosis presented a leg swelling, pain and functional impairment. A venous thrombosis of the left ilio-femoro-popliteal was diagnosed and the patient received an anticoagulation therapy. One month later, she presented   an arterial aneurysm of the right primitive iliac artery confirmed by an angio-CT exam. Physical examination revealed necrotic pseudofolliculitis, a bilateral posterior uveitis with papillitis. The diagnosis of BD was made. A corticosteroid treatment was conducted (solumedrol 1g/day for 3 days then                1 mg/kg/day of prednisone equivalent for 6 weeks then progressively tapered until 10 mg/day) associated with cyclophosphamide (1g/month for 12 months).  An angio CT scan 12 months later was performed and objectivated the progression in size of the aneurysm. Therefore, a surgical   treatment was decided and consisted on a lay flat of the aneurysm and graft interposition with polytetrafluoroethylene prosthesis. The post-operative outcome was favorable.

Keywords:
Behçet disease, arterial aneurysm, surgery

Article Details

How to Cite
Snoussi, M., Damak, C., Jallouli, M., Frikha, F., Salah, R. B., Marzouk, S., Frikha, I., & Bahloul, Z. (2021). Iliac Primitive Aneurysm Revealing Behçet Disease. Asian Journal of Case Reports in Medicine and Health, 5(2), 14-18. Retrieved from https://journalajcrmh.com/index.php/AJCRMH/article/view/30164
Section
Case Study

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