Iliac Primitive Aneurysm Revealing Behçet Disease
Published: 2021-04-02
Page: 44-48
Issue: 2021 - Volume 4 [Issue 1]
Mouna Snoussi *
Department of Internal Medicine, Medical School of Sfax, Tunisia.
Chifa Damak
Department of Internal Medicine, Medical School of Sfax, Tunisia.
Moez Jallouli
Department of Internal Medicine, Medical School of Sfax, Tunisia.
Faten Frikha
Department of Internal Medicine, Medical School of Sfax, Tunisia.
Raida Ben Salah
Department of Internal Medicine, Medical School of Sfax, Tunisia.
Sameh Marzouk
Department of Internal Medicine, Medical School of Sfax, Tunisia.
Imed Frikha
Department of Vascular Surgery, Medical School of Sfax, Tunisia
Zouhir Bahloul
Department of Internal Medicine, Medical School of Sfax, Tunisia.
*Author to whom correspondence should be addressed.
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