Abstract
BEHÇET'S DISEASE is a multisystem inflammatory disorder, characterized by recurrent oral and genital ulcerations, ocular and skin lesions, arthritis, and central nervous system and vascular involvements. 1 Hirose H Takagi M Noguchi M et al. Coronary revascularization and abdominal aortic aneurysm repair in a patient with Behçet's disease. J Cardiovasc Surg (Torino. 1998; 39: 751-755 PubMed Google Scholar , 2 Lee LA Behçet disease. Semin Cutan Med Surg. 2001; 20: 53-57 Crossref PubMed Scopus (26) Google Scholar In such cases, development of extensive scarring and adhesions in the oropharynx region as a result of recurrent attacks leads to difficult intubation. 3 Turner ME Anaesthetic difficulties associated with Behçet's syndrome. Br J Anaesth. 1972; 44: 100-102 Crossref PubMed Scopus (12) Google Scholar The most common vascular complications in Behçet's disease involve thrombophlebitis. Many patients have been reported to have aneurysms, however. Abdominal aortic involvement with aneurysm is an especially challenging surgical problem, including early anastomotic disruption and occlusion. 4 El Maghraoui A Tabache F El Khattabi A et al. Abdominal aortic aneurysm with lumbar vertebral erosion in Behçet's disease revealed by low back pain: A case report and review of the literature. Rheumatology. 2001; 40: 472-473 Crossref PubMed Google Scholar Endovascular repair of abdominal aortic aneurysms seems to be a reasonable alternative for patients who are not suitable candidates for standard surgical procedures. 5 Vasseur MA Haulon S Beregi JP et al. Endovascular treatment of abdominal aneurysmal aortitis in Behçet's Disease. J Vasc Surg. 1998; 27: 974-976 Abstract Full Text Full Text PDF PubMed Scopus (60) Google Scholar This case report describes the application of epidural anesthesia and an endovascular stent graft to a patient suffering from abdominal and low back pain and a compromised airway.
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