Abstract

BackgroundAbdominal aortic aneurysm formation is among the arterial complications of Behcet's disease. Weakness and fragility of aortic walls leads to the development of arterial complications like pseudoaneurysms.Case PresentationA case of huge saccular abdominal aortic aneurysm in a young Behcet patient who was successfully treated with endovascular stent graft placement is reported, diagnostic and interventional procedures are discussed, and mid-term follow-up results are presented.ConclusionsEndovascular treatment of abdominal aortic aneurysm complications of young Behcet patients who are not suitable for open surgery and need intervention could be an alternative treatment modality even without performing preprocedural angiography.

Highlights

  • Abdominal aortic aneurysm formation is among the arterial complications of Behcet's disease

  • Due to weakness and fragility of the aortic wall and arteritis open surgery has some complications like the development pseudoaneurysms

  • An infrarenal huge saccular abdominal aneurysm extending to the left inguinal region in a 32 years old male Behcet patient that was first seen in spinal CT examination performed due to extensive back pain and had a successful stent graft placement is presented

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Summary

Background

Arterial complications in Behcet's disease are rarely seen and usually involve great arteries like aorta and iliac arteries, and may lead to the perforation of the arterial walls and to the development of the aneurysms and their rupture [1]. Due to weakness and fragility of the aortic wall and arteritis open surgery has some complications like the development pseudoaneurysms. In this case report, an infrarenal huge saccular abdominal aneurysm extending to the left inguinal region in a 32 years old male Behcet patient that was first seen in spinal CT examination performed due to extensive back pain and had a successful stent graft placement is presented. Case presentation A 32 years old male patient with intense back pain admitted to the emergency room. From his history it was learnt that he had Behcet disease and being followed by another institution. After 18 months there were no complications (Figure 6A, 6B)

Discussion
Competing interests none declared
Beçhet H
Blankensteijn JD
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