24Feb 2019

ILEUM PERFORATION IN A YOUNG PATIENT WITH BEHCETS DISEASE.

  • Department of visceral surgery 2, Mohammed 5 Military teaching hospital, Ryad, Rabat, Morocco.
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Intestinal Behcet?s disease may cause serious complications. Massive hemorrhage, fistulisation and intestinal perforation are encountered complications in approximately 50% of patients suffering from intestinal Behcet?s disease. The main sites of involvement are the terminal cecum and ileum. In patients with Beh?et syndrome, CT is advocated for early detection of complications as well as for exclusion of other abdominal pathologic conditions but there is no specific exam. The report of histology in conjunction with the clinical history and the presence of oral ulcers, uveitis and suspected cutaneous lesions suggests the diagnosis. The optimal medical treatment of Beh?et syndrome has not yet been well established. In rare cases surgery must be required to control the disease. We describe a case of ileal perforation with abscess in a 26-year-old female with Behcet's disease.

  1. International Study Group for Beh?et's Disease. Criteria for diagnosis of Beh?et's disease. Lancet. 1990; 335: 1078- 1080. PubMed
  2. Johnson WK, Beierle E, Ros PR. CT evaluation of the gastrointestinal tract in a patient with Beh?et's syndrome. AJR Am J Roentgenol. 1994; 162: 349-350. PubMed | Google
  3. Scholar
  4. Lakhanpal S, Tani K, Lie JT, Katoh K, Ishigatsubo Y, Ohokubo T. Pathologic features of Beh?et's syndrome: a review of Japanese autopsy registry data. Hum Pathol. 1985; 16: 790-
  5. PubMed |Google Scholar
  6. Kasahara Y, Tanaka S, Nishino M, Umemura H, Shiraha S, Kuyama T. Intestinal involvement in Beh?et's disease: review of 136 surgical cases in the Japanese literature. Dis Colon Rectum. 1981; 24:103-106.PubMed | Google Scholar
  7. Jayashri VG, Joseph LJ. Behcet's disease: epidemiology, diagnosis, patient evaluation, pathogenesis, clinical features, histopathologic features, prognosis, clinical course, treatment. In: Ruddy S, Harris ED, Sledge CB, eds. Textbook of Rheumatology. 6th ed. Philadelphia: W. B. Saunders Co., 1981: 1205-9.
  8. Edwards L. Oral and genital ulcers and erision: oral and genital ulcers. In: Edwards L, ed. Dermatology in emergency care. Singapore: Churchill Livingstone Inc Press; 1997; 254-5.
  9. Ecker RD. Behcet's disease in an African American man .Am J Emerg Med 2000; 18: 118-9.
  10. Parkin JV, Wight DGD. Beh?et's disease and the alimentary tract. Postgrad Med J. 1975; 51: 260-264.PubMed | Google Scholar
  11. Lehner T, Batchelor JR, Challacombe SJ, et al. An immunogenetic basis for the tissue involvement in Beh?et'ssyndrome.Immunology. 1979; 37: 895- 900. PubMed | Google Scholar
  12. O'Duffy JD. Beh?et syndrome. N Engl J Med. 1990; 322: 326- 328. Google Scholar
  13. Scully C. Behcet's syndrome: aetiology, clinical features, prognosis, management.
  14. In: R. H. Champion, J. L. Burton, D. A. Burns, SM. Breathnach, eds. Textbook of Dermatology 6th ed. Blackwell Science Lt Press;1998; 3072-3.
  15. Gonzalez-Gay MA. Systemic vasculitis in adults in Northwestern Spain, 1997-1998.
  16. Medicine (Baltimore) 1999; 78: 292-308.
  17. Kim B. Histopathologic features of erythema nodosum-like lesions in Behcet's disease, a comparison with erythema nodosum focusing on the role of vasculitis. Am J Dermatopathol 2000; 22: 379-90.
  18. Glosemeyer R. Ulcerative esophagitis and colitis are rare manifestations of adamantiades-Behcet disease. Zeitschrift fur Gastroenterol 2001; 39: 167- 71.
  19. Levin MS. Small bowel ulcers associated with systemic disorders: Behcet's syndrome. In: Yamada T, Alpers DH, Lanine L, Owyang C, Powell DW, eds. Textbook of Gastroenterology. 3rd ed. Philadelphia. New York, Baltimore: Lippincott Williams & Wilkins Press; 1999; 1744.
  20. Eisenberg RL. Ulcerative lesions of the colon: Behcet's syndrome. In: Eisenberg RL, ed. Gastrointestinal Radiology. A Pattern Approach. 3rd ed. Philadelphia. New York: Lippincott Raven Press, 1996; 634.
  21. Ha HK, Lee HJ, Yang SK, et al. Intestinal Beh?et syndrome: CT features of patients with and patients without complications.Radiology. 1998; 209: 449-454. PubMed | Google Scholar
  22. Stringer DA, Cleghorn GJ, Durie PR, Daneman A, Hamilton JR. Beh?et's syndrome involving the gastrointestinal tract: a diagnostic dilemma in childhood. PediatrRadiol. 1986; 16(2):131-4. PubMed |Google Scholar
  23. Rosenberger A, Adler OB, Haim S. Radiological aspects of Beh?et disease. Radiology. 1982; 144: 261- 264.PubMed | Google Scholar
  24. Barnes CG et al. Beh?et's syndrome. J R Soc Med. 1984; 77: 816-819. PubMed | Google Scholar
  25. Kume K, Hashiba T, Yoshikawa I, et al. Therapeutic experience of hyperbaric oxygenation in entero-Behcet syndrome. Am J Gastroenterol 2001; 96:1308-9.
  26. Kariv R. Systemic vasculitis presenting as a tumorlike lesion. Medicine (Baltimore) 2000; 79: 349-59.

[Faisal El Mouhafid, Noureddine Njoumi,Youssra ouhamou, Aziz Fadili, Mountassir Moujahid, Abdelkader ihirchiou, Adbelmounim Aitali and Aziz Zentar. (2019); ILEUM PERFORATION IN A YOUNG PATIENT WITH BEHCETS DISEASE. Int. J. of Adv. Res. 7 (Feb). 828-831] (ISSN 2320-5407). www.journalijar.com

Faisal El mouhafid
Department of visceral surgery 2, Mohammed 5 Military teaching hospital, Ryad, Rabat, Morocco

DOI:

Article DOI: 10.21474/IJAR01/8552      
DOI URL: https://dx.doi.org/10.21474/IJAR01/8552

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