Journal of Hypertension and Cardiology

Current Issue Volume No: 3 Issue No: 1

ISSN: 2329-9487
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    Aneurysm of the Common Iliac Artery Revealing a Behcet's Disease

    M. Elqatni 1   J. Fatihi 1   N. Elomri 1   M. Jira 1   Y. Sekkach 1   T. Amezyane 1   K. Ennibi 1   A. Abouzahir 1  

    1Département de Médecine Interne, Hôpital Militaire d'Instruction Med-V, Faculté de Médecine et de Pharmacie de Rabat, Université Mohammed V- Rabat- Maroc.

    Author Contributions
    Received 11 Feb 2021; Accepted 13 Feb 2020; Published 20 Feb 2020;

    Copyright ©  2021 M. Elqatni, et al.

    License
    Creative Commons License     This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    Competing interests

    The authors have declared that no competing interests exist.

    Citation:

    M. Elqatni, J. Fatihi, N. Elomri, M. Jira, Y. Sekkach et al. (2020) Aneurysm of the Common Iliac Artery Revealing a Behcet's Disease. Journal Of Hypertension And Cardiology - 3(1):25-27.

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    DOI 10.14302/issn.2329-9487.jhc-21-3743

    Introduction

    A45-year-old man, with no prior pathologic antecedent was admitted to the internal medicine department for a 3weeks history of abdominal pain. This symptom occurred in the context of apyrexia and 4 kilogram weight loss. Abdominal examination was a painful abdomen, distended. The skin examination noted painful genital andoral ulcers with pustlar lesions in the back. Angio CT scan revealed an aneurysm of the right common iliac artery (Figure 1).Artégraphie the lesion showed the same described above, showing the saccular aneurysm (Figure 2). He had no other aneurysmal localizations.

    Figure 1. Angio CT scan revealed an aneurysm of the right common iliac artery.
    Figure 1.

    Figure 2. Artégraphie showed the saccular aneurysm.
    Figure 2.

    Laboratory tests found inflammatory. The infectious analysis (VDRL-TPHA, Mycobacteria) was negative. HLA-B51 was positive. The diagnosis of Behçet’s disease was made. The patient was treated surgically with a prosthetic iliac-femoral, cyclophosphamide and methylprednisolone pulses relayed by oralprednisone 1 mg/kg/j.

    Orogenital aphthosis, skin lesions and uveitis characterize Behçet’s disease (BD)1. The incidence of cardiovascular complications in BD is approximately 30%, although these complications are apparently the major cause of death, which highlights the gravity of the condition. Of the vascular lesions reported, 25% affect the venous system exclusively and 7% the arterial system exclusively, 68% of the patients with vascular involvement have both

    types 2.

    References

    1.HyungJoonAhn Se Hwan Kwon, Ho Chul Park. (2010) Ruptured abdominal aortic aneurysm with vertebral erosion revealed by refractory pain in the back of a disease Behcet. Annales de Chirurgie Vasculaire. 24(2), 17-278.
    2.Kim Hyung-Kee, Choi HyangHee, SeungHuh. (2010) Aneurysm ruptured iliac artery associated has a false aortic aneurysm in a patient Behcet's disease presenting. Annales de Chirurgie Vasculaire. 24(2), 7-279.