Azghari A, Belmir H, Bouayad M, Bouziane Z, Idrissi R, Lekehel B, Sefiani Y, El Mesnaoui A, Ammar F, Bensaid Y
Service de chirurgie vasculaire, hôpital Ibn Sina, MA-10104 Souissi, 10104 Rabat, Maroc.
J Mal Vasc. 2009 Nov;34(5):362-5. doi: 10.1016/j.jmv.2009.05.004. Epub 2009 Aug 31.
The Behçet's disease is a vasculitis of an unknown origin. Vascular inflammatory lesions predominantly affect veins, potentially leading to superficial or deep thrombophlebitis. Arterial involvement is rare, mainly aneurysms. We display two case reports of patients where Behçet's disease is revealed by celiac trunk aneurysm. The symptoms are nonspecific. Ultrasound Doppler and angioscan are a key to the diagnosis. The two patients received medical and surgical treatment. By these two case reports, we insist that the diagnosis of Behçet's disease should be evoqued in any young patient with arterial aneurysm.
白塞病是一种病因不明的血管炎。血管炎性病变主要累及静脉,可能导致浅表或深部血栓性静脉炎。动脉受累较少见,主要是动脉瘤。我们展示了两例因腹腔干动脉瘤而确诊白塞病的患者病例报告。症状不具有特异性。超声多普勒和血管扫描是诊断的关键。这两名患者均接受了药物和手术治疗。通过这两例病例报告,我们坚持认为,任何患有动脉动脉瘤的年轻患者都应考虑白塞病的诊断。