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Case Reports in Surgery
Volume 2012, Article ID 848101, 5 pages
http://dx.doi.org/10.1155/2012/848101
Case Report

Atypical Vascular Involvement in a Case of Behçet's Disease

1Department of Angiology and Vascular Surgery, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, Spain
2Department of Internal Medicine, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, Spain
3Department of Neurology, Hospital Virgen de la Victoria, Campus de Teatinos s/n, 29010 Málaga, Spain

Received 19 October 2012; Accepted 7 November 2012

Academic Editors: H. Kawai and G. Sandblom

Copyright © 2012 Alejandro Rodríguez Morata et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. Behçet's disease (BD) is a form of vasculitis of unknown etiology which is rare in our environment. It is characterized by a variety of clinical manifestations and usually affects young adults. Recurrent oral and genital ulcers are a characteristic and extremely frequent symptom, but mortality is linked with more significant symptoms such as aortic pseudoaneurysm, pulmonary pseudoaneurysm, and cerebral venous thrombosis. Patient and Method. We present a case of a young male with atypical BD and severe polyvascular involvement (previous cerebral venous thrombosis and current peripheral venous thrombosis, acute ischemia, and peripheral arterial pseudoaneurysm) who required urgent surgical intervention due to a symptomatic external iliac pseudoaneurysm. Result. The pseudoaneurysm was successfully treated, we performed an iliofemoral bypass, and we treated it with steroids and immunosuppressive therapy. Conclusions. These rare clinical manifestations highlight the importance of considering BD in young patients, even in usual cases of vascular intervention, whether arterial or venous in nature.