Pseudoaneurysm of the Internal Iliac Artery of a Patient with Behçet’s Disease: Treatment with an Endovascular Stent-Graft

Excerpt

Behçet’s disease is a well-known multisystem inflammatory disorder of unknown etiology that is characterized by oral and genital ulcers, uveitis, and a variety of other manifestation such as erythema nodosum, polyarthritis, thrombophlebitis and ulceration of the intestinal mucosa. Vascular manifestations of Behçet’s disease are venous and arterial occlusion, and arterial aneurysms. Arterial aneurysms are rare but severe complications of Behçet’s disease. They carry a poor prognosis, because of the propensity to rupture. The estimated risk of aneurysm rupture in Behçet’s disease is 60% [1]. Surgical management of aneurysm in Behçet’s disease is especially problematic because pseudoaneurysms often occur after surgery. In the treatment of peripheral aneurysm, implantation of an endovascular stent-graft as an alternative modality has been recommended [2‐5]. We report a case of internal iliac artery pseudoaneurysm in a patient with Behçet’s disease successfully treated using an endovascular stent-graft. …