Published online Dec 14, 2015. doi: 10.3748/wjg.v21.i46.13201
Peer-review started: July 30, 2015
First decision: August 26, 2015
Revised: September 9, 2015
Accepted: October 17, 2015
Article in press: October 20, 2015
Published online: December 14, 2015
Behçet’s disease (BD) is a multisystem autoimmune disorder characterized by recurrent orogenital ulcers, uveitis, and skin lesions. The vascular manifestations include thrombophlebitis, stenosis, occlusion, and pseudoaneurysm. BD infrequently precipitates aortic pseudoaneurysm rupture into the sigmoid mesocolon and lumen of the adjacent colon. Here we report an extremely rare case of spontaneous abdominal aortic pseudoaneurysm rupture via the sigmoid mesocolon into the lumen of the sigmoid colon in a 37-year-old patient with BD.
Core tip: Spontaneous abdominal aortic pseudoaneurysm rupture via the sigmoid mesocolon into the lumen of the sigmoid colon is a rare clinical manifestation. We report a case of a patient with Behçet’s disease who was successfully treated with stent grafting instead of surgical management.