Case Report
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World J Gastroenterol. May 28, 2013; 19(20): 3165-3168
Published online May 28, 2013. doi: 10.3748/wjg.v19.i20.3165
Behçet’s disease complicated by multiple aseptic abscesses of the liver and spleen
Keisuke Maeshima, Koji Ishii, Megumi Inoue, Katsuro Himeno, Masataka Seike
Keisuke Maeshima, Koji Ishii, Megumi Inoue, Katsuro Himeno, Masataka Seike, Department of Internal Medicine I, Faculty of Medicine, Oita University, Oita 879-5593, Japan
Author contributions: Maeshima K and Inoue M co-wroted the paper; Ishii K, Himeno K and Seike M performed the treatment of the patient; all authors discussed and commented on the manuscript.
Correspondence to: Koji Ishii, MD, PhD, Department of Internal Medicine I, Faculty of Medicine, Oita University, 1-1 Idaigaoka, Hasama-machi, Yufu, Oita 879-5593, Japan. kois@oita-u.ac.jp
Telephone: +81-97-5865793 Fax: +81-97-5494480
Received: October 18, 2012
Revised: March 1, 2013
Accepted: March 8, 2013
Published online: May 28, 2013
Processing time: 221 Days and 17.3 Hours
Core Tip

Core tip: We report a Japanese male diagnosed with an incomplete type of Behçet’s disease who developed multiple aseptic abscesses of the spleen and liver. Spleen abscesses developed with paroxysmal oral aphthous ulcers and erythema nodosum. A splenectomy was performed, and severe neutrophil infiltration was observed without evidence of bacterial or fungal growth. Multiple liver abscesses also developed with right hypochondrial pain and seemed to be attributed to Behçet’s disease because the abscesses yielded negative results during a microbiologic investigation. Oral prednisone (15 mg/d) was started, and the abscesses dramatically disappeared. Clinicians should be aware of the existence of aseptic abscesses as uncommon manifestations of Behçet’s disease.