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Author 김승업 ( Seung Up Kim ) , 천재희 ( Jae Hee Cheon ) , 임준석 ( Joon Seok Lim ) , 백승혁 ( Seung Hyuk Paik ) , 김상겸 ( Sang Kyum Kim ) , 이상길 ( Sang Kil Lee ) , 이용찬 ( Yong Chan Lee ) , 김원호 ( Won Ho Kim )
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Title 회결장동맥의 동맥류 파열에 의한 대량 장출혈을 동반한 베체트 장염
Publicationinfo Korean J Gastroenterol 2007 Jun; 049(06): 400-404.
Key_word Behcet`s disease, Gastrointestinal bleeding, Ileocecal ulcer, Aneurysm, Aneurysmal rupture
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Abstract Behcet`s disease has been recognized as a systemic vasculitis characterized by the involvement of multiple organs such as orogenital ulcers, eye lesions including uveitis and optic neuritis, and skin lesions including folliculitis and erythema nodosum. Vascular involvement occurs occasionally and is classified into thrombosis and aneurysm. However, massive gastrointestinal bleeding from arterial aneurysm is a rare manifestation of intestinal Behcet`s disease. Recently, we experienced a case of intestinal Behcet`s disease presenting with massive gastrointestinal bleeding due to aneurysmal rupture of ileo-colic artery. A 30-year-old male with Behcet`s disease was admitted because of massive gastrointestinal bleeding. A large ileo-cecal ulcer was revealed as a bleeding focus on colonoscopic examination. Celiac angiography showed aneurysm and stenosis of ileo-colic artery. After the failure of hemostasis with arterial embolization, ileocecectomy was performed. After the resection hematochezia was completely stopped. (Korean J Gastroenterol 2007;49:400-404)
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