Open AccessSuspected Behçet's disease presenting with enterocutaneous fistula formation and lower gastrointestinal bleeding after appendectomy
Author(s) -
ChaoYu Chen,
ShunPing Chang,
Chien-Chung Tsai
Publication year - 2014
Publication title -
formosan journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.135
H-Index - 8
eISSN - 2213-5413
pISSN - 1682-606X
DOI - 10.1016/j.fjs.2013.10.005
Subject(s) - medicine , behcet's disease , enterocutaneous fistula , surgery , lower gastrointestinal bleeding , fistula , gastrointestinal bleeding , vasculitis , abdominal pain , behcet disease , abscess , quadrant (abdomen) , disease , medical history , colonoscopy , colorectal cancer , cancer
SummaryBehçet's disease (BD) is a form of vasculitis which is believed to be an autoimmune disease. The disease can be categorized as “intestinal Behçet's disease” with its predominant gastrointestinal symptoms and intestinal ulcerations. If a patient first presents with complicated BD, it is difficult to diagnose because the gastrointestinal symptoms are nonspecific. We report a case of a 22-year-old man with no previous medical history who presented with intermittent right lower quadrant pain 2 days after an appendectomy. Intra-abdominal abscess formation was suspected first and treated medically. Then, the disease progressed to produce an enterocutaneous fistula and lower gastrointestinal bleeding. The diagnosis of BD was made 2 months after the patient's first visit