Lower Digestive Tract Bleeding in a Patient with Behçet’s Disease: A Case Report

Authors

DOI:

https://doi.org/10.22516/25007440.878

Keywords:

Colombia, Inflammatory Bowel disease, Ileitis, Melena, Behçet’s syndrome, Vasculitis

Abstract

Behçet’s disease is a chronic, multisystemic, and relapsing inflammatory pathology that frequently manifests with oral and genital ulcers and ocular and skin lesions. It rarely exhibits gastrointestinal involvement, which varies depending on the affected gastrointestinal segment; these have in common the predominance of ulcerated lesions and, consequently, a greater risk of bleeding from the digestive tract. A clinical case of a 28-year-old female patient who consulted for a clinical picture of melenic stools and oral ulcers is described. As a crucial clinical history, she had been diagnosed with Behçet’s disease since adolescence, associated with severe gastrointestinal complications. An esophagogastroduodenoscopy was performed with findings of antral erythematous gastropathy and a colonoscopy with a report of ulcerated ileitis. Treatment with azathioprine and corticosteroids was indicated, significantly improving the clinical picture.

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Author Biographies

Gustavo Rafael Cantillo Nazzar, Hospital Universitario San Ignacio

Médico internista – Fellow de Gastroenterología y Endoscopia. Bogotá, Colombia

Angélica Tobón Guevara, Hospital Universitario San Ignacio

Médico internista, Fellow de Gastroenterología Universidad Javeriana. Bogotá, Colombia

Andrés Felipe Ardila Hani, Hospital Universitario San Ignacio

Gastroenterología y Endoscopia Digestiva. Gastroenterólogo. Bogotá, Colombia

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Figura 1. Colonoscopia total con hallazgos de ileítis ulcerada. A-F. Úlceras bien delimitadas con bordes regulares y ligeramente eritematosos, con un fondo de fibrina de dimensiones descritas en el caso clínico. Fuente: archivo de los autores.

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Published

2023-03-28

How to Cite

Cantillo Nazzar, G. R., Tobón Guevara, A., & Ardila Hani, A. F. (2023). Lower Digestive Tract Bleeding in a Patient with Behçet’s Disease: A Case Report. Revista Colombiana De Gastroenterología, 38(1), 73–78. https://doi.org/10.22516/25007440.878

Issue

Vol. 38 No. 1 (2023): January - March

Section

Case report

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