Abstract

CANTILLO-NAZZAR, Gustavo R.; TOBON, Angélica  and  ARDILA-HANI, Andrés. Lower Digestive Tract Bleeding in a Patient with Behçet’s Disease: A Case Report. Rev. colomb. Gastroenterol. [online]. 2023, vol.38, n.1, pp.73-78.  Epub June 07, 2023. ISSN 0120-9957.  https://doi.org/10.22516/25007440.878.

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.

Keywords : Colombia; inflammatory bowel disease; ileitis; melena; Behçet’s syndrome; vasculitis.

        · abstract in Spanish     · text in English | Spanish     · English ( pdf )