Clinical characteristics and surgical treatment of enteric Behcet disease complicated with acute abdomen
10.3760/cma.j.cn113855-20190730-00431
- VernacularTitle:肠型白塞病并发急腹症的临床特点与外科治疗
- Author:
Qingmiao ZHOU
1
;
Rongjian WANG
;
Jianbo HE
;
Yu HE
;
Yujun YU
;
Chen WANG
;
Shaoliang HAN
Author Information
1. 温州医科大学附属第一医院胃肠外科，浙江省 325000
- From:
Chinese Journal of General Surgery
2020;35(6):455-459
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical characteristics and surgical treatment of enteric Behcet′s disease with acute abdomen.Methods:The clinical data and follow-up results of 9 patients with enteric Behcet′s disease with acute abdomen treated surgically were analyzed retrospectively.Results:All patients in this group had abdominal pain, with bloody stool in one case, failure to exhaust and defecation in 1 case. Physical examination revealed abdominal mass in 2 cases, peritonitis sign in 5 cases and tenderness of the right lower abdomen in 1 case. The causes of operation were pathological perforation of ileocecal region, pathological perforation of small intestine, acute appendicitis, ileum fistula, intestinal stenosis and obstruction and massive hemorrhage of lower digestive tract.In this group, laparotomy or laparoscopy were done in these cases, including ileocecal resection in 2 cases, partial resection of small intestine in 3 cases, laparoscopic appendectomy in 1 case and right colon colectomy in 3 cases. Incision infection occurred in 1 case, anastomotic leakage in 1 case and adhesive intestinal obstruction in 1 case occurred after operation. The median follow-up time of 8 cases was 7.5 years, and Behcet′s disease recurred in 4 cases, but no recurrence of enteric Behcet disease was found.Conclusions:Intestinal perforation, bleeding and obstruction are the main causes of intestinal Behcet′s disease with acute abdomen, and emergency surgery is an important means of treatment, moreover, nutrition support and drug therapy are the important supportive therapy to control this disease.
