Abstract:
ABS TRACT Behçet’s disease is a multisystem disorder. Intestinal involvement is common in patients
from the Far East, but is rare among those from the Middle East. The most frequent area of involvement
is the ileocecal region. Although intestinal perforations of Behçet’s disease are most
frequently seen in the cecum, perforations of the sigmoid and descending colon have also been reported
in the literature. A 45-year-old man with Behçet’s disease admitted to our hospital with abdominal
pain and active lower gastrointestinal bleeding. A colonoscopic examination revealed
multiple perforated ulcers in the descending colon. He was followed-up conservatively, and no surgical
intervention was required. Descending-colon perforation is a rare complication of Behçet’s
disease. Our patient recovered with conservative medical treatment, without surgery. Therefore,
this case suggests that medical treatment with close follow-up may be useful in the management of
intestinal perforations in Behçet’s disease.
