Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case report

A 33-year-old male patient with a 17-year Behcet’s syndrome history showed abdominal pain and fever symptoms. The abdominal CT was suggestive of an acute ileocecal intestinal perforation. In addition, the symptoms disappeared after the conservative treatment. Some related examinations, including cap...

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Main Authors: Jiewen Deng, Xuanming Fan, Hui Guo, Jie Gao, Xuan Li, Wei Wan
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2023.1108247/full
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author Jiewen Deng
Xuanming Fan
Hui Guo
Jie Gao
Xuan Li
Wei Wan
author_facet Jiewen Deng
Xuanming Fan
Hui Guo
Jie Gao
Xuan Li
Wei Wan
author_sort Jiewen Deng
collection DOAJ
description A 33-year-old male patient with a 17-year Behcet’s syndrome history showed abdominal pain and fever symptoms. The abdominal CT was suggestive of an acute ileocecal intestinal perforation. In addition, the symptoms disappeared after the conservative treatment. Some related examinations, including capsule endoscopy, were performed to explain the phenomenon of the food residue urine. These results indicated the intestine-urinary tract fistula formation, supposed to be the outcome of intestinal Behcet’s syndrome perforation. This is a rare case of intestinal Behcet’s syndrome with abdominal symptoms as the main manifestation. It was complicated by entero-urinary fistula formation and urinary tract infections. Now, we report this story to emphasize that capsule endoscopy is conducive to the diagnosis and assessment of the intestinal Behcet’s syndrome; moreover, anti-inflammatory treatment including biological agents is effective to relieve the disease at the acute stage in addition to surgical methods.
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spelling doaj.art-e3758edef41a4a9fa3b248e24041ad802023-03-29T04:35:26ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882023-03-011310.3389/fcimb.2023.11082471108247Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case reportJiewen Deng0Xuanming Fan1Hui Guo2Jie Gao3Xuan Li4Wei Wan5The Department of Cardiovascular Diseases, The First Affiliated Hospital of the Naval Military Medical University, Shanghai, ChinaThe Department of Gastroenterology, The First Affiliated Hospital of the Naval Military Medical University, Shanghai, ChinaDepartment of Pharmacy, Shanghai Tenth People’s Hospital, Tongji University School of Medicine, Shanghai, ChinaDepartment of Rheumatology and Immunology, The First Affiliated Hospital of the Naval Military Medical University, Shanghai, ChinaShanghai Songjiang Fangta Hospital of TCM, Shanghai, ChinaDepartment of Rheumatology and Immunology, The First Affiliated Hospital of the Naval Military Medical University, Shanghai, ChinaA 33-year-old male patient with a 17-year Behcet’s syndrome history showed abdominal pain and fever symptoms. The abdominal CT was suggestive of an acute ileocecal intestinal perforation. In addition, the symptoms disappeared after the conservative treatment. Some related examinations, including capsule endoscopy, were performed to explain the phenomenon of the food residue urine. These results indicated the intestine-urinary tract fistula formation, supposed to be the outcome of intestinal Behcet’s syndrome perforation. This is a rare case of intestinal Behcet’s syndrome with abdominal symptoms as the main manifestation. It was complicated by entero-urinary fistula formation and urinary tract infections. Now, we report this story to emphasize that capsule endoscopy is conducive to the diagnosis and assessment of the intestinal Behcet’s syndrome; moreover, anti-inflammatory treatment including biological agents is effective to relieve the disease at the acute stage in addition to surgical methods.https://www.frontiersin.org/articles/10.3389/fcimb.2023.1108247/fullintestinal Behcet’s syndromeperforation of the intestinefistula formation and urinary tract infectionscapsule endoscopebiological agents
spellingShingle Jiewen Deng
Xuanming Fan
Hui Guo
Jie Gao
Xuan Li
Wei Wan
Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case report
Frontiers in Cellular and Infection Microbiology
intestinal Behcet’s syndrome
perforation of the intestine
fistula formation and urinary tract infections
capsule endoscope
biological agents
title Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case report
title_full Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case report
title_fullStr Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case report
title_full_unstemmed Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case report
title_short Intestinal Behcet’s syndrome with an unusual complication bladder-intestines fistula and urinary tract infections—A case report
title_sort intestinal behcet s syndrome with an unusual complication bladder intestines fistula and urinary tract infections a case report
topic intestinal Behcet’s syndrome
perforation of the intestine
fistula formation and urinary tract infections
capsule endoscope
biological agents
url https://www.frontiersin.org/articles/10.3389/fcimb.2023.1108247/full
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