A Rare Clinical Case of Small Bowel Perforation as a Complication of Behçet Disease

Abstract

This article describes a clinical case of an intestinal complication of Behçet disease in patient A., born in 1996, who was admitted to the Rheumatology Department of the Ryazan Regional Clinical Hospital on January 25, 2024, with complaints of a non-productive cough, painful ulcers on the oral mucosa, hemorrhagic rash on the lower and upper extremities, pain in the Achilles tendon of the left lower extremity. On January 30, 2024, the patient’s condition worsened, and he complained of nausea, abdominal pain, a single episode of vomiting, and a fever of 37.3°C. The patient was examined by the surgeon on duty. Following examination, collection of anamnesis, and analysis of the clinical picture, a diagnosis of hollow organ perforation and peritonitis was made; it was decided to perform emergency surgery. The patient underwent an emergency diagnostic laparotomy on the night of January 31, 2024, to February 1, 2024. An abdominal examination revealed multiple acute perforations of the small intestine, as well as two large, 1/2-circumferential, hard-edged perforations in the ileum 25 cm from the ileocecal junction. The section of the ileum with the above-mentioned changes was resected, and the proximal portion was brought out to the anterior abdominal wall as a single-stoma.