Jornal de doenças infecciosas e terapia

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A Commentary on Intestinal Behcet's Syndrome with Unusual Complications

Wei Wan, Jiewen Deng, Xuanming Fan, Jie Gao, Dongbao Zhao

Intestinal Behcet's syndrome is a rare manifestation of Behcet's syndrome characterized by gastrointestinal involvement. We have published a case of a 33-year-old male patient with a long history of Behcet's syndrome who presented with abdominal pain and fever. Imaging studies revealed an acute ileocecal intestinal perforation, which miraculously healed with conservative treatment. The patient also developed a bladder-intestine fistula and urinary tract infections. Capsule endoscopy was performed to diagnose and assess the intestinal Behcet's syndrome, and the patient was treated with anti-inflammatory medications, including Adalimumab. This study highlights the importance of capsule endoscopy in the diagnosis of intestinal Behcet's syndrome and the effectiveness of antiinflammatory treatment in managing the disease.