2017 Volume 59 Issue 4 Pages 438-443
A 45-year-old man with intestinal Bechet’s disease (BD) presented with complaints of lower abdominal pain and worsening bloody diarrhea and hematochezia. His medical records stated that he had been diagnosed with incomplete BD approximately 20 years ago. Two years ago, after discovering some intestinal lesions, our team confirmed that he had intestinal BD. In the past, various drugs such as 5-aminosalicylic acid (5-ASA), systemic corticosteroids, and immunosuppressive agents (IFX, ADA) had been administered to treat his intestinal BD. However, there is limited clinical evidence about how to manage intestinal BD. At the present examination, colonoscopy revealed an oval ulceration in the terminal ileum, which appeared to be punched-out, as well as a large exposed blood vessel. We found massive bleeding from that blood vessel. We performed the endoscopic hemostatic method combined with interventional radiology (IVR) to effectively control the bleeding.
