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Article
February 1983

Aortic Thrombosis During Sigmoidoscopy in Behçet's Syndrome

Author Affiliations

From the Division of Rheumatology, Department of Medicine, University of California Medical Center, San Diego.

Arch Intern Med. 1983;143(2):343-345. doi:10.1001/archinte.1983.00350020169031
Abstract

• A patient with Behçet's syndrome suffered acute paraparesis during sigmoidoscopy. An aortogram demonstrated thrombosis of the distal abdominal aorta just above the bifurcation; thrombectomy resulted in complete return of neurologic function. Examination of the clot disclosed a preponderance of polymorphonuclear granulocytes. We propose that mechanical trauma from this otherwise benign procedure caused the vascular lesion. Patients with a similar predisposition to arterial or venous thrombosis may, in unusual circumstances, be jeopardized by proctosigmoidoscopy.

(Arch Intern Med 1983;143:343-345)

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