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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

• 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)