Figen PALABIYIK, ARDA KAYHAN, Esra KARAÇAY, Ercan İNCİ, AHMET TAN CİMİLLİ

Behçet olgusunda diş çekimi sonrası gelişen eksternal karotid arter pseudoanevrizması ve internal juguler ven trombozu

Behçet hastalığı nedeni bilinmeyen, vaskülit ile seyreden multisistemik enflamatuar bir hastalıktır. Klinik bulgulardan sorumlu küçük damar vaskülitine ek olarak olgularda büyük ven ve arter tutulumu ve buna bağlı psödoanevrizma, tromboz gibi komplikasyonlar gelişebilir. Büyük arter komplikasyonları sıklık sırasına göre aort, pulmoner , femoral, subklavian ve karotid arterlerde meydana gelir. Literatürde ekstrakranial yerleşim ve özellikle eksternal karotid arter tutulumu ve bu lokalizasyonda gelişen komplikasyon nadir olarak bildirilmiştir. Ayrıca literatürde Behçet hastasında diş çekimi sonrası oral aftöz lezyon oluşumu mevcut iken büyük damar tutulumu bildirilmemiştir.Olgu sunumumuzda, erkek Behçet hastasında diş çekimi sonrası meydana gelen eksternal karotid arter psödoanevrizması ve internal juguler ven trombozu klinik ve radyolojik bulgular eşliğinde değerlendirilmiştir.

External carotid artery pseudoaneurysm and internal juguler vein thrombosis following tooth extraction in a case of Behçet’s disease

Behçet's disease is a multisystemic inflammatory disease of unknown cause, presenting with vasculitis. Complications such as pseudoaneurysm or thrombosis may be seen due to major vein and artery involvement in addition to vasculitis causing clinical manifestations. Major artery complications are seen most commonly in the aorta, pulmonary, femoral, subclavian or carotid artery. The involvement of an extracranial artery, particularly the external carotid artery is uncommon in the literature. In our case, the clinical and radiologic findings of a young male Behçet patient with an external carotid artery pseudoaneurysm and internal jugular vein thrombosis following tooth extraction is presented together with the relevant literature. No such complication of Behçet's disease following a dental manipulation has previously been reported in the literature. .

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