Background: Behcet’s disease (BD) is a systemic chronic inflammatory process affecting multiple organ systems. Gastrointestinal BD develops in 3% to 26% of cases. It can affect the entire GI tract from the esophagus to the anus, most commonly involving the terminal ileum. Surgical intervention in intestinal BD is reserved for complications such as perforation, fistula formation, abscess, and GI bleed. There are no pathognomonic histologic findings in intestinal BD. In general, a nonspecific inflammatory process is seen on pathology specimens. We present an interesting case of a patient who was treated for a small bowel obstruction and intestinal perforation in the setting of intestinal Behcet’s disease. Histology showed paucity of the muscularis propria, a characteristic that has not been previously described.
Lozano A, Hain J. P117. Intestinal Perforation in the Setting of Behcet’s Disease Abstract presented at: Southeastern Surgical Congress (SESC) 2022. 2022 February 5 – 8, 2022; Nashville, Tennessee.