{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T19:17:03Z","timestamp":1779909423405,"version":"3.53.1"},"reference-count":38,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,8,6]]},"abstract":"<jats:p>Behcet\u2019s disease is a multisystemic vasculitis. Arterial involvement in the form of acute dissection is rare. A 42-year-old Lebanese man with Behcet\u2019s disease presented with severe abdominal pain. On exam, blood pressure was 162\/104\u2009mm Hg, and he exhibited epigastric tenderness. CT angiogram demonstrated an acute dissection of the coeliac artery trunk, common hepatic artery and proper hepatic arteries, with asymmetric thickening of the proximal left subclavian artery and circumferential thickening of the abdominal infrarenal aorta suggestive of vasculitis. Treatment included intravenous clevidipine, nitroprusside and methylprednisolone, which transitioned to oral metoprolol, amlodipine and prednisone. He responded well. Arterial dissections have been described with Behcet\u2019s. We report a coeliac artery aneurysm in association with a flare of Behcet\u2019s disease. Arterial wall inflammation combined with the sheering forces of hypertension likely predisposes to arterial dissection.<\/jats:p>","DOI":"10.1136\/bcr-2018-226039","type":"journal-article","created":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T09:55:43Z","timestamp":1534413343000},"page":"bcr-2018-226039","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Coeliac artery dissection as a rare manifestation of Behcet\u2019s disease"],"prefix":"10.1136","volume":"2018","author":[{"given":"Anthony J","family":"Ocon","sequence":"first","affiliation":[{"name":"Internal Medicine, Albany Medical College, Albany, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek R","family":"Mehta","sequence":"additional","affiliation":[{"name":"Rheumatology, Albany Medical Center, Albany, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruben","family":"Peredo-Wende","sequence":"additional","affiliation":[{"name":"Division of Rheumatology, Internal Medicine, Albany Medical Center, Albany, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,8,16]]},"reference":[{"key":"2025082722342530000_2018.aug16_1.bcr-2018-226039.1","first-page":"1078","article-title":"Criteria for diagnosis of Beh\u00e7et\u2019s disease. 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