2017 The Pan African medical journ…

[Cardiac pseudotumor revealing Behcet's disease].

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The Pan African medical journal Vol. 26 : 151 • Jan 2017

Intracardiac thrombosis is a rare complication of Behcet's disease (BD), which may manifest as intracardiac tumor. In half of cases, its detection precedes the diagnosis of MB. High mortality rates may be related to post-surgical complications and/or pulmonary arteries involvement. We report the case of a 29-year old young patient, with a previous history of bipolar aphthosis, who underwent surgery after the detection of right atrium and ventricle tumor. Anatomo-pathological examination showed thrombus and MB was diagnosed in the postoperative period. Patient's evolution was favorable under medical treatment based on corticosteroids, colchicine and vitamin K antagonists (AVK). The detection of intracardiac mass in a young subject should suggest the diagnosis of cardiac thrombus and Behcet's disease, even in the absence of ethnic or geographical risk factors.

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