*Correspondence to Author: Abdul-Wahab Al Allaf Rheumatology section, Department of Medicine, Hamad General Hos- pital, Doha, Qatar, P.O.Box 3050 Phone 0097433745374 Email: awallaf@gmail.com How to cite this article: Ahmed AR Mohamad Al Ani, Ab- dul-Wahab Al-Allaf, Ahmed Man- sour Al Ani, Haajra Fatima, Haneen Ahmed Al Ani. Isolated Aortitis with multiple Aortic aneurysms and widespread venous, arterial and int- racardiac thrombosis: A challenging Vascular Behcet’s Disease case management. International Journal of Case Reports, 2021 5:195 eSciPub LLC, Houston, TX USA. Website: http://escipub.com/ Ahmed AR Mohamad Al Ani et al., IJCR, 2021 5:195 International Journal of Case Reports (ISSN:2572-8776) Case Report IJCR (2021) 5:195 Isolated Aortitis with multiple Aortic aneurysms and widespread venous, arterial and intracardiac thrombosis: A challenging Vascular Behcet's Disease case management In 1937, Hulusi Behcet’s brought to our attention the existence of a disease characterized by recurrent oral aphthae and any of several systemic manifestations including genital aphthae, ocu- lar disease, skin lesions, gastrointestinal involvement, neurologic disease, vascular disease, or arthritis [1-3] . He became the first physician to describe this and the disease was henceforth named after his name. The aetiology of this disease remains unclear how- ever it has been noticed that Behcet’s syndrome is remarkable for its systemic vasculitides which include its ability to involve blood vessels of all sizes (small, medium, and large) on both the arterial and venous sides of the circulation with occlusive nature [4] . This makes Vasculitis the major cause of the clinical manifestations of the disease with the involvement of almost any organ. We herein report an unusual case of a thirty-year-old Syrian man with no past medical illnesses. On presentation, he sufered from a sudden onset of shortness of breath and a history of hoarse- ness of voice for less than a week, and drastic weight loss of about thirty kgs within a month. Imaging confrmed the presence of pulmonary embolism, bilateral deep venous thrombosis, intra- cardiac thrombosis, popliteal artery thrombosis with thoracic, and abdominal aortic aneurysms. This case highlights the importance of having a high suspicion of the possibility of Behcet’s disease when multiple thrombi and aneurysms manifest in a patient on the silk root country. Thereby, stressing the importance of familiarizing ourselves with such unusual presentations of Behcet’s disease and the course of this unusual presentation with some learning points with a good literature review included below. Keywords: BD Behcet’s disease, CT Computed Tomography, MRI Magnetic Resonance Imaging, ICT Intra Cardiac Thrombus, AAA Aortic Artery Aneurysm, DVT Deep Venous Thrombosis Ahmed AR Mohamad Al Ani, Abdul-Wahab Al-Allaf, Ahmed Mansour Al Ani, Haajra Fatima, Haneen Ahmed Al Ani Rheumatology section, Department of Medicine, Hamad General Hospital, Doha, Qatar, P.O.Box 3050 ABSTRACT IJCR: https://escipub.com/international-journal-of-case-reports/ 1