Ehlers-Danlos syndrome denotes a group of inherited connective tissue
diseases comprising nine types. Type IV Ehlers-Danlos syndrome is the
most life-threatening form. It is characterized by a type III collagen
deficiency resulting in arteriel fragility and death form vascular ru
pture or bowel perforation. This disease involves a col 3A1 gene mutat
ion. We report the case of a 44 year-old woman with IV Ehlers-Danlos s
yndrome. The medical history of our patient included bowel necrosis an
d two vascular ruptures. We indicate data required to establish Ehlers
-Danlos syndrome diagnosis and guidelines for patient management.