{"id":1752,"date":"2003-10-01T01:00:00","date_gmt":"2003-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/un-mystere-pancreatique\/"},"modified":"2018-10-20T18:39:30","modified_gmt":"2018-10-20T16:39:30","slug":"un-mystere-pancreatique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/un-mystere-pancreatique\/","title":{"rendered":"Un myst\u00e8re pancr\u00e9atique"},"content":{"rendered":"<p><strong>2003<\/strong><\/p>\n<p><em>Alex PARIENTE, Philippe BERTHELEMY, Ramuntxo AROTCARENA, Yves PARENT, Alain LIPPA, Val\u00e9rie CALES, Centre Hospitalier, 64046 Pau Cedex<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02000-03-09 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Une femme de 86 ans, vivant seule, n\u2019 ayant pour ant\u00e9c\u00e9dent que 4 grossesses norrmales, une thyroidectomie pour goitre nodulaire b\u00e9nin, une proth\u00e8se du genou droit et une cure de cataracte bilat\u00e9rale, ayant v\u00e9cu une dizaine d\u2019 ann\u00e9es en afrique noire,  \u00e9tait hospitalis\u00e9e en septembre 2002. Elle prenait Ogast, Carbosylane, Levothyrox et Lansoyl. Depuis 3 mois elle se plaignait de douleurs sus ombilicales vagues avec ballonnement, constipation mod\u00e9r\u00e9e, anorexie et amaigrissement de 59 \u00e0 56 kg pour 1m48, d\u2019 une f\u00e9bricule vesp\u00e9rale avec sueurs. L\u2019 \u00e9tat g\u00e9n\u00e9ral \u00e9tait bon , les fonctions sup\u00e9rieures et l\u2019examen clinique normaux. Biologie : Hb 11,4 g\/dL, VGM 96 fL, leucocytes 13.600\/uL avec 84% de neutrophiles, plaquettes 463.000, TP 76%, fonction r\u00e9nale, glyc\u00e9mie, ionogramme, calc\u00e9mie normaux, bilirubine et transaminases normales, phosphatases alcalines \u00e0 116 UI\/L (N&lt;95), gamma-GT \u00e0 82 UI\/L (N&lt;50). Albumine 25 g\/L, gammaglobulines 10,8 g\/L sans puic, CRP 130 mg\/L. ACE et CA 19\/9 normaux, chromogranine A 191 ug\/L (N&lt;98).<br \/>\nGastroscopie : stase gastrique ; compression extrins\u00e8que du genu superius et issue de liquide mucopurulent aux biopsies dont l\u2019 examen montre un tissu de granulation et une muqueuse duod\u00e9nale normale. Scanner : clich\u00e9s joints. <\/p>\n<p>Ponction et biopsie de la l\u00e9sion d\u2019 allure kystique situ\u00e9e en arri\u00e8re du foie gauche : liquide \u00e9pais, laiteux, puriforme (culture positive \u00e0 S. anginosus) ; histologie : polynucl\u00e9aires alt\u00e9r\u00e9s.<br \/>\nQuel est votre diagnostic ?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2003 Alex PARIENTE, Philippe BERTHELEMY, Ramuntxo AROTCARENA, Yves PARENT, Alain LIPPA, Val\u00e9rie CALES, Centre Hospitalier, 64046 Pau Cedex Gastroent\u00e9rologie &#8211; \u00a02000-03-09 &#8211;\u00a0CO &#8211; ________________________________ Une femme de 86 ans, vivant seule, n\u2019 ayant pour ant\u00e9c\u00e9dent que 4 grossesses norrmales, une thyroidectomie pour goitre nodulaire b\u00e9nin, une proth\u00e8se du genou droit et une cure de cataracte [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[14],"class_list":["post-1752","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-14"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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