{"id":1836,"date":"2008-10-01T01:00:00","date_gmt":"2008-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/hemorragie-digestive-la-salade-montalbanaise\/"},"modified":"2018-10-20T18:39:44","modified_gmt":"2018-10-20T16:39:44","slug":"hemorragie-digestive-la-salade-montalbanaise","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/hemorragie-digestive-la-salade-montalbanaise\/","title":{"rendered":"H\u00e9morragie digestive, la salade montalbanaise !"},"content":{"rendered":"<p><strong>2008<\/strong><\/p>\n<p><em>Jean-Louis Payen, Max Pierre Nicolas, Florian Busato,<br \/>\nMiguel Carreiro, Patrick Lheureux.<br \/>\nP\u00f4le m\u00e9dico-chirurgical visc\u00e9ral, secteur m\u00e9dical de l\u2019h\u00f4pital de Montauban BP 765 82013 Montauban Cedex.<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02008-05-20 &#8211;\u00a0 &#8211;<\/p>\n<p>________________________________<\/p>\n<p>M. T. Bernard, \u00e2g\u00e9 de 56 ans s\u2019est pr\u00e9sent\u00e9e aux urgences de l\u2019h\u00f4pital de Montauban une nuit de mars 2007 pour des rectorragies abondantes.<\/p>\n<p>Dans ses ant\u00e9c\u00e9dents on notait un diab\u00e8te non insulino-d\u00e9pendant \u00e9voluant depuis quelques ann\u00e9es, la notion d\u2019un \u00e9pisode de m\u00e9l\u00e9na en 1996, dont l\u2019exploration avait mis en \u00e9vidence de rares diverticules du colon et une hernie hiatale par glissement.<\/p>\n<p>Son histoire avait d\u00e9but\u00e9 dans la nuit avec l\u2019apparition de violentes douleurs abdominales \u00e9pigastriques, puis \u00e9taient survenue des selles noires suivies des rectorragies.<br \/>\nL\u2019interrogatoire permettait d\u2019\u00e9liminer la prise de gastro-toxique, mais le patient nous apprenait qu\u2019il avait mang\u00e9, la veille au soir, un \u00e9norme saladier de salades m\u00e9lang\u00e9es.<br \/>\nLe bilan biologique retrouvait une an\u00e9mie, normochrome, normocytaire \u00e0 7g\/dL, une l\u00e9g\u00e8re \u00e9l\u00e9vation de l\u2019ur\u00e9e sanguine.<br \/>\nApr\u00e8s les man\u0153uvres de r\u00e9animation habituelles, nous pratiquions en urgence et sans anesth\u00e9sie, d\u2019abord une gastroscopie, qui ne retrouvait pas de sang dans les cavit\u00e9s explor\u00e9es, seul un diverticule d\u2019allure banal dans la r\u00e9gion papillaire \u00e9tait constat\u00e9, puis une coloscopie de r\u00e9alisation difficile compte tenu du m\u00e9l\u00e9na tr\u00e8s frais qui tapissait la muqueuse, elle ne permettait pas de localiser le saignement.<br \/>\nLe malade fut transf\u00e9r\u00e9 en r\u00e9animation o\u00f9 6 culots globulaires furent transfus\u00e9s afin de stabiliser son taux d\u2019h\u00e9matocrite \u00e0 25 % ; l\u00e0, nous pratiqu\u00e2mes de nouveau, apr\u00e8s une bonne pr\u00e9paration par PEG :  une gastroscopie et une coloscopie, aucune l\u00e9sion n\u2019\u00e9tait retrouv\u00e9e en dehors de quelques diverticules du colon gauche d\u00e9j\u00e0 connus et sans signe d\u2019h\u00e9morragie r\u00e9cente.<br \/>\nL\u2019h\u00e9morragie \u00e9tant tarie, nous demandions alors la r\u00e9alisation d\u2019un ent\u00e9ro-scanner, cet examen d\u2019imagerie mis en \u00e9vidence de tr\u00e8s nombreux diverticules du j\u00e9junum et de l\u2019il\u00e9on. Les suites furent simples et la patient pu retourner rapidement \u00e0 son domicile.<br \/>\nNous proposions alors de conclure \u00e0 une h\u00e9morragie digestive li\u00e9e \u00e0 des diverticules de l\u2019intestin gr\u00eale, probablement favoris\u00e9e par le repas tr\u00e8s atypique de la veille ; nous sugg\u00e9rions que le premier \u00e9pisode de 1996 \u00e9tait de la m\u00eame origine.<\/p>\n<p>Ce cas clinique permettra de faire le point sur une cause exceptionnelle d\u2019h\u00e9morragie digestive, notamment sur les examens diagnostiques \u00e0 envisager (entero-scanner, vid\u00e9ocapsule, art\u00e9riographie \u2026), sur la conduite \u00e0 tenir th\u00e9rapeutique avec l\u2019\u00e9clairage des donn\u00e9es de la litt\u00e9rature sur le sujet.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2008 Jean-Louis Payen, Max Pierre Nicolas, Florian Busato, Miguel Carreiro, Patrick Lheureux. P\u00f4le m\u00e9dico-chirurgical visc\u00e9ral, secteur m\u00e9dical de l\u2019h\u00f4pital de Montauban BP 765 82013 Montauban Cedex. Gastroent\u00e9rologie &#8211; \u00a02008-05-20 &#8211;\u00a0 &#8211; ________________________________ M. T. Bernard, \u00e2g\u00e9 de 56 ans s\u2019est pr\u00e9sent\u00e9e aux urgences de l\u2019h\u00f4pital de Montauban une nuit de mars 2007 pour des rectorragies [&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":[19],"class_list":["post-1836","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-19"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>H\u00e9morragie digestive, la salade montalbanaise ! - Abstracts des congr\u00e8s de l&#039;ANGH<\/title>\n<meta name=\"description\" content=\"ANGH R\u00e9sum\u00e9s congr\u00e8s H\u00e9patologie Gastroent\u00e9romogie Hepatology Gastroenterology Etudes cliniques Clinical study\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/angh.net\/abstracts\/hemorragie-digestive-la-salade-montalbanaise\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u00e9morragie digestive, la salade montalbanaise ! 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