{"id":1899,"date":"2010-10-01T01:00:00","date_gmt":"2010-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/une-douleur-abdominale-atypique\/"},"modified":"2018-10-20T18:39:55","modified_gmt":"2018-10-20T16:39:55","slug":"une-douleur-abdominale-atypique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/une-douleur-abdominale-atypique\/","title":{"rendered":"UNE DOULEUR ABDOMINALE ATYPIQUE &#8230;"},"content":{"rendered":"<p><strong>2010<\/strong><\/p>\n<p><em>Alexandre Nuzzo, Vanessa Polin, Oriane Colussi, Isabelle Rosa, Lise Meunier, Thierry Lons, Herv\u00e9 Hagege.<br \/>\nService d\u2019h\u00e9pato-gastroent\u00e9rologie<br \/>\nCHI Cr\u00e9teil<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02010-09-03 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Cette assistante commerciale de 26 ans a \u00e9t\u00e9 hospitalis\u00e9e \u00e0 3 reprises dans le service entre janvier et avril 2010 pour de violentes douleurs abdominales p\u00e9ri-ombilicales associ\u00e9es \u00e0 des vomissements et selles liquides, spontan\u00e9ment r\u00e9solutives en 72h et se r\u00e9p\u00e9tant \u00e0 intervalles d&rsquo;environ 15 jours.<\/p>\n<p>L&rsquo;\u00e9tat g\u00e9n\u00e9ral a toujours \u00e9t\u00e9 conserv\u00e9, sans fi\u00e8vre, chez cette jeune femme d&rsquo;origine maghr\u00e9bine, ayant comme seuls ant\u00e9c\u00e9dents un kyste ovarien et une hernie ombilicale non compliqu\u00e9s. La patiente ne prenait aucun traitement en dehors d\u2019une pilule oestro-progestative depuis quelques semaines. Il n\u2019existait pas de notion de voyage \u00e0 l\u2019\u00e9tranger r\u00e9cent. Elle a parfois pr\u00e9sent\u00e9 des arthralgies du poignet gauche avec possible gonflement articulaire.<\/p>\n<p>Le bilan comprenant NFS VS CRP iono cr\u00e9atine glyc\u00e9mie, bilan h\u00e9patique, lipase et TSH montrait au moment des crises un syndrome inflamatoire mod\u00e9r\u00e9. L&rsquo;immunologie montrait des FAN positifs au 1\/80e de fluorescence mouchet\u00e9e et une hypergammaglobulin\u00e9mie homog\u00e8ne \u00e0 15 g\/l ; les ANCA, IgA antitransglutaminases, le compl\u00e9ment s\u00e9rique \u00e9taient normaux. Les s\u00e9rologies virales comprenant VIH-HTLV, CMV et EBV \u00e9taient n\u00e9gatives. La coproculture \u00e9tait normale.<br \/>\nLes explorations morphologiques abdominales (TDM-\u00e9cho) montraient une invagination il\u00e9o-il\u00e9ale en fosse iliaque gauche, et une lame d&rsquo;ascite non ponctionnable \u00e0 chaque \u00e9pisode algique. Le diagnostic initialement \u00e9voqu\u00e9 \u00e9tait un fi\u00e8vre m\u00e9dit\u00e9rran\u00e9enne familiale devant l\u2019association de 3 signes cliniques majeurs, bien que la mutation ne soit pr\u00e9sente qu\u2019\u00e0 l \u2018\u00e9tat h\u00e9t\u00e9rozygote. Un traitement par Colchicine \u00e9tait d\u00e9but\u00e9 mais \u00e0 3 semaines, la r\u00e9cidive des crises sous traitement a conduit \u00e0 r\u00e9aliser un bilan endoscopique digestif. La coloscopie et la gastroscopie sous intubation \u00e9taient normales.<br \/>\nLe retrait du cale-dent et l&rsquo;extubation \u00e9taient marqu\u00e9s par une complication s\u00e9v\u00e8re motivant le transfert en r\u00e9animation. Les photos illustrant cette complication seront montr\u00e9es lors de la pr\u00e9sentation du cas clinique: <\/p>\n<p>Quel est votre diagnostic ?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2010 Alexandre Nuzzo, Vanessa Polin, Oriane Colussi, Isabelle Rosa, Lise Meunier, Thierry Lons, Herv\u00e9 Hagege. Service d\u2019h\u00e9pato-gastroent\u00e9rologie CHI Cr\u00e9teil Gastroent\u00e9rologie &#8211; \u00a02010-09-03 &#8211;\u00a0CO &#8211; ________________________________ Cette assistante commerciale de 26 ans a \u00e9t\u00e9 hospitalis\u00e9e \u00e0 3 reprises dans le service entre janvier et avril 2010 pour de violentes douleurs abdominales p\u00e9ri-ombilicales associ\u00e9es \u00e0 des vomissements [&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":[21],"class_list":["post-1899","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-21"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>UNE DOULEUR ABDOMINALE ATYPIQUE ... - 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