{"id":1983,"date":"2013-10-01T01:00:00","date_gmt":"2013-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/une-hemorragie-digestive-occulte-atypique\/"},"modified":"2018-10-20T18:40:08","modified_gmt":"2018-10-20T16:40:08","slug":"une-hemorragie-digestive-occulte-atypique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/une-hemorragie-digestive-occulte-atypique\/","title":{"rendered":"Une h\u00e9morragie digestive occulte atypique"},"content":{"rendered":"<p><strong>2013<\/strong><\/p>\n<p><em>S\u00e9verine Hommel (1), Magali Picon (1), Fran\u00e7ois Cessot (1), Didier Mathieu (1), R\u00e9mi Bonmardion (2), Eric Blancato (2), Nathalie Linzberger (2)<br \/>\n(1) Service de gastroent\u00e9rologie du Dr PICON, CHPA, Aix en Provence<br \/>\n(2) Service de chirurgie digestive du Dr LINZBERGER, CHPA, Aix en Provence<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02013-05-14 &#8211;\u00a0CO &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Nous rapportons le cas d&rsquo;un patient ag\u00e9 de 84 ans hospitalis\u00e9 dans le service pour exploration d&rsquo;une an\u00e9mie \u00e0 6.1 g\/dl sans ext\u00e9riorisation.<br \/>\nCe patient a comme principaux ant\u00e9c\u00e9dents: une hypertension art\u00e9rielle trait\u00e9e par COKENZEN, un syndrome de M\u00e9ni\u00e8re et un diab\u00e8te de type 2 trait\u00e9 par AMAREL. Il n&rsquo;existe aucune prise d&rsquo;AINS ni d&rsquo;aspirine. On ne note aucun ant\u00e9c\u00e9dent familial particulier (pas de cancer colorectal).<br \/>\nLa d\u00e9couverte de cette an\u00e9mie s&rsquo;est faite devant une dyspn\u00e9e d&rsquo;effort \u00e9voluant depuis plusieurs semaines. Le patient avait d\u00e9ja b\u00e9n\u00e9fici\u00e9 en 2011 d&rsquo;une FOGD en raison d&rsquo;une an\u00e9mie ferriprive \u00e0 8 g\/dl sans rectorragies ni m\u00e9l\u00e9na asoci\u00e9s, examen s&rsquo;av\u00e9rant normal (biopsies \u00e9tag\u00e9es gastroduod\u00e9nales normales). L&rsquo;indication d&rsquo;une coloscopie totale compl\u00e9mentaire avait \u00e9t\u00e9 pos\u00e9e, malheureusement non r\u00e9alis\u00e9e par le patient.<br \/>\nL&rsquo;examen clinique \u00e9tait sans particularit\u00e9 en dehors d&rsquo;une p\u00e2leur cutan\u00e9o-muqueuse.<br \/>\nLe bilan biologique retrouvait une carence martiale profonde (CSS \u00e0 2.6%). Une transfusion ainsi qu&rsquo;une suppl\u00e9mentation en fer intraveineux ont \u00e9t\u00e9 effectu\u00e9es.<br \/>\nLe bilan endoscopique a \u00e9t\u00e9 compl\u00e9t\u00e9 par une FOGD avec biopsies, normale puis par une coloscopie totale \u00e9galement normale.<br \/>\nDevant une \u00e9l\u00e9vation de l&rsquo;ACE \u00e0 9 UI\/l sur le bilan demand\u00e9 \u00e0 l&rsquo;entr\u00e9e, un scanner abdominopelvien a \u00e9t\u00e9 r\u00e9alis\u00e9 objectivant une masse hypervascularis\u00e9e \u00e0 proximit\u00e9 du caecum et s&rsquo;\u00e9tendant jusqu&rsquo;en r\u00e9gion pararectale droite (cf imagerie jointe). Le diagnostic de tumeur endocrine a \u00e9t\u00e9 \u00e9voqu\u00e9.<br \/>\nApr\u00e8s discussion m\u00e9dicochirurgicale et relecture des clich\u00e9s du scanner, une laparoscopie exploratrice a \u00e9t\u00e9 d\u00e9cid\u00e9e. Celle-ci a objectiv\u00e9 un diverticule de Meckel, r\u00e9s\u00e9qu\u00e9 (analyse anatomopathologique en cours).<br \/>\nLe diverticule de Meckel est l&rsquo;anomalie cong\u00e9nitale la plus fr\u00e9quente du gr\u00eale affectant 2% de la population, en g\u00e9n\u00e9ral asymptomatique et non compliqu\u00e9e (complications dans 2 \u00e0 4% des cas, surtout chez l&rsquo;enfant).<br \/>\nL&rsquo;h\u00e9morragie sur diverticule de Meckel est tr\u00e8s rare chez l&rsquo;adulte de plus de 50 ans et retrouv\u00e9e plus fr\u00e9quemment chez l&rsquo;homme. Moins de 10 cas ont \u00e9t\u00e9 rapport\u00e9s dans la litt\u00e9rature au dela de 50 ans (1 seul cas chez une femme de plus de 50 ans). G\u00e9n\u00e9ralement cette h\u00e9morragie est ext\u00e9rioris\u00e9e mais peut parfois \u00eatre occulte, ne se manifestant que par une anm\u00e9ie comme c&rsquo;est la cas chez notre patient.<br \/>\nLes angiographies r\u00e9p\u00e9t\u00e9es peuvent \u00eatre utiles de m\u00eame que la laparotomie exploratrice pour \u00e9tablir le diagnostic.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2013 S\u00e9verine Hommel (1), Magali Picon (1), Fran\u00e7ois Cessot (1), Didier Mathieu (1), R\u00e9mi Bonmardion (2), Eric Blancato (2), Nathalie Linzberger (2) (1) Service de gastroent\u00e9rologie du Dr PICON, CHPA, Aix en Provence (2) Service de chirurgie digestive du Dr LINZBERGER, CHPA, Aix en Provence Gastroent\u00e9rologie &#8211; \u00a02013-05-14 &#8211;\u00a0CO &#8211; ________________________________ Nous rapportons le cas [&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":[24],"class_list":["post-1983","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-24"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - 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