{"id":2015,"date":"2015-10-01T01:00:00","date_gmt":"2015-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/une-cause-inhabituelle-de-decompensation-ictero-ascitique\/"},"modified":"2018-10-20T18:40:15","modified_gmt":"2018-10-20T16:40:15","slug":"une-cause-inhabituelle-de-decompensation-ictero-ascitique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/une-cause-inhabituelle-de-decompensation-ictero-ascitique\/","title":{"rendered":"Une cause inhabituelle de d\u00e9compensation ict\u00e9ro-ascitique."},"content":{"rendered":"<p><strong>2015<\/strong><\/p>\n<p><em>Marie Trompette (1), Dorian Dikov (2), Mathieu Yver (2), Gilles Macaigne (1).<br \/>\n1- Service d\u2019h\u00e9pato-gastro-ent\u00e9rologie. 2- Service d\u2019anatomo-pathologie. Centre Hospitalier de Marne la Vall\u00e9e<\/em><\/p>\n<p><strong> <\/strong>&#8211; \u00a02015-04-16 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Un homme de 69 ans est hospitalis\u00e9 dans le service d\u2019h\u00e9pato-gastro-ent\u00e9rologie via les urgences en mars 2014 pour une premi\u00e8re d\u00e9compensation ict\u00e9ro-ascitique. Le patient est retrait\u00e9, ancien m\u00e9canicien-automobile ; il ne fume pas ; il consomme 20 grammes d\u2019alcool par jour. Il a comme seul ant\u00e9c\u00e9dent une maladie de Parkinson trait\u00e9e. Cette d\u00e9compensation ict\u00e9ro-ascitique \u00e9volue depuis quelques semaines, sans autre signe d\u2019appel digestif ni extra-digestif. A l\u2019examen clinique on trouve une ascite tendue, un ict\u00e8re cutan\u00e9o-muqueux franc.  Il n\u2019y a pas de signe d\u2019enc\u00e9phalopathie h\u00e9patique et l\u2019examen cardio-pulmonaire est normal. Les principaux r\u00e9sultats du bilan biologique initial sont les suivants : bilirubin\u00e9mie totale \u00e0 183 micromol\/l dont 163 de conjugu\u00e9e ; ASAT \u00e0 2.5N ; ALAT normales ; PAL \u00e0 5N ;  GGT \u00e0 13N ; TP \u00e0 55% ; albumin\u00e9mie \u00e0 24g\/l ; protid\u00e9mie \u00e0 49g\/l ;  cr\u00e9atinin\u00e9mie 103 micromol\/l ; NFS normale avec plaquettes \u00e0 356 000\/mm3. Ponction du liquide d\u2019ascite : protides &lt; 10g\/l ; 220 \u00e9l\u00e9ments nucl\u00e9\u00e9s dont 1% de PNN ; cytologie n\u00e9gative. L\u2019oesogastroduod\u00e9noscopie montre des varices oesophagiennes de grade III. L\u2019\u00e9chographie et le scanner abdominal r\u00e9v\u00e8lent une h\u00e9patom\u00e9galie homog\u00e8ne avec une ascite de grande abondance, sans dilatation des veines sus-h\u00e9patiques et sans thrombose vasculaire. L\u2019\u00e9chographie cardiaque est normale. <\/p>\n<p>Quelles sont vos hypoth\u00e8ses diagnostiques face \u00e0 cette d\u00e9compensation ict\u00e9ro-ascitique ?<\/p>\n<p>Quels examens compl\u00e9mentaires demandez-vous ?<\/p>\n<p>L\u2019\u00e9volution est rapidement d\u00e9favorable avec une d\u00e9gradation rapide de l\u2019\u00e9tat g\u00e9n\u00e9ral et de la fonction r\u00e9nale, cause du d\u00e9c\u00e8s.<\/p>\n<p>Quel est votre diagnostic final ?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2015 Marie Trompette (1), Dorian Dikov (2), Mathieu Yver (2), Gilles Macaigne (1). 1- Service d\u2019h\u00e9pato-gastro-ent\u00e9rologie. 2- Service d\u2019anatomo-pathologie. Centre Hospitalier de Marne la Vall\u00e9e &#8211; \u00a02015-04-16 &#8211;\u00a0CC &#8211; ________________________________ Un homme de 69 ans est hospitalis\u00e9 dans le service d\u2019h\u00e9pato-gastro-ent\u00e9rologie via les urgences en mars 2014 pour une premi\u00e8re d\u00e9compensation ict\u00e9ro-ascitique. Le patient est [&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":[],"tags":[26],"class_list":["post-2015","post","type-post","status-publish","format-standard","hentry","tag-26"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Une cause inhabituelle de d\u00e9compensation ict\u00e9ro-ascitique. - 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\/une-cause-inhabituelle-de-decompensation-ictero-ascitique\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Une cause inhabituelle de d\u00e9compensation ict\u00e9ro-ascitique. - 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