{"id":2028,"date":"2016-10-01T01:00:00","date_gmt":"2016-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/une-ascite-africaine-a-saint-denis\/"},"modified":"2018-10-20T18:40:19","modified_gmt":"2018-10-20T16:40:19","slug":"une-ascite-africaine-a-saint-denis","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/une-ascite-africaine-a-saint-denis\/","title":{"rendered":"Une ascite africaine \u00e0 Saint Denis"},"content":{"rendered":"<p><strong>2016<\/strong><\/p>\n<p><em>Shanta Valainathan, Florence Skinazi, H\u00e9l\u00e8ne Labadie<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02016-04-19 &#8211;\u00a0C0 &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Un patient ivoirien de 35 ans est hospitalis\u00e9 en octobre 2015 \u00e0 l\u2019h\u00f4pital Delafontaine  pour alt\u00e9ration de l\u2019\u00e9tat g\u00e9n\u00e9ral et ascite. Dans les ant\u00e9c\u00e9dents, on note une fi\u00e8vre typho\u00efde, un paludisme, un plastron appendiculaire op\u00e9r\u00e9 au pays en 1995. Mr K est c\u00e9libataire ; depuis deux mois, il est fatigu\u00e9. Il  a perdu 20 kg, une toux s\u00e8che sans fi\u00e8vre et se plaint d\u2019une distension et d\u2019un ballonnement abdominal. La palpation retrouve une masse indur\u00e9e p\u00e9ri-ombilicale, il n\u2019y a pas d\u2019ad\u00e9nopathie p\u00e9riph\u00e9rique. Biologiquement, le bilan h\u00e9patique est normal, l\u2019AgHbs est n\u00e9gatif, la s\u00e9rologie C est n\u00e9gative, le TP est normal, il n\u2019y a pas de prot\u00e9inurie. Le liquide d\u2019ascite est riche en protides avec 50% de lymphocytes. La cytologie de l\u2019ascite est n\u00e9gative. L\u2019ACE et le Ca 19-9 sont \u00e0 plus de 10 fois la normale. Le scanner abdominal retrouve un abondant \u00e9panchement intra-abdominal avec un aspect de scalloping sur le foie et la rate.<br \/>\nQuelles sont vos hypoth\u00e8ses diagnostiques ?<br \/>\nUne coelioscopie est r\u00e9alis\u00e9e le 13\/10\/2015 et retrouve une carcinose p\u00e9riton\u00e9ale mucineuse. (photos).<br \/>\nLa relecture de lames retrouve une extension p\u00e9riton\u00e9ale d\u2019une prolif\u00e9ration n\u00e9oplasique dont les caract\u00e8res sont compatibles avec un carcinome mucineux p\u00e9riton\u00e9al de bas grade. Les cellules expriment CK7, CK20, CDX2, MUC 2. Le profil immunohistochimique est compatible avec un profil intestinal (ou apppendiculaire)<br \/>\n6 cycles de FolFox ont \u00e9t\u00e9 r\u00e9alis\u00e9s avec une bonne tol\u00e9rance.<br \/>\n L\u2019IRM abdominale en fin de chimio retrouve des implants g\u00e9latineux diffus notamment des deux coupoles diaphragmatiques, un g\u00e2teau \u00e9piplo\u00efque, de l\u2019arri\u00e8re cavit\u00e9 des \u00e9piploons, du hile h\u00e9patique, de la racine du m\u00e9sent\u00e8re, des goutti\u00e8res pari\u00e9tocoliques, des fosses iliaque, de la r\u00e9gion hypogastrique. Les implants sont en contact \u00e9troit avec l\u2019ensemble du cadre colique, la majeure partie du gr\u00eale,  ainsi que la r\u00e9gion antropylorique, et probablement le pancr\u00e9as caudal et isthmique<br \/>\n Tentative de cytor\u00e9duction par la chirurgie et CHIP : masse consid\u00e9r\u00e9e comme non r\u00e9s\u00e9cable. Reprise de la chimioth\u00e9rapie de seconde ligne avec la mise en place de l\u2019Avastin<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2016 Shanta Valainathan, Florence Skinazi, H\u00e9l\u00e8ne Labadie Gastroent\u00e9rologie &#8211; \u00a02016-04-19 &#8211;\u00a0C0 &#8211; ________________________________ Un patient ivoirien de 35 ans est hospitalis\u00e9 en octobre 2015 \u00e0 l\u2019h\u00f4pital Delafontaine pour alt\u00e9ration de l\u2019\u00e9tat g\u00e9n\u00e9ral et ascite. Dans les ant\u00e9c\u00e9dents, on note une fi\u00e8vre typho\u00efde, un paludisme, un plastron appendiculaire op\u00e9r\u00e9 au pays en 1995. Mr K 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":[4],"tags":[27],"class_list":["post-2028","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-27"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Une ascite africaine \u00e0 Saint Denis - 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-ascite-africaine-a-saint-denis\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Une ascite africaine \u00e0 Saint Denis - 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