{"id":2029,"date":"2015-10-01T01:00:00","date_gmt":"2015-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/pseudolipomatose-colique-a-propos-de-2-cas\/"},"modified":"2018-10-20T18:40:19","modified_gmt":"2018-10-20T16:40:19","slug":"pseudolipomatose-colique-a-propos-de-2-cas","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/pseudolipomatose-colique-a-propos-de-2-cas\/","title":{"rendered":"Pseudolipomatose colique : \u00e0 propos de 2 cas."},"content":{"rendered":"

2015<\/strong><\/p>\n

G. Barjonet, F. Marois, J. Richard*, A. P\u00e9laquier, G . D\u2019Abrigeon, JL. Brunin, D. Abboud, H. Osman
\nSce de Gastroent\u00e9rologie Centre Hospitalier Quartier Beausseret 26200 MONTELIMAR ; *Laboratoire d\u2019anatomo-pathologie 31, bld Gal de Gaulle \u2013 B.P 32 \u2013 26201 MONTELIMAR C\u00e9dex
\ngeorges.barjonet@ch-montelimar.fr<\/em><\/p>\n

Endoscopie <\/strong>– \u00a02015-05-04 –\u00a0CC –<\/p>\n

________________________________<\/p>\n

\u00ab La pseudolipomatose colique est une entit\u00e9 rare et b\u00e9nigne, mal connue des gastroent\u00e9rologues et dont la pathog\u00e9nie reste d\u00e9battue \u00bb
\nCette phrase est un plagiat de l\u2019introduction du principal article anglo-francophone sur le sujet, de l\u2019\u00e9quipe d\u2019Amiens (M Brevet et col, GCB vol 30, n\u00b01, janv 2006, pp 9-13). Son contenu reste d\u2019actualit\u00e9.
\nLe but de cette communication est d\u2019offrir une une pr\u00e9sentation iconographique endoscopique et anatomo-pathologique qui permette \u00e0 tout endoscopiste de reconnaitre imm\u00e9diatement cette entit\u00e9 et d\u2019orienter la conduite \u00e0 tenir (et la r\u00e9daction du bon de demande d\u2019analyse anatomo-pathologique).<\/p>\n

Le premier patient est un homme de 57 ans qui b\u00e9n\u00e9ficie en sept 2014 d\u2019une coloscopie en raison d\u2019un ATCD familial de CCR chez le p\u00e8re \u00e0 58 ans + polypes dans la fratrie. ATCD personnel de r\u00e9section d’un ad\u00e9nome de l’angle droit en 2009 : Contr\u00f4le. Colon bien pr\u00e9par\u00e9 (Moviprep fractionn\u00e9 ; Boston \u00e0 8), examen facile, consid\u00e9r\u00e9 comme normal (ablation \u00e0 la pince d\u2019un micropolype hyperplasique du rectum, au retrait) jusqu\u2019au dessus du bas fond caecal. On y voit un aspect d\u2019enduit blanc cr\u00e9meux en tr\u00e8s discret relief sur la muqueuse\u2026 qui semble s\u2019\u00e9tendre pendant l\u2019examen ( !?). Aspect similaire \u00e0 une CPM, mais en couche adh\u00e9rente, qui ne part pas au frottement de la pince ; photos, biopsies.
\nApr\u00e8s r\u00e9ception des r\u00e9sultats anatomo-pathologiques, le dossier est pr\u00e9sent\u00e9 au staff du service : aucun des 6 autres m\u00e9decins de l\u2019\u00e9quipe n\u2019en avait jamais vu, m\u00eame si l\u2019entit\u00e9 \u00ab leur disait quelque chose \u00bb.<\/p>\n

3 mois plus tard, un 2e op\u00e9rateur r\u00e9alise une coloscopie \u00e0 un homme de 49 ans pr\u00e9par\u00e9 au Moviprep, Boston \u00e0 9 (rectorragies qui s\u2019av\u00e8reront d\u2019origine h\u00e9morro\u00efdaire) : visualisation au franchissement de l\u2019angle droit, d\u2019un aspect \u00ab de muqueuse nacr\u00e9e de tout le c\u00f4lon droit, ne partant pas au lavage \u00e0 la pompe \u00bb. Photos, biopsies.<\/p>\n

Les endoscopes avaient \u00e9t\u00e9 lav\u00e9s et d\u00e9sinfect\u00e9s en Soluscope, sans anomalie sur la tra\u00e7abilit\u00e9 du rin\u00e7age ni d\u2019odeur suspecte \u00e0 l\u2019usage. Aucun des deux patients n\u2019aura de suite particuli\u00e8re.<\/p>\n","protected":false},"excerpt":{"rendered":"

2015 G. Barjonet, F. Marois, J. Richard*, A. P\u00e9laquier, G . D\u2019Abrigeon, JL. Brunin, D. Abboud, H. Osman Sce de Gastroent\u00e9rologie Centre Hospitalier Quartier Beausseret 26200 MONTELIMAR ; *Laboratoire d\u2019anatomo-pathologie 31, bld Gal de Gaulle \u2013 B.P 32 \u2013 26201 MONTELIMAR C\u00e9dex georges.barjonet@ch-montelimar.fr Endoscopie – \u00a02015-05-04 –\u00a0CC – ________________________________ \u00ab La pseudolipomatose colique est une […]<\/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":[6],"tags":[26],"class_list":["post-2029","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-26"],"yoast_head":"\nPseudolipomatose colique : \u00e0 propos de 2 cas. - Abstracts des congr\u00e8s de l'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\/pseudolipomatose-colique-a-propos-de-2-cas\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pseudolipomatose colique : \u00e0 propos de 2 cas. - 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