{"id":2080,"date":"2017-10-01T01:00:00","date_gmt":"2017-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/malformation-arterio-veineuse-au-niveau-de-loesophage-une-origine-rare-dhemorragie-digestive-haute\/"},"modified":"2018-10-20T18:40:25","modified_gmt":"2018-10-20T16:40:25","slug":"malformation-arterio-veineuse-au-niveau-de-loesophage-une-origine-rare-dhemorragie-digestive-haute","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/malformation-arterio-veineuse-au-niveau-de-loesophage-une-origine-rare-dhemorragie-digestive-haute\/","title":{"rendered":"Malformation art\u00e9rio veineuse au niveau de l\u2019\u0153sophage : une origine rare d\u2019h\u00e9morragie digestive haute"},"content":{"rendered":"

2017<\/strong><\/p>\n

Maria Del Carmen ORTIZ, Faiza KHEMISSA, Ana SAEZ, Caroline AMOUROUX, Andr\u00e9-Jean REMY
\nService d’H\u00e9pato-Gastroenterologie et de Canc\u00e9rologie Digestive, Centre Hospitalier de Perpignan<\/em><\/p>\n

Endoscopie <\/strong>– \u00a02017-05-12 –\u00a0CC –<\/p>\n

________________________________<\/p>\n

Nous rapportons le cas d\u2019un patient de 66 ans hospitalis\u00e9 dans le service de r\u00e9animation pour h\u00e9morragie digestive haute grave. Il s\u2019agissait d\u2019un patient ayant comme principal ant\u00e9c\u00e9dent une n\u00e9oplasie pulmonaire trait\u00e9e par chirurgie et radio-chimioth\u00e9rapie, consid\u00e9r\u00e9e en r\u00e9mission totale.
\nLe patient est adress\u00e9 aux urgences du Centre Hospitalier en provenance d’un autre \u00e9tablissement pour une h\u00e9morragie digestive haute s\u00e9v\u00e8re se manifestant par une h\u00e9mat\u00e9m\u00e8se associ\u00e9 \u00e0 une instabilit\u00e9 h\u00e9modynamique. Une premi\u00e8re gastroscopie r\u00e9alis\u00e9e en urgence \u00e0 l’admission met en \u00e9vidence du sang frais tapissant la muqueuse \u0153sophagienne. \u00c0 27 cm des arcades dentaires existait une formation pseudo tumorale bourgeonnante suspecte dans ce contexte avec un saignement en jet n\u00e9cessitant un geste d\u2019h\u00e9mostase par h\u00e9mospray. Il est r\u00e9alis\u00e9 un angioscanner qui d\u00e9crit un possible saignement actif \u00e0 minima au niveau de la l\u00e9sion. Le patient est transf\u00e9r\u00e9 dans notre h\u00f4pital pour une r\u00e9animation adapt\u00e9e \u00e0 son \u00e9tat instable.
\nApr\u00e8s avoir constat\u00e9 une stabilit\u00e9 clinique, h\u00e9modynamique et biologique, la d\u00e9cision de faire une nouvelle gastroscopie est prise afin de r\u00e9aliser des biopsies de la l\u00e9sion \u00e0 vis\u00e9e diagnostique. Le deuxi\u00e8me examen met en \u00e9vidence une l\u00e9sion du tiers moyen de l\u2019\u0153sophage d\u2019allure pseudo tumorale, non pulsatile. Une tentative de biopsie est realise\u00e9 entrainant une h\u00e9morragie digestive massive et le d\u00e9c\u00e8s rapide du patient.
\nL\u2019autopsie r\u00e9alis\u00e9e a montr\u00e9 la pr\u00e9sence d\u2019une malformation art\u00e9rio veineuse \u00e0 l’origine de cette \u00e9volution fatale.
\nLla revue de la litt\u00e9rature sur les malformations art\u00e9rio-veineuses oesophagiennes \u00e0 l’origine d’h\u00e9morragies digestives hautes r\u00e9alis\u00e9e confirme la raret\u00e9 de cette \u00e9tiologie dont la gravit\u00e9 ne doit pas \u00eatre sous estim\u00e9e.<\/p>\n

PJ photo<\/p>\n","protected":false},"excerpt":{"rendered":"

2017 Maria Del Carmen ORTIZ, Faiza KHEMISSA, Ana SAEZ, Caroline AMOUROUX, Andr\u00e9-Jean REMY Service d’H\u00e9pato-Gastroenterologie et de Canc\u00e9rologie Digestive, Centre Hospitalier de Perpignan Endoscopie – \u00a02017-05-12 –\u00a0CC – ________________________________ Nous rapportons le cas d\u2019un patient de 66 ans hospitalis\u00e9 dans le service de r\u00e9animation pour h\u00e9morragie digestive haute grave. Il s\u2019agissait d\u2019un patient ayant comme […]<\/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":[28],"class_list":["post-2080","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-28"],"yoast_head":"\nMalformation art\u00e9rio veineuse au niveau de l\u2019\u0153sophage : une origine rare d\u2019h\u00e9morragie digestive haute - 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\/malformation-arterio-veineuse-au-niveau-de-loesophage-une-origine-rare-dhemorragie-digestive-haute\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Malformation art\u00e9rio veineuse au niveau de l\u2019\u0153sophage : une origine rare d\u2019h\u00e9morragie digestive haute - 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