{"id":2085,"date":"2017-10-01T01:00:00","date_gmt":"2017-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/rcuh-sans-atteinte-rectale\/"},"modified":"2018-10-20T18:40:25","modified_gmt":"2018-10-20T16:40:25","slug":"rcuh-sans-atteinte-rectale","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/rcuh-sans-atteinte-rectale\/","title":{"rendered":"RCUH sans atteinte rectale\u00a0?"},"content":{"rendered":"<p><strong>2017<\/strong><\/p>\n<p><em>HELUWAERT Fr\u00e9d\u00e9ric,<br \/>\nService h\u00e9pato-gastro-enterologie &#8211; Centre hospitalier Annecy genevois, 1 av de l\u2019hopital BP 90074 metz tessy \u2013 74374 pringy cedex<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02017-05-27 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Nous pr\u00e9sentons 2 cas de patients pr\u00e9sentant une atteinte \u00e9vocatrice de RCUH, mais atteinte rectale\u00a0? Ces deux cas correspondent ils \u00e0 une entit\u00e9 distincte\u00a0?<\/p>\n<p>Cas n\u00b01\u00a0:<br \/>\nPatient de 67 ans, pr\u00e9sentant depuis 15 jours 3 semaines quelques \u00e9pisodes de rectorragie sans modification du transit, Pas de faux besoins.Patient sous KARDEGIC. Une rectosigmoidoscopie est r\u00e9alis\u00e9e .Le rectum pr\u00e9sente une muqueuse normale. Pas d&rsquo;anomalie muqueuse jusqu&rsquo;\u00e0 25 &#8211; 30 cm de la marge anale o\u00f9 on voit appara\u00eetre au sein d&rsquo;une zone diverticulaire une muqueuse assez \u00e9vocatrice d&rsquo;une rectocolite h\u00e9morragique, granit\u00e9e, fragile au contact. Cette muqueuse est discr\u00e8tement ulc\u00e9r\u00e9e, cette colite appara\u00eet tout \u00e0 fait segmentaire sur 10 &#8211; 15 cm au del\u00e0 la muqueuse redevient tout \u00e0 fait normale jusqu&rsquo;\u00e0 l&rsquo;angle colique gauche. L\u2019aspect histologique est en faveur d\u2019uen RCUh, ily a d\u2019authentiques abces cryptiques et de nombreux polynucl\u00e9aires neutrophiles, pas d\u2019infestation a CMV<br \/>\nCas n\u00b02\u00a0:<br \/>\nPatiente ayant b\u00e9n\u00e9fici\u00e9e au mois d&rsquo;aout 2014 une coloscopie ayant mis en \u00e9vidence une inflammation p\u00e9ri diverticulaire au niveau sigmoidien. Persistance de douleurs abdominales et des \u00e9pisodes de rectorragies. D\u00e9cision d&rsquo;une nouvelle exploration endoscopique. Pas d&rsquo;anomalie sur le bas rectum et le moyen rectum. D\u00e8s le haut rectum, apparition d&rsquo;une muqueuse congestive, granit\u00e9e, de mani\u00e8re circonf\u00e9rentielle. Cet aspect se prolonge \u00e0 minima sur une quinzaine de centim\u00e8tres avec des diverticules. L&rsquo;aspect est tout \u00e0 fait atypique. Histologiquement, il s\u2019agit d\u2019une muqueuse colique d\u2019architecture conserv\u00e9e, d\u00e9pourvue de toute ramification glandulaire cryptique ou de branchement cryptique. Le chorion est l\u00e9g\u00e8rement congestif avec train\u00e9es d\u2019\u00e9l\u00e9ments inflammatoires o\u00f9 pr\u00e9dominent les polynucl\u00e9aires neutrophiles. Ceux-ci sont volontiers en exocytose, r\u00e9alisant des images de cryptite ainsi que des abc\u00e8s cryptiques. Absence de granulome \u00e9pith\u00e9lio\u00efde. Absence de stigmate d\u2019infestation virale. Pas d\u2019argument en faveur d\u2019une \u00e9ventuelle colite isch\u00e9mique.<\/p>\n<p>Qu\u2019est-ce donc\u00a0?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2017 HELUWAERT Fr\u00e9d\u00e9ric, Service h\u00e9pato-gastro-enterologie &#8211; Centre hospitalier Annecy genevois, 1 av de l\u2019hopital BP 90074 metz tessy \u2013 74374 pringy cedex Gastroent\u00e9rologie &#8211; \u00a02017-05-27 &#8211;\u00a0CC &#8211; ________________________________ Nous pr\u00e9sentons 2 cas de patients pr\u00e9sentant une atteinte \u00e9vocatrice de RCUH, mais atteinte rectale\u00a0? Ces deux cas correspondent ils \u00e0 une entit\u00e9 distincte\u00a0? Cas n\u00b01\u00a0: Patient [&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":[28],"class_list":["post-2085","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-28"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>RCUH sans atteinte rectale\u00a0? - 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\/rcuh-sans-atteinte-rectale\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"RCUH sans atteinte rectale\u00a0? 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