{"id":2287,"date":"2019-12-31T19:32:06","date_gmt":"2019-12-31T18:32:06","guid":{"rendered":"https:\/\/angh.net\/abstracts\/une-carence-martiale-pas-si-banale-que-cela\/"},"modified":"2019-12-31T19:32:06","modified_gmt":"2019-12-31T18:32:06","slug":"une-carence-martiale-pas-si-banale-que-cela","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/une-carence-martiale-pas-si-banale-que-cela\/","title":{"rendered":"\u00ab\u00a0Une carence martiale pas si banale que cela .. .\u00a0\u00bb"},"content":{"rendered":"<p><strong>2019<\/strong><\/p>\n<p><em>Rahma Ben Jemaa, Ren\u00e9 Louis Vitte, Fr\u00e9d\u00e9rick Moryoussef<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02019-05-18 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Mme D, sage-femme de 52 ans, sportive, est  adress\u00e9e par son m\u00e9decin traitant aux urgences pour an\u00e9mie avec asth\u00e9nie et dyspn\u00e9e d\u2019installation r\u00e9cente. Pas d\u2019ant\u00e9c\u00e9dents notables hormis une carence martiale \u00e9voluant depuis 1 ans, trait\u00e9e de mani\u00e8re intermittente par du fer oral. A l\u2019admission, pas de saignement ext\u00e9rioris\u00e9, pas de  douleurs abdominales ni de syndrome occlusif. . Le bilan biologique montre une an\u00e9mie \u00e0 6,7 g \/ dl, avec une carence martiale (ferritine = 5 ng\/ml). Le bilan endoscopique haut et bas ne  montre pas d\u2019anomalie significative hormis des h\u00e9morro\u00efdes internes congestives. Biopsies estomac et duod\u00e9num normales. La vid\u00e9o- capsule endoscopique retrouve \u00e0 deux minutes du croisement du pylore une l\u00e9sion st\u00e9nosante, \u00e0 muqueuse ulc\u00e9r\u00e9e, rigide et saignant spontan\u00e9ment, non franchie par la capsule jusqu&rsquo;\u00e0 la fin de l&rsquo;enregistrement. Le scanner thoraco-abdomino-pelvien r\u00e9alis\u00e9 dans les suites objective une masse obstruant partiellement le j\u00e9junum proximal avec plusieurs ganglions lymphatiques m\u00e9sent\u00e9riques et r\u00e9trop\u00e9riton\u00e9aux. Une seconde fibroscopie oeso-gastroduod\u00e9nale au coloscope confirme cette l\u00e9sion ulc\u00e9r\u00e9e et st\u00e9nosante. Les biopsies sont en faveur d\u2019un m\u00e9lanome malin du j\u00e9junum.  Le TEP scanner ne  r\u00e9v\u00e8le pas de l\u00e9sions \u00e0 distance. Un examen minutieux de la peau, du cuir chevelu, de la muqueuse buccale, des yeux et des parties g\u00e9nitales ne r\u00e9v\u00e8le aucune l\u00e9sion suspecte. Le diagnostic de m\u00e9lanome primitif du j\u00e9junum est retenu. Une r\u00e9section chirurgicale de la tumeur est r\u00e9alis\u00e9e dans les suites sans traitement adjuvant. A noter que se sont \u00e9coul\u00e9s 3 mois entre la consultation aux urgences et le diagnostic endoscopique en raison du tr\u00e8s bon \u00e9tat g\u00e9n\u00e9ral de la malade, l\u2019absence de saignement ext\u00e9rioris\u00e9, et  de d\u00e9lais endoscopiques incompressibles (dont une coloscopie incompl\u00e8te).  A travers cette observation, nous ferons le sur les tumeurs rares  de l\u2019intestin gr\u00eale dont le m\u00e9lanome primitif du gr\u00eale et discuterons du b\u00e9n\u00e9fice d\u2019une imagerie en coupe pr\u00e9coce en cas de carence martiale et surtout avant vid\u00e9o-capsule.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2019 Rahma Ben Jemaa, Ren\u00e9 Louis Vitte, Fr\u00e9d\u00e9rick Moryoussef Gastroent\u00e9rologie &#8211; \u00a02019-05-18 &#8211;\u00a0CC &#8211; ________________________________ Mme D, sage-femme de 52 ans, sportive, est adress\u00e9e par son m\u00e9decin traitant aux urgences pour an\u00e9mie avec asth\u00e9nie et dyspn\u00e9e d\u2019installation r\u00e9cente. Pas d\u2019ant\u00e9c\u00e9dents notables hormis une carence martiale \u00e9voluant depuis 1 ans, trait\u00e9e de mani\u00e8re intermittente par du [&hellip;]<\/p>\n","protected":false},"author":1,"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":[30],"class_list":["post-2287","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-30"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>&quot;Une carence martiale pas si banale que cela .. .&quot; - 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-carence-martiale-pas-si-banale-que-cela\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"&quot;Une carence martiale pas si banale que cela .. .&quot; - 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