{"id":2341,"date":"2020-09-25T22:13:28","date_gmt":"2020-09-25T20:13:28","guid":{"rendered":"https:\/\/angh.net\/abstracts\/ascite-sur-rupture-du-canal-pancreatique-principal-associe-a-une-decompensation-oedemato-ascitique\/"},"modified":"2020-09-25T22:13:28","modified_gmt":"2020-09-25T20:13:28","slug":"ascite-sur-rupture-du-canal-pancreatique-principal-associe-a-une-decompensation-oedemato-ascitique","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/ascite-sur-rupture-du-canal-pancreatique-principal-associe-a-une-decompensation-oedemato-ascitique\/","title":{"rendered":"Ascite sur rupture du canal pancr\u00e9atique principal associ\u00e9 \u00e0 une d\u00e9compensation oed\u00e9mato-ascitique"},"content":{"rendered":"<p><strong>2020<\/strong><\/p>\n<p><em>Ana\u00efs Bertrand (1), Cristina Levi (1), B\u00e9n\u00e9dicte Lambare (1)<br \/>\n(1) Service d&rsquo;h\u00e9pato-gastro-ent\u00e9rologie, CH Sud-Francilien, Corbeil-Essones<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02020-07-15 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Introduction. Si l\u2019ascite pancr\u00e9atique est bien d\u00e9crite dans la litt\u00e9rature, elle demeure rare parmi les causes d\u2019ascite. Il s\u2019agit d\u2019un diagnostic diff\u00e9rentiel peu \u00e9voqu\u00e9 en premi\u00e8re intention, notamment chez les patients ne pr\u00e9sentant pas de signe de maladie pancr\u00e9atique.<\/p>\n<p>La concentration de lipase dans l&rsquo;ascite sup\u00e9rieure \u00e0 1000 UI\/L, la tomodensitom\u00e9trie abdominale ainsi que la pancr\u00e9atographie par r\u00e9sonnance magn\u00e9tique permettent de faire le diagnostic de la l\u00e9sion pancr\u00e9atique et de la rupture du canal pancr\u00e9atique principal. Le traitement peut \u00eatre uniquement m\u00e9dical, mais aussi chirurgical ou endoscopique.<\/p>\n<p>Cas clinique. Nous pr\u00e9sentons le cas d\u2019un patient qui a \u00e9t\u00e9 pris en charge pour majoration du p\u00e9rim\u00e8tre abdominal.  L\u2019\u00e9chographie r\u00e9alis\u00e9e en urgence a r\u00e9v\u00e9l\u00e9 un \u00e9panchement intra p\u00e9riton\u00e9al de grande abondance et la tomodensitom\u00e9trie a montr\u00e9 une h\u00e9patopathie chronique avec des signes d\u2019hypertension portale ainsi qu\u2019une pancr\u00e9atite chronique calcifiante.<\/p>\n<p>Le liquide d\u2019ascite avait un aspect brun et l\u2019analyse biochimique retrouvait une lipase \u00e0 550UI\/L. L\u2019IRM pancr\u00e9atique a r\u00e9v\u00e9l\u00e9 une fistule wirsungop\u00e9riton\u00e9ale sur une rupture du canal principal pancr\u00e9atique. Le patient a \u00e9t\u00e9 mis sous traitement m\u00e9dical : Sandostatine et nutrition ent\u00e9rale, et \u00e9galement diur\u00e9tiques.<br \/>\nL\u2019\u00e9volution a \u00e9t\u00e9 marqu\u00e9e par la survenue d\u2019une infection de coul\u00e9e de n\u00e9crose et d\u2019une fistulisation transdiaphragmatique responsable d&rsquo;une vraisemblable m\u00e9diastinite. Il a b\u00e9n\u00e9fici\u00e9 d\u2019un drainage transgastrique avec une \u00e9volution favorable.<\/p>\n<p>Discussion. La pr\u00e9sence concomitante de deux causes d\u2019ascite d\u2019origine \u00e0 la fois pancr\u00e9atique et h\u00e9patique constitue un pi\u00e8ge diagnostique et n\u00e9cessite le traitement des deux \u00e9tiologies.<br \/>\nLa particularit\u00e9 de la rupture du canal pancr\u00e9atique pr\u00e9sent\u00e9e par le patient tient \u00e0 sa localisation distale qui a limit\u00e9 une approche endoscopique initiale, la volumineuse ascite compliquant \u00e9galement le geste.<\/p>\n<p>Conclusion. En d\u00e9finitive, il s\u2019agit d\u2019une d\u00e9marche diagnostique complexe qui a permis de trouver deux causes d\u2019ascite intriqu\u00e9es.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2020 Ana\u00efs Bertrand (1), Cristina Levi (1), B\u00e9n\u00e9dicte Lambare (1) (1) Service d&rsquo;h\u00e9pato-gastro-ent\u00e9rologie, CH Sud-Francilien, Corbeil-Essones Gastroent\u00e9rologie &#8211; \u00a02020-07-15 &#8211;\u00a0CC &#8211; ________________________________ Introduction. Si l\u2019ascite pancr\u00e9atique est bien d\u00e9crite dans la litt\u00e9rature, elle demeure rare parmi les causes d\u2019ascite. Il s\u2019agit d\u2019un diagnostic diff\u00e9rentiel peu \u00e9voqu\u00e9 en premi\u00e8re intention, notamment chez les patients ne pr\u00e9sentant [&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":[31],"class_list":["post-2341","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-31"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ascite sur rupture du canal pancr\u00e9atique principal associ\u00e9 \u00e0 une d\u00e9compensation oed\u00e9mato-ascitique - 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\/ascite-sur-rupture-du-canal-pancreatique-principal-associe-a-une-decompensation-oedemato-ascitique\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ascite sur rupture du canal pancr\u00e9atique principal associ\u00e9 \u00e0 une d\u00e9compensation oed\u00e9mato-ascitique - 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