{"id":2346,"date":"2020-09-25T22:14:03","date_gmt":"2020-09-25T20:14:03","guid":{"rendered":"https:\/\/angh.net\/abstracts\/des-nodules-coliques\/"},"modified":"2020-09-25T22:14:03","modified_gmt":"2020-09-25T20:14:03","slug":"des-nodules-coliques","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/des-nodules-coliques\/","title":{"rendered":"Des nodules coliques?"},"content":{"rendered":"<p><strong>2020<\/strong><\/p>\n<p><em>Alexandre Sayadi1, Mohamed Amine Bani2, Isabelle Rosa1, Sihem Bendaoud1, Anne Wampach1, Celine Somsouk1, Mathias Vidon1<\/p>\n<p>1 : Service d\u2019H\u00e9pato-Gastro-Ent\u00e9rologie, Centre Hospitalier Intercommunal de Cr\u00e9teil, 40 avenue de Verdun, 94010 Cr\u00e9teil cedex<br \/>\n2 : Service d\u2019Anatomie pathologique, Centre Hospitalier Intercommunal de Cr\u00e9teil, 40 avenue de Verdun, 94010 Cr\u00e9teil cedex<\/em><\/p>\n<p><strong>Endoscopie <\/strong>&#8211; \u00a02020-06-13 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Mme N., une femme de 62 ans, a \u00e9t\u00e9 pris en charge dans notre service pour explorations endoscopiques dans le cadre d\u2019h\u00e9matoch\u00e9zie intermittente ancienne et d\u2019un test FIT positif. Elle n\u2019a jamais r\u00e9alis\u00e9 de coloscopie. <\/p>\n<p>Elle est originaire du Congo et est en France depuis 2016. Elle a comme principaux ant\u00e9c\u00e9dents une infection par le VIH depuis 1987 avec une prise en charge difficile au Congo (ruptures de stock d\u2019antir\u00e9troviraux r\u00e9guli\u00e8res) au stade SIDA du fait d\u2019un ant\u00e9c\u00e9dent de tuberculose pulmonaire, ainsi que plusieurs carcinomes \u00e9pidermo\u00efdes : carcinome \u00e9pidermo\u00efde infiltrant HPV-induit de la vulve gauche en 2017, en r\u00e9mission ; carcinome \u00e9pidermo\u00efde mandibulaire droit en 2018, en r\u00e9mission ; carcinome \u00e9pidermo\u00efde du sillon inter-fessier en 2017, en r\u00e9mission). La charge virale VIH est n\u00e9gative mais les CD4 restent entre 50 et 150 CD4\/mm3 depuis le d\u00e9but de la prise en charge de la patiente.<br \/>\nLe seul traitement pris est le GENVOYA (Emtricitabine, Elvit\u00e9gravir, Cobicistat, T\u00e9nofovir).<\/p>\n<p>Cliniquement, elle n\u2019a pas de douleurs abdominales ni de trouble du transit en dehors d\u2019une h\u00e9matoch\u00e9zie intermittente. Il n\u2019y a pas de perte de poids r\u00e9cente ni d\u2019alt\u00e9ration de l\u2019\u00e9tat g\u00e9n\u00e9ral.<br \/>\nBiologiquement, la patiente a une an\u00e9mie normocytaire ar\u00e9g\u00e9n\u00e9rative \u00e0 10g\/dL avec une carence en acide folique sans carence martiale, une suppl\u00e9mentation est alors d\u00e9but\u00e9e. <\/p>\n<p>Une coloscopie est alors r\u00e9alis\u00e9e, et met en \u00e9vidence plusieurs l\u00e9sions centim\u00e9triques sur l\u2019ensemble du cadre colique, nodulaires, centr\u00e9es par une \u00e9rosion ou une ulc\u00e9ration superficielle, sans saignement spontan\u00e9. Plusieurs de ces l\u00e9sions sont biopsi\u00e9es. Il y a par ailleurs 4 polypes infracentim\u00e9triques d\u2019allure ad\u00e9nomateuse, pour lesquels une ex\u00e9r\u00e8se sera r\u00e9alis\u00e9e durant l\u2019endoscopie.<\/p>\n<p>L\u2019examen histologique confirmera l\u2019origine ad\u00e9nomateuse sans dysplasie des 4 polypes retir\u00e9s.<br \/>\nQuelles sont vos hypoth\u00e8ses diagnostiques concernant les l\u00e9sions nodulaires r\u00e9parties sur l\u2019ensemble du cadre colique chez cette patiente VIH ?<br \/>\nLe diagnostic sera pr\u00e9sent\u00e9 lors du congr\u00e8s<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2020 Alexandre Sayadi1, Mohamed Amine Bani2, Isabelle Rosa1, Sihem Bendaoud1, Anne Wampach1, Celine Somsouk1, Mathias Vidon1 1 : Service d\u2019H\u00e9pato-Gastro-Ent\u00e9rologie, Centre Hospitalier Intercommunal de Cr\u00e9teil, 40 avenue de Verdun, 94010 Cr\u00e9teil cedex 2 : Service d\u2019Anatomie pathologique, Centre Hospitalier Intercommunal de Cr\u00e9teil, 40 avenue de Verdun, 94010 Cr\u00e9teil cedex Endoscopie &#8211; \u00a02020-06-13 &#8211;\u00a0CC &#8211; ________________________________ [&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":[6],"tags":[31],"class_list":["post-2346","post","type-post","status-publish","format-standard","hentry","category-endoscopie","tag-31"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Des nodules coliques? 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