{"id":2376,"date":"2021-10-06T13:54:23","date_gmt":"2021-10-06T11:54:23","guid":{"rendered":"https:\/\/angh.net\/abstracts\/un-proctologue-a-bout-de-nerfs\/"},"modified":"2021-10-06T13:54:23","modified_gmt":"2021-10-06T11:54:23","slug":"un-proctologue-a-bout-de-nerfs","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/un-proctologue-a-bout-de-nerfs\/","title":{"rendered":"Un proctologue \u00e0 bout de nerfs\u2026"},"content":{"rendered":"<p><strong>2021<\/strong><\/p>\n<p><em>Manon Haas, Lucas Spindler, Nadia Fathallah, Vincent de Parades<br \/>\nGroupe hospitalier Paris Saint-Joseph, Institut L\u00e9opold Bellan, Service de Proctologie M\u00e9dico-chirurgicale, 185, rue Raymond Losserand, 75014 Paris, France<\/em><\/p>\n<p><strong>Gastroent\u00e9rologie <\/strong>&#8211; \u00a02021-05-15 &#8211;\u00a0CC &#8211;<\/p>\n<p>________________________________<\/p>\n<p>Un homme de 58 ans consulte pour des rectorragies. Parmi ses ant\u00e9c\u00e9dents, on note une consommation d\u2019alcool r\u00e9guli\u00e8re, une cardiopathie isch\u00e9mique stent\u00e9e et un cancer colorectal chez le p\u00e8re \u00e0 l\u2019\u00e2ge de 72 ans. La pr\u00e9c\u00e9dente coloscopie remonte \u00e0 5 ans et a r\u00e9v\u00e9l\u00e9 des polypes qui auraient \u00e9t\u00e9 laiss\u00e9s en place. Aucun compte rendu de ce pr\u00e9c\u00e9dent examen n\u2019est disponible. <\/p>\n<p>L\u2019examen proctologique r\u00e9v\u00e8le des h\u00e9morro\u00efdes internes congestives possiblement en cause dans les saignements r\u00e9cents.<br \/>\nLa coloscopie permet la r\u00e9section de deux polypes centim\u00e9triques du bas fond caecal et d\u2019un polype infracentim\u00e9trique du sigmo\u00efde. Dans le rectum, il y a une l\u00e9sion d\u2019allure sous-muqueuse de 15m de grand axe situ\u00e9e \u00e0 environ 10 cm de la marge anale qui est simplement biopsi\u00e9e.<br \/>\nLes polypes sont des ad\u00e9nomes festonn\u00e9es en dysplasie de bas grade et les pr\u00e9l\u00e8vements de la l\u00e9sion rectale sont sans particularit\u00e9.<br \/>\nL\u2019\u00e9choendoscopie rectale met en \u00e9vidence une l\u00e9sion arrondie de 15 mm de plus grand diam\u00e8tre, hypo\u00e9chog\u00e8ne, homog\u00e8ne, vascularis\u00e9e, localis\u00e9e dans la profondeur de la muqueuse respectant la sous-muqueuse, sans ad\u00e9nopathie p\u00e9rirectale associ\u00e9e.<br \/>\nQuel est votre diagnostic ? Quelle prise en charge proposeriez-vous ?<br \/>\nLes r\u00e9ponses \u00e0 Avignon !<\/p>\n","protected":false},"excerpt":{"rendered":"<p>2021 Manon Haas, Lucas Spindler, Nadia Fathallah, Vincent de Parades Groupe hospitalier Paris Saint-Joseph, Institut L\u00e9opold Bellan, Service de Proctologie M\u00e9dico-chirurgicale, 185, rue Raymond Losserand, 75014 Paris, France Gastroent\u00e9rologie &#8211; \u00a02021-05-15 &#8211;\u00a0CC &#8211; ________________________________ Un homme de 58 ans consulte pour des rectorragies. Parmi ses ant\u00e9c\u00e9dents, on note une consommation d\u2019alcool r\u00e9guli\u00e8re, une cardiopathie isch\u00e9mique [&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":[34],"class_list":["post-2376","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-34"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Un proctologue \u00e0 bout de nerfs\u2026 - 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\/un-proctologue-a-bout-de-nerfs\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Un proctologue \u00e0 bout de nerfs\u2026 - 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