Poster électronique

Imagerie des ampullomes vatériens : série de 15 cas
R. Saouab, B. Radouane, S. Chaouir, T. Amil, A. Hanine, J. El Fenni - Rabat - Maroc
Congrès 2011
Résumé
Objectifs
Rapporter les aspects cliniques et épidémiologiques des ampullomes vatériens dans notre série et établir la place de chaque moyen d'imagerie.
Matériels et méthodes
Etude rétrospective de 15 dossiers, de patients porteurs d'un ampullome vatérien, explorés dans notre formation durant une période de 6 ans [janvier 2005 - décembre 2010]. L'âge moyen des patients est de 68 ans [52 ans - 89 ans]. La clinique était dominée par l'ictère cholestatique. L'imagerie reposait sur l'échographie (n : 15), TDM (n : 11), IRM (n : 4), cholangiographie rétrograde endoscopique (n : 4).
Résultats
L'ampullome vatérien a étéévoquéà l'échographie dans 1 cas ; au scanner dans 6 cas (processus bombant à travers la paroi duodénale : 4 cas ; obstacle du bas cholédoque : 2 cas) ; à l'IRM dans 3 cas et à la cholangiographie dans 3 cas. La dilatation des voies biliaires àété retrouvée dans 9 cas (81%) et celle du wirsung dans 6 cas (50%). L'histologie a révélé un adénocarcinome dans tous les cas. L'extension au pancréas était notée dans 2 cas et ganglionnaire dans 2 cas. Aucun patient n'avait de métastase viscérale.
Conclusion
L’ampullome vatérien est une tumeur rare, maligne dans 94% des cas. L'imagerie repose essentiellement sur l'écho-endoscopie et la TDM. Elle permet d'évoquer le diagnostic et surtout d'établir le bilan d'extension locorégional et général.
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2017-08-24 08.53 :
Ann Perez

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2017-04-12 08.21 :
Ann Perez

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2017-04-11 12.13 :
Ann Tabares

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