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Syndrome appendiculaire chez un homme de 29 ans

Feuillets de Radiologie (Impact Factor: 0.17). 01/2008; DOI: 10.1016/S0181-9801(08)70322-1

ABSTRACT 1. Service d'imagerie médicale, hôpital d'instruction des Armées-Legouest, 27, avenue de Plantières, 57070 Metz. 2. Service de chirurgie viscérale, hôpital d'instruction des Armées-Legouest, 27, avenue de Plantières, 57070 Metz. 3. Service d'accueil des urgences, hôpital d'instruction des Armées-Legouest, 27, avenue de Plantières, 57070 Metz. Observation Un homme de 29ans, sans antécédent, présente depuis deux jours une douleur de la fosse iliaque droite. L'examen clinique retrouve un patient en surcharge pondérale (IMC à 29), apy-rétique, avec une défense à la palpation abdominale. Le bilan biologique met en évidence une hyperleucocytose modérée à 13000GB/mm 3 et une CRP discrètement augmentée à 15mg/l. Une tomodensitométrie abdominale sans injection est réalisée (fig. 1A à 1E) . Quel est votre diagnostic ? Réponse page 62 3 3 3 3 quel est votre diagnostic ?

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