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Abstract

 Résumé

La thrombose veineuse n’est pas habituelle chez l’enfant. Elle résulte de la conjonction des facteurs de risque génétiques et acquis. Nous rapportons un cas de thrombose des veines profondes du membre inférieur chez une adolescente de 10 ans souffrant d’un retard de croissance sévère. La patiente porte un syndrome de malabsorption post chirurgical, probablement secondaire à un grêle court. Six mois auparavant, elle avait développé des œdèmes asymétriques bilatéraux des membres inférieurs traités comme kwashiorkor. La patiente n’était pas alitée mais, a été plusieurs fois hospitalisée depuis la naissance pour des complications de la diarrhée. Elle a bénéficié d’une prise en charge nutritionnelle avant la découverte de la thrombose des veines gastrocnémiènne et saphène externe, qui a justifié une héparinothérapie accompagnée d’un traitement par un antagoniste de la vitamine K. Les auteurs relèvent que les œdèmes chez un malnutri sévère peuvent cacher une maladie thromboembolique.

Abstract

 

Deep vein thrombosis is uncommon in children. Both genetic and acquired factors contribute to its genesis.
Here we report a case of deep vein thrombosis of lower limb in a teenager presenting with severe failure to thrive.
Our patient had a post-surgical malabsorption syndrome, likely to be due to a short bowel. Six months earlier she had bilateral edema of both lower limbs that was managed as kwashiorkor.
She was not bed ridden, but has had several admission as in patient since birth for complicated diarrhea. She was underground nutritional rehabilitation when she was diagnosed a thrombosis of both gastrocnemic and external saphenous veins, that was managed with heparin coupled with antivitamine K anticoagulant. We this report that edema could hide deep vein thrombosis in a severely malnourished child.


Article Details

Author Biographies

Paul Koki Ndombo, faculty of medicine and biomedical sciences, The university of Yaoundé1

Departement de pediatrie, Maitre de conferences agrégé, et chef de deartement de pediatrie

Félicité Nguefack, Departement de pediatrie, faculte de medecine et sciences biomédicales, Universite de Yaoundé 1

chargée de cours de pediatrie,, departement de pediatrie

Suzanne Ngo Um Sap, Departement de pediatrie, faculte de medecine et sciences biomédicales, Universite de Yaoundé 1

departement de pediatrie, vacataire
How to Cite
Koki Ndombo, P., Nguefack, F., & Ngo Um Sap, S. (2014). Thrombose veineuse de membre sur un terrain de grêle court et de malabsorption. HEALTH SCIENCES AND DISEASE, 15(4). https://doi.org/10.5281/hsd.v15i4.353
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