{"id":2165,"date":"2014-03-26T08:26:24","date_gmt":"2014-03-26T07:26:24","guid":{"rendered":"https:\/\/perruchenautomne.eu\/wordpress\/?p=2165"},"modified":"2018-01-03T14:46:46","modified_gmt":"2018-01-03T13:46:46","slug":"la-reponse-un-rein-sigmoide","status":"publish","type":"post","link":"https:\/\/perruchenautomne.eu\/wordpress\/2014\/03\/26\/la-reponse-un-rein-sigmoide\/","title":{"rendered":"La r\u00e9ponse: un rein sigmo\u00efde"},"content":{"rendered":"<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imageg1.gif\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2166\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/imageg1.gif\" alt=\"imageg1\" width=\"387\" height=\"436\" \/><\/a>Il fallait voir un rein sigmo\u00efde. Il s&rsquo;agit d&rsquo;une forme d&rsquo;ectopie crois\u00e9e du rein. Ici il y a ectopie du rein gauche qui passe \u00e0 droite. Il y a une fusion de la face externe du rein gauche \u00e0 la face externe du rein droit donnant cette forme de Janus \u00e0 ce rein fusionn\u00e9 unique. J&rsquo;aimerai bien en fait l&rsquo;appeler rein Janus.<\/p>\n<div style=\"width: 330px\" class=\"wp-caption alignnone\"><a href=\"http:\/\/yourrebegin.blogspot.fr\/2012\/12\/the-relevance-of-janus-geminus.html\"><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/2.bp.blogspot.com\/-NwTpst9f8GQ\/UM9tAtEmm9I\/AAAAAAAAB6M\/St8J8j6yN7Y\/s320\/janus_1.jpg\" alt=\"\" width=\"320\" height=\"288\" \/><\/a><p class=\"wp-caption-text\">cliquez sur la photo pour son origine<\/p><\/div>\n<p>Le <a href=\"http:\/\/www.anatomyatlases.org\/AnatomicVariants\/OrganSystem\/Images\/65.shtml\">rein sigmo\u00efde classique<\/a> est une fusion du p\u00f4le inf\u00e9rieur au p\u00f4le sup\u00e9rieur. L&rsquo;ectopie crois\u00e9e a <a href=\"http:\/\/www.pediatricurologybook.com\/kidney_fusion.html\">une fr\u00e9quence de 1\/7000<\/a> et je n&rsquo;ai pas trouv\u00e9 de fr\u00e9quence exacte pour le rein sigmo\u00efde. Le plus souvent, comme ici, c&rsquo;est le rein gauche qui passe \u00e0 droite. Le rein gauche peut plus ou moins tourner. Ici le rein gauche a une rotation normale. Il s&rsquo;agit d&rsquo;une anomalie du d\u00e9veloppement r\u00e9nal. En pratique, il ne faut rien faire. Le risque d&rsquo;insuffisance r\u00e9nale chronique serait augment\u00e9, justifiant une surveillance r\u00e9guli\u00e8re de la tension art\u00e9rielle et de la fonction r\u00e9nale. Une petite introduction au d\u00e9veloppement des reins, <a href=\"http:\/\/web.uni-plovdiv.bg\/stu1104541018\/docs\/res\/skandalakis%27%20surgical%20anatomy%20-%202004\/Chapter%2023_%20Kidneys%20and%20Ureters.htm\">ici<\/a>.<\/p>\n<p>La vascularisation du rein de ce patient est un vrai cauchemar avec cinq art\u00e8res r\u00e9nales vues par le radiologue.<\/p>\n<p><a href=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image11.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-2169\" src=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image11.jpg\" alt=\"image11\" width=\"591\" height=\"826\" srcset=\"https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image11.jpg 591w, https:\/\/perruchenautomne.eu\/wordpress\/wp-content\/uploads\/2014\/03\/image11-214x300.jpg 214w\" sizes=\"auto, (max-width: 591px) 100vw, 591px\" \/><\/a><\/p>\n<p>Pour ceux qui se posaient des questions sur ce patient, effectivement son ventre est un \u00ab\u00a0chantier\u00a0\u00bb h\u00e9pato-vasculo-infectieux et sa malformation r\u00e9nale est le cadet de ses soucis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Il fallait voir un rein sigmo\u00efde. Il s&rsquo;agit d&rsquo;une forme d&rsquo;ectopie crois\u00e9e du rein. Ici il y a ectopie du rein gauche qui passe \u00e0 droite. Il y a une fusion de la face externe du rein gauche \u00e0 la &hellip; <a href=\"https:\/\/perruchenautomne.eu\/wordpress\/2014\/03\/26\/la-reponse-un-rein-sigmoide\/\">Continuer la lecture <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[3,14],"tags":[864,244,863,862],"class_list":["post-2165","post","type-post","status-publish","format-standard","hentry","category-histoires-de-patients","category-nephrologie","tag-janus","tag-jeu","tag-malformation","tag-rein-sigmoide"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1l1zM-yV","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/2165","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/comments?post=2165"}],"version-history":[{"count":3,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/2165\/revisions"}],"predecessor-version":[{"id":5661,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/posts\/2165\/revisions\/5661"}],"wp:attachment":[{"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/media?parent=2165"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/categories?post=2165"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/perruchenautomne.eu\/wordpress\/wp-json\/wp\/v2\/tags?post=2165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}