Modifications dans les rapports de lâespace parar©nal gauche selon lâ¢ge
Résumé
But : La chirurgie percutan©e du rein gauche est  lâorigine de complications iatrog¨nes sur le colon descendant, notamment chez le sujet jeune. Nous avons recherch© la corr©lation entre la pr©sence dâune localisation  risque du colon descendant dans lâespace parar©nal gauche et lâ¢ge.des sujets.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Sujets et m©thodes : Nous avons ©tudi© les coupes de tomodensitom©trie abdominale de 1084 sujets r©partis en 2 tranches dâ¢ge : de 15  50 ans et sup©rieur  50 ans. La localisation du colon descendant a ©t© ©tudi©e par rapport  un plan frontal passant par le calice r©nal. La situation du colon descendant ©tait ant©rieure ou post©rieure au plan caliciel.
R©sultats : Dans 76,39% des cas nous retrouvions un colon descendant en situation ant©rieure au plan du calice r©nal avec une nette pr©dominance pour les sujets ¢g©s de plus de 50 ans. Le colon descendant ©tait retrouv© dans 39,38% des cas en arri¨re du plan caliciel chez les sujets ¢g©s de 15  50 ans, contre 7,32% des cas chez les sujets ¢g©s de plus de 50 ans.
Conclusion:Le risque colique existe et il est plus important chez les sujets les plus jeunes. Lors des man?uvres percutan©es du rein gauche, la pr©vention des plaies iatrog¨nes du colon descendant doit ©galement tenir compte de lâ¢ge des patients.
Mots-clés
Références
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