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Mardi, 02 Novembre 2010 18:25

Syndrome de LERICHE Favori

Écrit par  jamel MOUHLI
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THROMBOSE AORTE SOUS RENALE THROMBOSE AORTE SOUS RENALE
Un patient de 60 ans suivi en psychiatrie ,au cour d'un rixe il a change de médecin traitant qui lui a fait des examens complémentaires de façon à lui trouver ses douleurs intenses des deux membres inférieurs et des vertiges avec insomnie  qui datent depuis une dizaine d'années , plusieurs hospitalisations successive de tout les hôpitaux de la région et toujours etiqueté malade psychiatrique , le dernier spécialistes qui la vu un rhumatologue renommé lui a fait subir un scanner et une IRM dorso lombaire et des articulations de la hanche et des genoux, qui se sont révélé normaux, il me l'a adressé pour une exploration vasculaire compléte aortobiliaque et des membres inférieurs et à la fin de la lettre il écris si c'est normal ,il est psychiatrique, l'échodoppler a été révélatrice d'un syndrome de LERICHE , une sténose symtomatique de 75% de l'origine de la carotide interne gauche avec plaque anfractueuseet un ECG montrant des troubles de la repolarisation dans le territoire postérieur, Une confirmation de l'echodoppler par un angioscanner du syndrome de LERICHE Le patient a subi dans un premier temps d'une angioplastie coronaire avec pose d'un stent , puis d'une endarterictomie carotidienne gauche et enfin d'un pontage latéro terminale aorto bifémorale bilatérale , il n'a plus de douleurs, de vertige et il est revenu de loin , ces lésions datent d'aprés mon estimation d'une dizaine d'année puisque il y a eu divorce pour manque de la vascularisation pénienne , un cas typique de droit médical, prouver qu'il n'est pas psychiatrique et puis erreur médical de diagnostic tardif (son avocat , pas spécialiste en droit médical incompètance juridique)
Dernière modification le Mardi, 12 Juillet 2016 06:26

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