{"id":153512,"date":"2022-06-23T23:28:00","date_gmt":"2022-06-24T06:28:00","guid":{"rendered":"https:\/\/clarius.com\/blog\/examen-pocus-dynamique-en-cabinet-pour-diagnostiquer-une-hernie-ombilicale-incarceree\/"},"modified":"2026-03-13T09:24:12","modified_gmt":"2026-03-13T16:24:12","slug":"examen-pocus-dynamique-en-cabinet-pour-diagnostiquer-une-hernie-ombilicale-incarceree","status":"publish","type":"post","link":"https:\/\/clarius.com\/fr\/blog\/examen-pocus-dynamique-en-cabinet-pour-diagnostiquer-une-hernie-ombilicale-incarceree\/","title":{"rendered":"Examen POCUS dynamique en cabinet pour diagnostiquer une hernie ombilicale incarc\u00e9r\u00e9e"},"content":{"rendered":"\n

Le Dr Kathryn Malherbe, PDG de MedSol AI Solutions<\/a> en Afrique du Sud, a transmis une \u00e9tude \u00e9chographique d’une hernie ombilicale qu’elle a d\u00e9tect\u00e9e \u00e0 l’aide du scanner sans fil Clarius L15 HD.<\/a> <\/p>\n\n

Le patient s’est pr\u00e9sent\u00e9 avec une sensibilit\u00e9 ombilicale et une grosseur palpable qui \u00e9tait plus \u00e9vidente lors d’un effort dans le bas-ventre. Il avait subi une appendicectomie par laparoscopie sept jours auparavant. <\/p>\n\n

L‘\u00e9chographie<\/strong> confirme la pr\u00e9sence<\/strong> d’une hernie intestinale<\/h2>\n\n

Le scanner Clarius L15 HD<\/a> a \u00e9t\u00e9 utilis\u00e9 pour imager la zone d’int\u00e9r\u00eat. En raison de l’augmentation de l’ombre acoustique post\u00e9rieure li\u00e9e \u00e0 l’ombilic, la sonde a \u00e9t\u00e9 plac\u00e9e en position transversale et l\u00e9g\u00e8rement inclin\u00e9e pour \u00e9valuer l’aspect post\u00e9rieur de la r\u00e9gion ombilicale. <\/p>\n\n

L’\u00e9chographie a montr\u00e9 une anse intestinale distendue et herni\u00e9e, superficielle \u00e0 la gaine du grand droit de l’abdomen, avec des signes r\u00e9duits de vascularisation lors de l’imagerie Doppler. Lorsque la compression dynamique a \u00e9t\u00e9 appliqu\u00e9e avec le scanner, le patient a confirm\u00e9 que la r\u00e9gion sensible correspondait \u00e0 l’emplacement de la hernie intestinale sur l’\u00e9chographie. <\/p>\n\n

Le collet de l’anse intestinale herni\u00e9e mesurait 10,2 mm (voir figure 1) et l’anse intestinale mesurait 22,3 mm x 9,8 mm (voir figure 2).<\/p>\n\n

\n
\"\"
Figure 1<\/figcaption><\/figure>\n\n\n\n
\"\"
Figure 2<\/figcaption><\/figure>\n<\/figure>\n\n

La paroi externe de l’anse intestinale est apparue hyper\u00e9chog\u00e8ne \u00e0 l’\u00e9chographie, avec une perte de l’aspect typique de l’haustra. La man\u0153uvre dynamique de Valsalva a montr\u00e9 que l’anse intestinale \u00e9tait resserr\u00e9e avec un mouvement limit\u00e9, confirmant la suspicion d’une hernie incarc\u00e9r\u00e9e non r\u00e9ductible. <\/p>\n\n

Vid\u00e9o : La man\u0153uvre dynamique de Valsalva confirme l’incarc\u00e9ration<\/strong><\/h2>\n\n

L’imagerie \u00e9chographique dynamique de l’anse intestinale suspect\u00e9e d’\u00eatre herni\u00e9e a permis de d\u00e9terminer l’\u00e9tendue de la hernie ainsi que la pr\u00e9sence d’une incarc\u00e9ration, qui a n\u00e9cessit\u00e9 une intervention chirurgicale suppl\u00e9mentaire.<\/p>\n

\n
\"\"<\/figure>\n<\/div>\n

Traitement<\/strong><\/h2>\n\n

La patiente a \u00e9t\u00e9 orient\u00e9e vers une laparoscopie le long de l’ombilic, et l’anse herniaire a \u00e9t\u00e9 r\u00e9duite par l’insertion d’un treillis m\u00e9tallique.<\/p>\n\n

L’\u00e9chographie au point de service aliment\u00e9e par l’IA sauve des vies<\/strong><\/h2>\n\n

Il s’agit d’un exemple de hernie incisionnelle, qui peut survenir en cas de fermeture incorrecte du d\u00e9faut fascial au niveau du site portuaire \u00e0 la suite d’une chirurgie laparoscopique. Certaines hernies incisionnelles peuvent se d\u00e9velopper peu de temps apr\u00e8s l’op\u00e9ration, comme c’est le cas pour ce patient, mais elles peuvent aussi mettre des mois ou des ann\u00e9es \u00e0 se manifester. <\/p>\n\n

J’ai remarqu\u00e9 que le patient avait \u00e9t\u00e9 orient\u00e9 vers une unit\u00e9 d’\u00e9chographie sur chariot pour le bilan pr\u00e9op\u00e9ratoire de l’h\u00f4pital et que l’imagerie Clarius surpassait de loin ce syst\u00e8me\u00a0\u00bb, d\u00e9clare le Dr Malherbe.<\/p><\/blockquote>\n\n

Le Dr Malherbe consacre la majeure partie de son temps au d\u00e9veloppement d’un logiciel d’apprentissage automatique profond et d’intelligence artificielle pour la d\u00e9tection pr\u00e9coce du cancer du sein<\/a> dans les images \u00e9chographiques. Le logiciel MedSol s’int\u00e8gre \u00e0 un scanner Clarius pour produire des r\u00e9sultats diagnostiques rapides et pr\u00e9cis, ce qui permet de r\u00e9duire consid\u00e9rablement les taux de mortalit\u00e9 associ\u00e9s au cancer du sein. <\/p>\n\n

Avec des images haute d\u00e9finition et des r\u00e9glages automatis\u00e9s, l’\u00e9chographie sans fil Clarius<\/a> est le choix \u00e9vident pour l’\u00e9chographie sur le lieu de soins. Nos nouveaux \u00e9chographes HD3<\/a> sont 30 % plus petits, plus abordables, avec une application aliment\u00e9e par l’IA qui fournit une imagerie optimis\u00e9e \u00e0 votre appareil Android ou iOS. <\/p>\n\n

Vous n’\u00eates pas encore utilisateur de Clarius ? Nous vous invitons \u00e0r\u00e9server une d\u00e9monstration<\/a>avec un \u00e9chographiste Clarius pour voir la diff\u00e9rence que l’imagerie haute d\u00e9finition peut faire dans la prestation des meilleurs soins aux patients. <\/p>\n","protected":false},"excerpt":{"rendered":"

Le Dr Kathryn Malherbe, PDG de MedSol AI Solutions en Afrique du Sud, a transmis une \u00e9tude \u00e9chographique d’une hernie ombilicale qu’elle a d\u00e9tect\u00e9e \u00e0 l’aide du scanner sans fil Clarius L15 HD. Le patient s’est pr\u00e9sent\u00e9 avec une sensibilit\u00e9 ombilicale et une grosseur palpable qui \u00e9tait plus \u00e9vidente lors d’un effort dans le bas-ventre….<\/p>\n","protected":false},"author":4,"featured_media":48612,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","inline_featured_image":false,"footnotes":""},"categories":[990,1005,1054],"tags":[],"specialities":[798,48],"class_list":["post-153512","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-perspectives","category-recherche","category-video","specialities-hospitalist","specialities-primary-care"],"acf":[],"yoast_head":"\nExamen POCUS dynamique en cabinet pour 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