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Archives de pédiatrie
Volume 22, n° 11
pages 1163-1166 (novembre 2015)
Doi : 10.1016/j.arcped.2015.08.009
Received : 21 November 2014 ;  accepted : 13 August 2015
Pseudo-obstruction intestinale chronique compliquée d’un trouble des conduites alimentaires chez une adolescente
Chronic intestinal pseudo-obstruction complicated by an eating disorder
 

C. Azzoulai a, , J. Djeddi b, V. Chapoy a, B. Boudailliez b, E. Bovin b, C. Pripis a, P. Buisson c, J.-M. Guilé a
a Service de psychopathologie de l’enfant et de l’adolescent, université de Picardie-Jules-Verne, CHU, avenue René-Laënnec, Salouel, 80054 Amiens, France 
b Unité de médecine de l’adolescent, CHU, avenue René-Laënnec, Salouel, 80054 Amiens, France 
c Unité de chirurgie pédiatrique, CHU, avenue René-Laënnec, Salouel, 80054 Amiens, France 

Auteur correspondant.
Résumé

La pseudo-obstruction intestinale chronique (POIC) est une maladie rare et sévère qui débute dans l’enfance et peut toucher toutes les structures du tube digestif. Son diagnostic est d’élimination mais certains patients présentent des anomalies histologiques. Cet article rapporte le cas d’une jeune fille atteinte d’une POIC et d’un trouble des conduites alimentaires (TCA) apparu au décours d’une intervention chirurgicale. Il semble difficile de dissocier les troubles digestifs et alimentaires. Quels effets psychologiques peut avoir cette maladie ? Les troubles alimentaires sont-ils secondaires ?

The full text of this article is available in PDF format.
Summary

Chronic idiopathic intestinal pseudo-obstruction is a rare and serious chronic disease starting in childhood, which can affect the entire digestive tract. It is caused by a peristalsis intestinal disorder that leads to occlusions without any obvious obstruction. Few studies have been carried out regarding the prognosis of this illness. This disease is often diagnosed by a process of elimination, but some histological anomalies have been present in the digestive wall of certain patients. This clinical case concerns a 17-year-old girl affected by CIPO and eating disorders. It seems difficult to discriminate between digestive disorders and eating disorders. What psychological effects can this severe pathology have? Are eating disorders induced by CIPO? These questions are raised in this article through the example of this patient's somatopsychic complexity and the ensuing difficulties in her overall care.

The full text of this article is available in PDF format.


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