Perforation de l’oesophage à l’occasion d’une dilatation endoscopique

Voici encore une triste affaire de responsabilité médicale sur le plan judiciaire, cette fois-ci. En l’espèce, la perforation instrumentale était la conséquence d’un geste maladroit du praticien, de sorte que celui-ci avait ainsi commis une faute, exclusive de la notion de risque inhérent à un aléa médical ((Cass. 1ère civ., 3 avril 2007, n° 06-13.457, Mutuelle d’assurances du corps de santé français (MACSF) et a.)).

L’arrêt mérite une large reproduction :

« Sur le moyen unique :

Attendu que le 15 mai 2000 M. P. a pratiqué une dilatation endoscopique sur Mme B., dont il est résulté une perforation de l’œsophage ; qu’au vu des conclusions d’une expertise ordonnée en référé, Mme B. a assigné le docteur P. et son assureur, la société MACSF, devant le tribunal de grande instance en responsabilité et indemnisation de son préjudice ; que l’arrêt attaqué (Paris, 20 janvier 2006) a déclaré M. P. entièrement responsable du préjudice subi par Mme B. et l’a condamné in solidum avec son assureur à lui payer certaines sommes ainsi qu’à la CPAM des Yvelines ;

Attendu que M. P. fait grief à l’arrêt d’avoir ainsi statué, alors, selon le moyen, que la responsabilité du médecin est subordonnée à la preuve d’une faute commise dans l’accomplissement de l’acte médical et que la réparation des conséquences d’un aléa thérapeutique n’entre pas dans le champ des obligations dont un médecin est contractuellement tenu à l’égard de son patient ; que la faute médicale ne peut se déduire de la seule absence de réussite de l’acte médical et de l’apparition d’un préjudice ; qu’en l’espèce, l’expert a relevé que l’acte endoscopique était justifié par la pathologie présentée par Mme B., que la technique employée et la surveillance avaient été conformes aux règles de l’art ; que la probabilité du risque qui s’est produit est inhérent à cette méthode opératoire, qu’il est rarissime, d’environ 1%, toujours possible mais imprévisible ; que la cour d’appel ne pouvait déduire de la seule survenance d’une perforation, qui est un risque inhérent à l’acte médical en cause, l’existence d’une maladresse fautive à la charge du docteur P. ; qu’elle a violé l’article 1147 du Code civil ;

Mais attendu que c’est dans l’exercice de son pouvoir souverain d’appréciation des éléments de preuve qui lui étaient soumis, que la cour d’appel a relevé que pour réaliser la dilatation endoscopique, M. P. devait, à l’aide de bougies de Savary de 11 à 16 mm, se guider sur la sensation de résistance au passage de la bougie ; que cette résistance devait être vaincue sans brutalité ; que la perforation instrumentale était la conséquence d’un geste maladroit du praticien ; qu’elle a pu en déduire que M. P. avait ainsi commis une faute, exclusive de la notion de risque inhérent à un aléa médical et a, par ces seuls motifs, légalement justifié sa décision ;

Par ces motifs :

Rejette le pourvoi. »

This Post Has 2 052 Comments

  1. just beneath, are numerous absolutely not connected websites to ours, even so, they may be certainly worth going over

  2. we came across a cool website that you may well appreciate. Take a appear when you want

  3. although internet websites we backlink to below are considerably not associated to ours, we feel they’re in fact really worth a go by means of, so possess a look

  4. mp3 download dit :

    This is a very cool site . Check out my website and tell me what you think about it.

  5. Superb site my firned. Check out my website and tell me what you think about it.

  6. vibrator dit :

    the time to study or pay a visit to the content or sites we’ve linked to beneath the

  7. Bud Carty dit :

    You actually make it seem really easy along with your presentation but I in finding this topic to be really something which I believe I’d by no means understand. It kind of feels too complicated and very large for me. I’m taking a look forward on your next submit, I will try to get the dangle of it!

  8. Sites of interest we’ve a link to

  9. cloud storage dit :

    This is a very cool site . Check out my website and tell me what you think about it.

  10. one of our guests not too long ago encouraged the following website

  11. the time to read or visit the content material or internet sites we have linked to beneath the

  12. we came across a cool web-site that you just might get pleasure from. Take a appear in case you want

  13. here are some hyperlinks to sites that we link to mainly because we feel they are worth visiting

  14. The data talked about inside the post are a few of the top available

  15. Superb site my firned. Check out my website and tell me what you think about it.

  16. Superb site my firned. Check out my website and tell me what you think about it.

  17. very nice post, i certainly love this website, keep on it

  18. vibrators dit :

    here are some hyperlinks to websites that we link to because we feel they’re worth visiting

  19. although sites we backlink to below are considerably not associated to ours, we feel they may be truly really worth a go by, so have a look

  20. very few internet sites that occur to become detailed below, from our point of view are undoubtedly properly really worth checking out

  21. sex toys dit :

    Every after in a even though we select blogs that we study. Listed beneath are the most up-to-date internet sites that we select

  22. very few sites that occur to become comprehensive beneath, from our point of view are undoubtedly very well worth checking out

  23. one of our visitors recently advised the following website

  24. kala jadu dit :

    always a large fan of linking to bloggers that I like but really don’t get a good deal of link adore from

  25. storm tree dit :

    Victory belongs to the most persevering.

  26. kala jadu dit :

    Here is a great Blog You may Discover Interesting that we Encourage You

  27. Very nice indeed ! Check out my website and tell me what you think about it.

  28. Google dit :

    Every the moment in a although we choose blogs that we read. Listed beneath are the most current web pages that we decide on.

  29. « I think this is one of the most important information for me. And im glad reading your article. Good job, cheers »

  30. An impressive share, I just given this onto a colleague who was doing a little analysis on this. And he in fact bought me breakfast because I found it for him.. smile. So let me reword that: Thnx for the treat! But yeah Thnkx for spending the time to discuss this, I feel strongly about it and love reading more on this topic. If possible, as you become expertise, would you mind updating your blog with more details? It is highly helpful for me. Big thumb up for this blog post!

  31. « 5 star article brilliant. I am new to blogging and you used a langauge I can understand »

  32. « Pretty nice post. I just stumbled upon your blog and wanted to say that I have really enjoyed browsing your blog posts. In any case I�ll be subscribing to your feed and I hope you write again soon! »

  33. « Thank you for another fantastic blog. Where else could I get this kind of information written in such an incite full way? I have a project that I am just now working on, and I have been looking for such information� Regards� »

  34. « hopefully this comment doesn�t appear multiple times (it appears to freeze once i try to post my comment.. not certain if it�s really posting), but all I truly wanted to say was great post and thanks for sharing. »

  35. « I recently came across your web site and have been reading along. I thought I would leave my very first comment. Nice blog! I will keep visiting this website very frequently. »

  36. magnetic tape dit :

    we prefer to honor a lot of other world wide web websites around the net, even if they arent linked to us, by linking to them. Beneath are some webpages really worth checking out

  37. that is the finish of this article. Here you will come across some web-sites that we think youll enjoy, just click the hyperlinks over

  38. WONDERFUL Post.thanks for share..more wait .. 😉 ?

  39. mining tool dit :

    This is a very cool site . Check out my website and tell me what you think about it.

  40. When I originally commented I clicked the -Notify me when new comments are added- checkbox and now each time a comment is added I get four emails with the same comment. Is there any way you can remove me from that service? Thanks!

  41. usually posts some extremely interesting stuff like this. If you are new to this site

  42. You’re in full control of what you need to show in your webinar:
    switch back and forth between completely different video indicators: a slide presentation, your
    screen desktop, your webcame, any specific application working
    in your pc, a Word or PDF document, and so forth.

  43. we came across a cool web site that you just might take pleasure in. Take a appear in case you want

  44. just beneath, are quite a few entirely not connected internet sites to ours, on the other hand, they’re surely really worth going over

  45. below youll locate the link to some web sites that we think it is best to visit

  46. correx dit :

    please visit the web pages we adhere to, including this a single, as it represents our picks through the web

  47. although web sites we backlink to below are considerably not related to ours, we really feel they may be essentially worth a go via, so possess a look

  48. Put your self in your attendee’s footwear – you’ve got in all probability attended much less-than-sensible webinars yourself, so this shouldn’t be too
    arduous.

  49. always a big fan of linking to bloggers that I adore but do not get a great deal of link really like from

Leave A Reply