Puji dan syukur atas kehadirat Tuhan Yang Maha Esa atas
berkat dan rahmatNya telah memberikan kelapangan waktu serta
kesehatan bagi penulis sedemikian
hingga
penulis
dapat
Penulis
I | I N VAG I N A S I
DAFTAR ISI
KATA PENGANTAR............................................................................. I
DAFTAR ISI........................................................................................... II
DAFTAR GAMBAR .............................................................................III
BAB I PENDAHULUAN....................................................................... 1
1.1. Latar Belakang ................................................................................. 1
BAB II TINJAUAN PUSTAKA ........................................................... 3
2.1. Embriologi Usus .............................................................................. 3
2.2. Anatomi Usus ................................................................................... 4
2.2.1. Usus Halus .................................................................................. 4
2.2.2. Usus Besar................................................................................... 6
2.3. Definisi Invaginasi ........................................................................... 8
2.4. Insidensi Invaginasi ......................................................................... 9
2.5. Etiologi Invaginasi ........................................................................... 9
2.6. Patogenesis Invaginasi ..................................................................... 10
2.7. Lokasi Invaginasi ............................................................................. 11
2.8. Manifestasi Klinis Invaginasi .......................................................... 12
2.9. Anamnesis ........................................................................................ 14
2.10. Pemeriksaan Fisik .......................................................................... 15
2.11. Pemeriksaan Penunjang ................................................................. 15
2.12. Diagnosis Invaginasi ...................................................................... 18
2.13. Diagnosis Banding Invaginasi ....................................................... 20
2.14. Penatalaksanaan Invaginasi ........................................................... 22
2.15. Komplikasi Invaginasi ................................................................... 29
2.16. Prognosis Invaginasi ...................................................................... 29
BAB III KESIMPULAN ....................................................................... 31
DAFTAR PUSTAKA ............................................................................. 32
II | I N V A G I N A S I
DAFTAR GAMBAR
2.1. Anatomi Usus Halus .............................................................................. 5
2.2. Anatomi Usus Besar ............................................................................... 7
2.3. Invaginasi ............................................................................................... 8
2.4. Intussuscipens dan Intussusceptum ........................................................ 8
2.5. Intussuscipens Ileo-Sekal ....................................................................... 12
2.6. Intussuscipens Ileo-Colica ..................................................................... 12
2.7. Intussuscipens Entero-Enterica .............................................................. 12
2.8. Red Currant Jelly Stool .......................................................................... 13
2.9. Gambaran Radiologi Usus Terdesak Ke Kiri Atas ................................ 16
2.10. Gambaran Radiologi Coiled Spring Appearance ................................ 17
2.11. Transversal: Target Lesion atau Doughnut Sign .................................. 17
2.12. USG Longitudinal: Pseudokidney Sign ............................................... 17
2.13. Gambaran CT-Scan Invaginasi berupa Target Sign ............................. 18
2.14. Divertikulum Meckel ........................................................................... 21
2.15. Rectal Prolaps ...................................................................................... 21
2.16. Terapi dengan menggunakan Barium Enema ...................................... 24
2.17. Sayatan di Inferior Umbilikus .............................................................. 26
2.18. Teknik Reduksi Manual atau Milking .................................................. 27
2.19. Evaluasi Ileum Untuk Menilai Viabilita Usus ..................................... 27
2.20. Reseksi Usus Segmental dan Anastomose end to end ......................... 28
2.21. Appendektomi Insidental ..................................................................... 26
III | I N V A G I N A S I