LEMBAR PENGESAHAN

Nama : Qonita Aizati

NIM : 161.0221.145
Departemen : Bedah
Instansi : Fakultas Kedokteran UPN Veteran Jakarta
Periode : 02 Juli – 08 September 2018
Pembimbing : dr. Wahyu Sriningsih, Sp.B(K)BD
Judul : Ileus Obstruktif et causa Massa Periappendikular

Jakarta, Juli 2018

dr. Wahyu Sriningsih, Sp.B(K)BD

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 KATA PENGANTAR

Puji syukur senantiasa penulis panjatkan kehadirat Tuhan Yang Maha

Esa atas berkat karunia-Nya penulis dapat menyelesaikan pembuatan laporan
kasus yang berjudul “Ileus Obstruktif et causa Massa Periappendikular”
dimana laporan kasus ini merupakan salah satu syarat dalam mengikuti ujian
Kepaniteraan Klinik Departemen Bedah RSUP Persahabatan Jakarta
Dalam menyelesaikan laporan kasus ini penulis mengucapkan terima
kasih kepada dr. Wahyu Sriningsih, Sp.B(K)BD sebagai dokter pembimbing.
Penulis menyadari bahwa dalam penyusunan laporan kasus ini terdapat banyak
kekurangan dan jauh dari kesempurnaan, sehingga penulis mengharap kritik
dan saran dari pembaca.
Semoga laporan kasus ini dapat bermanfaat bagi penulis sendiri beserta
teman-teman pada khususnya dan semua pihak yang berkepentingan bagi
pengembangan ilmu kedokteran pada umumnya.

Jakarta, Juli 2018

Penulis

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 DAFTAR ISI

LEMBAR PENGESAHAN ............................................................................................... ii

KATA PENGANTAR ...................................................................................................... iii
DAFTAR ISI .................................................................................................................... iv
BAB I PENDAHULUAN ................................................................................................ 1
A. Latar Belakang.................................................................................................... 1
BAB II TINJAUAN PUSTAKA ..................................................................................... 2
1. Definisi ............................................................................................................. 2
2. Anatomi Usus .................................................................................................... 2
3. Fisiologi Usus ..................................................................................................... 5
4. Epidemiologi ...................................................................................................... 8
5. Klasifikasi ........................................................................................................... 9
6. Etiologi ............................................................................................................... 9
7. Patogenesis ...................................................................................................... 11
8. Manifestasi Klinis ............................................................................................ 12
9. Diagnosis .......................................................................................................... 13
10. Gambaran Radiologi ........................................................................................ 14
11. Diagnosis Banding ........................................................................................... 16
12. Pemeriksaan Penunjang .................................................................................... 16
13. Komplikasi ....................................................................................................... 16
14. Penatalaksanaan ................................................................................................ 17
15. Prognosis .......................................................................................................... 18
16. Perforasi Ileum ................................................................................................ 18
17. Massa Periappendikular ................................................................................... 28
BAB III LAPORAN KASUS .......................................................................................... 38
A. Identitas Pasien ................................................................................................ 38
B. Autoanamnesis ................................................................................................. 38
C. Pemeriksaan Fisik ............................................................................................. 39

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 D. Pemeriksaan Penunjang .................................................................................... 41
E. Diagnosis .......................................................................................................... 43
F. Rencana Tatalaksana ....................................................................................... 43
G. Laporan Operasi 1 ........................................................................................... 44
H. Diagnosa Post Operasi 1 ................................................................................... 45
I. Laporan Operasi 2 ........................................................................................... 45
J. Diagnosa Post Operasi 2 .................................................................................. 46
K. Tatalaksana Post Operasi .................................................................................. 46
BAB IV PEMBAHASAN ............................................................................................... 47
BAB V KESIMPULAN .................................................................................................. 48
DAFTAR PUSTAKA ...................................................................................................... 49