Batu Empedu PDF
Batu Empedu PDF
IMAGING Non-invasive
• Radiography / FPA
• Oral cholecystography
• Radionuclide imaging
Invasive • Ultrasound
• ERC(P) • Computed Tomography
• Operative Cholangiography • Magnetic Resonance
• T-tube cholangiography Imaging (MRI – MRCP)
• PTC
Foto polos abdomen /
FPA
Plain radiograph
abdomen
ORAL CYSTOGRAPHY
Ultrasonography
CT-Scan
Acute cholecystitis
CAT-Scan / CT-Scan
MRCP = MAGNETIC RESONANCE
CHOLANGIOPANCREATOGRAPHY
Insisi abdomen 12 – 20 cm
Lama perawatan 4 – 7 hari Morbiditas : 2 – 8 %
Penyembuhan 4 – 6 minggu Mortalitas < 2 %
Indications for Cholecystectomy
Acute cholecystitis
Chronic cholecystitis
Asymptomatic stones in a patient w/ sickle cell disease
Asymptomatic gallstones larger than 2 cm
Nonfunctioning gallbladder
Calcified gallbladder
Blackpigment gallstones
Gambaran klinis
Batu empedu
Distensi
Edema
Kholesistitis akut Inflamasi
Perforasi
Peritonitis
Gambaran Klinis
Pendahuluan
• Antibiotik : Gram negatif
• Puasakan
aerob dan an-aerob
• Infus
• Analgetik
• Pipa lambung
PENANGANAN
MRI/MRCP
ERCP
PTC
PENANGANAN
ERC
PTC
PENANGANAN