Abdomen 3 posisi

Pembimbing : dr. Pherena Amalia Sp.Rad.

Nama : Citra Pratiwi
Nim
: 1061050017
Kepaniteraan radiologi fk uki.periode 3 oktober 5 November
2016

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Definisi
Pemeriksaan foto abdomen tanpa bahan kontras yang di
lakukan dengan 3 posisi :
1. posisi terlentang ( proyeksi AP)
2. posisi berdiri/duduk (proyeksi AP)
3. posisi tidur miring ke kiri ( Left Lateral Decubitus )
proyeksi AP

rasad,sjahriar . Radiologi Diagnostik fk ui

Posisi terlentang (supine )

Proyeksi sinar antero posterior

Sentrasi sinar : titik garis tengah mid sagittal setinggi crista illiaca

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Posisi berdiri

Berdiri.

Proyeksi antero-posterior

Guna : melihat udara bebas di sudiafragma & untuk melihat

ketinggian air fluid level.
Sentrasi : titik garis tengah mid sagittal setinggi crista illiaca

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Lateral decubitus

Sinar horizontal, proyeksi AP

Guna : melihat adanya udara bebas intraperitonium dan melihat

airflud level

Sentrasi : tegak lurus dengan film di arahkan ke titik tengah mid

sagitalis setinggi crista illiaca

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Indikasi foto abdomen 3 posisi

foto rutin / general check up
Akut abdomen :
Peradangan / trauma organ intra abdomen
Perforasi
Pendarahan intra abdomen
Illeus obstruktif/ paralitik
dll

mirna, kumpulan kasus ekspertise radiologi. mediaDika: 200

Illeus

a.

Keadaan penderita mengalami gangguan pasase / jalannya

makanan dalam usus .

Illeus mekanik / obstruktif,

Penyebab : hernia incarserata

Gejala klinis : flatus (-), defekasi (-), perut kembung , sakit perut
yang intermitten ( waktu hiperperistaltik

non hernia incarserata ( penyempitan lumen

usus, adhesi , trauma post laparotomy )

mirna, kumpulan kasus ekspertise radiologi. mediaDika: 200

Illeus paralitik

Gejala: ku lemah, flatus (-), defekasi (-), muntah, perut kembung

Peritoneal irritation : post laparatomi

Penyebab :

Trauma abdomen

Gangguan metabolic ( elektrolit- hypokalemia, shock, uremia,

dm )

mirna, kumpulan kasus ekspertise radiologi. mediaDika: 200

Perforasi

Bocornya suatu organ . Akibatnya rongga peritoneum dapat terisi

( darah, pus, urine, cairan )

Patogenesis :

Udara ekstraluminal dalam cavum peritoneal merupakan

keaadaan abnormal = pneumoperitoneum.

mirna, kumpulan kasus ekspertise radiologi. mediaDika: 200

Approach to Abdominal X-Ray of 14 July 2010 by Dr N Am

Kasus

http://www.radiologymasterclass.co.uk/

Supine view of the abdomen in a patient with intestinal obstruction. Dilated loops of
small bowel are visible (arrows).
http://www.aafp.org/afp/2011/0115/p159.html

Lateral decubitus view of the abdomen, showing air-fluid levels consistent with
intestinal obstruction (arrows).
http://www.aafp.org/afp/2011/0115/p159.html

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