Malrotasi dengan Volvulus Midgut dan Ileus Obstruktif Total pada Bayi Usia 2 bulan
DOI:
https://doi.org/10.55175/cdk.v47i1.14Kata Kunci:
Ileus obstruktif, ladd band, laparatomi eksploratif, malrotasi, volvulus, Explorative laparotomy, obstructive ileus, malrotationAbstrak
Malrotasi usus adalah kelainan bawaan berupa kegagalan perputaran atau rotasi usus terutama usus bagian tengah selama perkembangan embriologik; kelainan ini terjadi pada kehamilan 10 minggu. Malrotasi usus terjadi pada 1:500 kelahiran hidup. Malrotasi bergejala hanya pada 1:6000 kelahiran hidup. Malrotasi dapat disertai volvulus. Pada pasien sudah terjadi ileus obstruktif total yang merupakan komplikasi malrotasi dengan volvulus. Dilakukan laparatomi eksploratif segera, Ladd procedure, pelebaran mesenkim, derotasi volvulus, dan appendektomi insidental. Tumbuh kembang pasien sampai dengan usia 4 bulan terpantau baik.
Intestinal malrotation is a congenital failure of the intestine rotation, especially the middle intestine during embryological development; usually occurs at 10th week of pregnancy. Intestinal malrotation occurs between 1: 500 live births. Malrotation is symptomatic in only 1: 6000 live births. Malrotation can occur with volvulus. This patient had total obstructive ileus as a complication of malrotation with volvulus. Surgery was performed immediately with exploratory laparotomy, Ladd procedure, mesenchym widening, derotation of the volvulus and incidental appendectomy. The growth and development up to the age of 4 months were good.
Unduhan
Referensi
Lee HC, Pickard SS, Sridhar S, Dutta S. Intestinal malrotation and catastrophic volvulus in infancy. J Emerg Med. 2012 ;43(1):49-51.
Ladd WE. Congenital obstruction of the duodenum in children. N Engl J Med. 1932;206:277-80.
Nehra D, Goldstein AM. Intestinal malrotation: Varied clinical presentation from infancy through adulthood. Surgery. 2011;149(3):386-93.
Dilley AV, Pereira J, Shi EC, Adams S, Kern IB, Currie B. The radiologist says malrotation: Does the surgeon operate? Pediatr Surg Internat. 2000;16(1-2):45-9.
El-Gahary Y, Alagtal M, Gillick J. Longterm complication following operative intervention for intestinal malrotation: A 10 years review. Pediatr Surg Internat. 2010;26(2):203-6
Nataraja RM, Mahomed AA. A novel plain abdominal radiograph sign to diagnose malrotation with volvulus. J Radiol Case Rep. 2010;4(5):7-12.
Kouwenberg M, Severijnen RS, Kapusta L. Congenital cardiovascular defects in children with intestinal malrotation. Pediatr Surg Int. 2008;24(3):257-63.
Jurnalis YD, Sayoeti Y, Aslinar. Malrotasi usus. J FK Universitas Andalas, 2012;1(2):98-100
Varetti C, Meucci D, Severi F, Di Maggio G, Bocchi C, Petraglia F, et al. Intrauterine volvulus with malrotation: Prenatal diagnosis. Minerva Pediatr. 2013;65(2):219-23.
Unduhan
Diterbitkan
Cara Mengutip
Terbitan
Bagian
Lisensi
Hak Cipta (c) 2020 Cermin Dunia Kedokteran
Artikel ini berlisensi Creative Commons Attribution-NonCommercial 4.0 International License.
