Diagnosis Miokarditis yang Tertunda Setelah Trauma Tumpul Abdomen: Sebuah Laporan Kasus Langka
Laporan Kasus
DOI:
https://doi.org/10.55175/cdk.v53i06.2015Kata Kunci:
Trauma abdomen, syok kardiogenik, laporan kasus, gangguan fungsi jantung, miokarditisAbstrak
Pendahuluan: Miokarditis merupakan inflamasi miokardium yang dapat menyebabkan gangguan fungsi jantung hingga kematian mendadak. Sebagian besar kasus miokarditis disebabkan oleh infeksi virus, dan sangat jarang dilaporkan sebagai komplikasi pasca-trauma. Kasus: Laki-laki usia 54 tahun mengalami nyeri perut dan muntah setelah trauma tumpul abdomen. Pasien didiagnosis awal
ruptur kolon dan menjalani laparotomi eksplorasi. Meskipun kondisi awal membaik, pasien mengalami perburukan hemodinamik. Hasil elektrokardiografi, biomarker jantung, serta ekokardiografi menunjukkan gambaran miokarditis dengan fraksi ejeksi menurun. Terapi suportif dan farmakologis telah diberikan, namun pasien jatuh pada kondisi syok kardiogenik dan meninggal dunia. Pembahasan: Kasus ini menunjukkan bahwa diagnosis miokarditis dapat sangat tertunda pada pasien dengan presentasi yang atipikal tanpa gejala kardiak yang
jelas. Trauma abdomen yang disertai infeksi sistemik, seperti ruptur kolon, berpotensi menimbulkan inflamasi miokardium sekunder. Klinisi seyogyanya mempertimbangkan miokarditis pada situasi instabilitas hemodinamik pasca-operasi, meskipun tidak ada riwayat penyakit jantung. Simpulan: Kasus ini menyoroti urgensi peningkatan kesadaran diagnosis miokarditis dan akses terhadap fasilitas penunjang.
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Referensi
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