General Peritonitis ec Appendicitis Perforasi
DOI:
https://doi.org/10.29103/jkkmm.v2i6.11167Keywords:
Appendicitis, laparotomi appendectomy, perforasiAbstract
Peritonitis adalah peradangan peritoneum yang merupakan keadaan darurat bedah akut yang mengancam jiwa. Peritonitis umumnya berkembang jika terjadi perforasi atau rupture organ hingga ke dalam rongga perut. Umumnya terjadinya peritonitis karena apendisitis perforasi dengan perkiraan prevalensi sekitar 43,1%. Pasien perempuan 21 tahun datang ke IGD Rumah Sakit Cut Meutia dengan keluhan nyeri perut bagian kanan bawah yang dirasakan terus-menerus sejak 2 hari sebelum masuk rumah sakit, nyeri memberat terutama apabila pasien berjalan dan batuk. Pemeriksaan fisik ditemukan kelainan pada abdomen berupa nyeri tekan dan nyeri lepas titik McBurney, Dunphy sign (+), Obturator sign (+), Psoas sign (+), Rovsing sign (-), dan defans muscular diseluruh lapang abdomen. Pemeriksaan penunjang didapatkan leukositosis (14.35 ribu/uL) dan peningkatan nitrofil segmen (82.63%). Pasien diberikan terapi simptomatis dan dilakukan tindakan pembedahan laparotomi appendectomy.
References
Petroianu A. Diagnosis of acute appendicitis. Int J Surg [Internet]. 2012;10(3):115-9. Available from: http://dx.doi.org/10.1016/j.ijsu.2012.02.006
Kumar D, Garg I et al. Causes of Acute Peritonitis and Its Complication. Vol. 13, Cureus. 2021. p. 1-5.
Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: Modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386(10000):1278-87.
Di Saverio S, Birindelli A, Kelly MD, Catena F, Weber DG, Sartelli M, et al. WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis [Internet]. Vol. 11, World Journal of Emergency Surgery. World Journal of Emergency Surgery; 2016. p. 1-25. Available from: http://dx.doi.org/10.1186/s13017-016-0090-5
Cristie JO, Wibowo AA, Noor MS, Tedjowitono B, Aflanie I, Studi P, et al. Analisis Faktor Risiko Yang Berhubungan Dengan Kejadian Apendisitis Akut [Internet]. Vol. 4, Universitas Lambung Mangkurat. 2021. p. 59-68. Available from: https://scholar.google.co.id/scholar?q=Angka+KEJADIAN+apendisitis+di+Indonesia&hl=en&as_sdt=0&as_vis=1&oi=scholart#d=gs_qabs&t=1662878650058&u=%23p%3DRJ7nAhRZefIJ
Jones, Mark W; Lopez RA et al. Appendicitis. National Library of medicine; 2022.
Rushing A, Bugaev N, Jones C, Como JJ, Fox N, Cripps M, et al. Management of acute appendicitis in adults: A practice management guideline from the Eastern Association for the Surgery of Trauma. Vol. 87, Journal of Trauma and Acute Care Surgery. 2019. p. 214-24.
Volk SW. Intraabdominal Disorder - Peritonitis [Internet]. Small Animal Critical Care Medicine (Second Edition). 2015. p. 643-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7152366/
Enrico P, Okaniawan P, Ayu I, Sri S, Dewi K, Studi P, et al. Diagnosis dan Pendekatan Terapi Pasien Peritonitis. Vol. 2, Ganesa Medicina Journal. 2022. p. 120-8.
Moris D, Paulson EK, Pappas TN. Diagnosis and Management of Acute Appendicitis in Adults: A Review. Vol. 326, Jama. 2021. p. 2299-311.
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