Pencitraan CT Pada Trauma Tumpul Usus dan Mesenterika : Laporan Kasus

Penulis

  • Dewi Masyitoh Khumairoh Fakultas Kedokteran Universitas Muhammadiyah Surabaya
  • Nurwanto Fakultas Kedokteran Universitas Muhammadiyah Surabaya
  • Thantawy Djauhari Rumah Sakit Umum Daerah Dr. Soegiri Lamongan
  • Muslim Andala Putra Departemen Radiologi Fakultas Kedokteran Universitas Muhammadiyah Surabaya
  • Vivi Irma Pratiwi Rumah Sakit Umum Daerah Dr. Soegiri Lamongan
  • Nico Hariono Limanto Rumah Sakit Umum Daerah Dr. Soegiri Lamongan

DOI:

https://doi.org/10.30651/jmu.v1i3.24767

Kata Kunci:

Trauma Tumpul, Trauma Usus dan Mesenterika, Trauma Abdomen, CT Scan

Abstrak

Trauma abdomen merupakan salah satu penyebab kematian ke-3 pada pasien trauma dan dapat terjadi pada sekitar 7-10% dari seluruh kasus trauma. Trauma usus dan mesenterika termasuk kasus cedera yang relatif jarang ditemui, hanya terjadi sekitar 1-5% dari keseluruhan cedera tumpul abdomen, hal ini berkaitan dengan morbiditas dan mortilias yang tinggi. Deteksi diagnosis trauma tumpul usus dan mesenterika dapat dilakukan secara dini sehingga perbaikan kerusakan usus dan mesenterika dapat segera dilakukan untuk mencegah komplikasi lanjutan. Keterlambatan diagnosis yang relatif singkat dalam diagnosis dapat memiliki dampak negatif yang beresiko tinggi bagi pasien, peningkatan resiko komplikasi dan peningkatan mortalitas. CT scan adalah suatu standar emas dari trauma tumpul abdomen karena sensitif dan dapat menyajikan spesifik dan gambaran tidak spesifik terhadap trauma tumpul usus dan mesenterika.

Referensi

Magfirah, S., Sayuti, M. and Syarkawi, M. I. (2023). Manajemen Trauma Abdomen pada Tanggap Darurat Bencana. GALENICAL : Jurnal Kedokteran dan Kesehatan Mahasiswa Malikussaleh, 2(5): 1. doi: 10.29103/jkkmm.v2i5.11165.

Karjosukarso, A. S., Wiargitha, I. K. and Bagus Mahadewa, T. G. (2019). Validitas diagnostik Blunt Abdominal Trauma Scoring System (BATSS) pada trauma tumpul abdomen di RSUP Sanglah Denpasar, Bali. Medicina, 50(2): 377–380. doi: 10.15562/medicina.v50i1.181.

Abri, B. et al. (2016). Blunt abdominal trauma and organ damage and its prognosis. Journal of Analytical Research in Clinical Medicine, 4(4): 228–232. doi: 10.15171/jarcm.2016.038.

Naeem, B. K. et al. (2018). Visceral Injuries in Patients with Blunt and Penetrating Abdominal Trauma Presenting to a Tertiary Care Facility in Karachi, Pakistan. Cureus, 10(11): 1–6. doi: 10.7759/cureus.3604.

Çelik, B. et al. (2024). A case of seatbelt-induced mesenteric injury and delayed colon ischemia after a car accident. Ulusal Travma ve Acil Cerrahi Dergisi, 30(2): 142–145. doi: 10.14744/tjtes.2024.65357.

Basukala, S. et al. (2022). Successful conservative management of a large traumatic mesenteric hematoma: A case report. International Journal of Surgery Case Reports, 93(March), p. 106930. doi: 10.1016/j.ijscr.2022.106930.

Keller, N. et al. (2021). Significant blunt bowel and mesenteric injury – Comparison of two CT scoring systems in a trauma registry cohort. European Journal of Radiology Open, 8(July), p. 100380. doi: 10.1016/j.ejro.2021.100380.

Bonomi, A. M. et al. (2021). Traumatic hollow viscus and mesenteric injury: role of CT and potential diagnostic–therapeutic algorithm. Updates in Surgery, 73(2): 703–710. doi: 10.1007/s13304-020-00929-w.

Scaglione, M. et al. (2004). Blunt trauma to the gastrointestinal tract and mesentery: Is there a role for helical CT in the decision-making process?. European Journal of Radiology, 50(1): 67–73. doi: 10.1016/j.ejrad.2003.11.016.

Magu, S., Agarwal, S. and Gill, R. S. (2012) ‘Multi Detector Computed Tomography in the Diagnosis of Bowel Injury’, Indian Journal of Surgery, 74(6) : 445–450. doi: 10.1007/s12262-011-0405-4.

Hartholt, K. A. and Dekker, J. W. T. (2015) ‘Duodenal perforation as result of blunt abdominal trauma in childhood’, BMJ Case Reports, 2015, pp. 1–3. doi: 10.1136/bcr-2015-213330.

TM, H. and C, E. (2003) ‘Pathophysiology and management of bowel and mesenteric injuries due to blunt trauma’, Trauma Injury, 5(4): 99–214. doi: 10.1191/1460408603ta288ra.

Sjamsuhidajat, D. jong (2010) Buku ajar ilmu bedah. 3rd edn. Jakarta: EGC.

Geoghegan, T. and Brush, B. (2015) ‘The mechanism of intestinal perforation form nonpenetrating abdominal trauma’, Archives of Surgery.

Smyth, L. et al. (2022) ‘WSES guidelines on blunt and penetrating bowel injury: diagnosis, investigations, and treatment’, World Journal of Emergency Surgery, 17(1): 1–15. doi: 10.1186/s13017-022-00418-y.

Polat, A. V. et al. (2014) ‘Künt travma sonrası bağırsak ve mezenter yaralanmalarında çok kesitli bilgisayarlı tomografinin tanısal etkinliği ve tecrübenin önemi’, Ulusal Travma ve Acil Cerrahi Dergisi, 20(6): 417–422. doi: 10.5505/tjtes.2014.52959.

Cinquantini, F. et al. (2017) ‘Educational Review of Predictive Value and Findings of Computed Tomography Scan in Diagnosing Bowel and Mesenteric Injuries After Blunt Trauma: Correlation With Trauma Surgery Findings in 163 Patients’, Canadian Association of Radiologists Journal, 68(3): 276–285. doi: 10.1016/j.carj.2016.07.003.

Brody, J. M. et al. (2000) ‘CT of blunt trauma bowel and mesenteric injury: Typical findings and pitfalls in diagnosis’, Radiographics, 20(6): 1525–1536. doi: 10.1148/radiographics.20.6.g00nv021525.

Firetto, M. C. et al. (2018) ‘Blunt bowel and mesenteric trauma: role of clinical signs along with CT findings in patients’ management’, Emergency Radiology, 25(5): 461–467. doi: 10.1007/s10140-018-1608-9.

Tominaga, G. T. et al. (2016) ‘The American Association for the Surgery of Trauma grading scale for 16 emergency general surgery conditions: Disease-specific criteria characterizing anatomic severity grading’, Journal of Trauma and Acute Care Surgery, 81(3): 593–602. doi: 10.1097/TA.0000000000001127.

Kaewlai, R. et al. (2023) ‘Radiologic Imaging of Traumatic Bowel and Mesenteric Injuries: A Comprehensive Up-to-Date Review’, Korean Journal of Radiology, 24(5): 406–423. doi: 10.3348/kjr.2022.0998.

Dattwyler, M., Bodanapally, U. K. and Shanmuganathan, K. (2018) ‘Blunt Injury of the Bowel and Mesentery’, Current Radiology Reports. Springer US, pp. 1–9. doi: 10.1007/s40134-018-0276-6.

Bernstein, M. P., Mirvis, S. E. and Shanmuganathan, K. (2006) ‘Chance-type fractures of the thoracolumbar spine: Imaging analysis in 53 patients’, American Journal of Roentgenology, 187(4): 859–868. doi: 10.2214/AJR.05.0145.

Alsayali, M. M. et al. (2009) ‘Management of blunt bowel and mesenteric injuries: Experience at the alfred hospital’, European Journal of Trauma and Emergency Surgery, 35(5): 482–488. doi: 10.1007/s00068-009-8078-4.

Morell-Hofert, D. et al. (2020) ‘Validation of the revised 2018 AAST-OIS classification and the CT severity index for prediction of operative management and survival in patients with blunt spleen and liver injuries’, European Radiology, 30(12): 6570–6581. doi: 10.1007/s00330-020-07061-8.

Valentini, V. et al. (2018) ‘Bowel and Mesenteric Injury’, Diagnostic Imaging in Polytrauma Patients, pp. 373–388.

Unduhan

Diterbitkan

2024-12-06