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All Journal Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta
Catur Widayat
Universitas Muhammadiyah Surakarta
Health Professions Public Health

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Laporan Kasus: Perempuan 19 Tahun dengan Anastomosis Colon Relaparotomy Post Ileus Obstruktif Muhammad Afifudin Auliy; Catur Widayat
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 3 (2025): Juli : Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i3.820

Abstract

Anastomotic leaks are one of the most feared complications after bowel surgery, given the potential for devastating consequences. Anastomotic leaks can occur early in the postoperative period and are a major concern for medical personnel, particularly surgeons. A 19-year-old female patient, referred from Bhakti Persada Hospital to the emergency room of Dr. Sayidiman Hospital, Magetan, on July 20, 2024, presented with complaints of vomiting, black stools with blood spots, and epigastric pain radiating to the back. The patient had previously been hospitalized at Bhakti Persada Hospital for 14 days and was diagnosed with obstructive ileus. She subsequently underwent a laparotomy. Postoperatively, the patient's suture site began to discharge a fecal-smelling fluid, indicating a complication of the anastomosis. A relaparotomy was performed to further evaluate the patient's condition. A follow-up examination revealed an anastomotic leak between the jejunum and sigmoid colon. After anastomotic repair, the patient was transferred back to the ward for further care. A few days later, she was discharged home. However, some time after discharge, the patient returned to the emergency room complaining of pain in the surgical wound and a foul-smelling discharge from the wound. The next step was to refer the patient to Dr. Sutomo General Hospital in Surabaya for further treatment, given the complexity of the patient's condition. This incident highlights the importance of being aware of anastomotic complications and prompt treatment to prevent more serious consequences. Complications such as anastomotic leaks require intensive postoperative attention, including careful monitoring for signs of infection or leakage at the suture site. Optimal preventive measures need to be implemented, taking into account both surgical techniques and the preparedness of medical facilities to handle potential complications.
Pengambilan Keputusan Klinis pada Trauma Ginjal Tumpul Derajat IV: Laporan Kasus Dina Salsabila Rahadatul Aisy; Catur Widayat; Faathir Baihaqi Ghifary
Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta 2026: Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta (Gastro
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Trauma ginjal merupakan cedera urogenital yang relatif jarang namun berpotensi menimbulkan komplikasi serius, terutama pada trauma derajat tinggi. Penatalaksanaan trauma ginjal sangat bergantung pada derajat cedera dan kondisi hemodinamik pasien, sehingga pengambilan keputusan klinis memegang peranan penting. Kami melaporkan kasus seorang laki-laki berusia 55 tahun yang mengalami trauma ginjal tumpul akibat kecelakaan sepeda motor, dengan keluhan nyeri pinggang kiri dan hematuria makroskopis. Pemeriksaan laboratorium serial menunjukkan penurunan progresif kadar hemoglobin dan hematokrit. Pemeriksaan tomografi terkomputasi (CT) abdomen dengan kontras memperlihatkan trauma ginjal sinistra derajat IV menurut klasifikasi American Association for the Surgery of Trauma disertai ekstravasasi urin. Meskipun awalnya direncanakan tata laksana konservatif, perburukan kondisi klinis berupa penurunan parameter hematologi yang berkelanjutan menjadi dasar pengambilan keputusan untuk melakukan nefrektomi. Pascaoperasi, pasien menunjukkan perbaikan klinis yang baik dan dipulangkan dalam kondisi stabil. Laporan kasus ini menekankan pentingnya evaluasi klinis dan laboratoris serial dalam menentukan waktu intervensi operatif pada trauma ginjal derajat tinggi.
Co-Authors Dina Salsabila Rahadatul Aisy Faathir Baihaqi Ghifary Muhammad Afifudin Auliy