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All Journal Althea Medical Journal Global Medical and Health Communication Universa Medicina JURNAL PENDIDIKAN JASMANI DAN OLAHRAGA Jurnal Ilmu Kedokteran dan Kesehatan Jurnal Medika Malahayati Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Health and Medical Journal Jurnal Ilmiah Kesehatan Jurnal Prima Medika Sains
Gunadi, Julia Windi
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Biochemistry, Genetics & Molecular Biology Dentistry Education Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health

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Anesthetic Management Of Peritonitis And Septic Shock In Colorectal Cancer: A Case Report Rusli, Joseph; Sugiaman, Angela Mulyana; Gunadi, Julia Windi
Jurnal Ilmu Kedokteran dan Kesehatan Vol 12, No 9 (2025): Volume 12 Nomor 9
Publisher : Prodi Kedokteran Fakultas Kedokteran Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/jikk.v12i9.22461

Abstract

A 64-year-old male presented with signs of peritonitis, including severe abdominal pain, distension, and dehydration. Laboratory findings showed elevated inflammatory markers (leukocyte count: 19,500/mm³, C-reactive protein: 25 mg/dL), impaired renal function (serum creatinine: 2.1 mg/dL), and metabolic acidosis (pH: 7.25, lactate: 4.5 mmol/L). Imaging revealed a perforated rectal tumor with extensive peritoneal contamination. Emergency exploratory laparotomy was performed, involving tumor resection, colostomy formation, and peritoneal lavage. Hemodynamic instability due to septic shock was managed with norepinephrine to maintain blood pressure. Dobutamine was used to enhance cardiac output, while nitroglycerin supported coronary perfusion to prevent ischemic complications. Postoperatively, the patient required intensive care, including ventilatory support, fluid resuscitation, and tailored antibiotic therapy. Despite complications such as transient paralytic ileus, the patient was extubated on day five and discharged to the general ward by day ten. This case emphasizes the importance of early diagnosis, prompt surgical intervention, and personalized hemodynamic management in malignant-associated peritonitis. Multidisciplinary collaboration is critical to optimizing outcomes. Limitations of this case include its single-patient design. Further research should focus on advanced diagnostic tools and tailored resuscitation protocols to improve the management of similar cases.
Co-Authors Albert Manggading Hutapea Ardo Sanjaya Arief Budiono Astrid, Stephanie Camillo, Keyshia Valentine Daud, Fari Ananda Decky Gunawan, Decky Diana Krisanti Jasaputra Dominika, Katharina Ellen Fanny Rahardja Fen Tih Gani, Irna Permanasari Ginting, Justin Hadi, Harry Tribowo Hanna Goenawan Hutagalung, Albert Rodney Indah Kusuma Dewi, Indah Kusuma Indahwati, Dwiwahju Dian Indriany, Dini Ishak, Lani Jason, Daniel Jatnika, Danti Dja Kasnadi, Crystallica Luna Kastella, Faysal Kusmawan, Steven Zerin Putra Miguna, Landry Natasia, Caroline Putri Nathania, Kezia Octavallen, Andri Octavia, Chitra Oeij Anindita Adhika Pamungkas, Raden Aprian Surya Putra Pangestuti, Balqist Sriprobo Permadi, Andieni Faqhira Ray, Hamidie Ronald Daniel Rizamena, Melya Ikbar Ronny Lesmana Rosali, Alexandrina Everdine Rudijanto, Yohanes Rumanti, Rizna Tyrani Rusli, Joseph Siringo Ringo, Nalaraty Wahyu Sugiaman, Angela Mulyana Surawijaya, Ade Kurnia Tanuwijaya, Farrell Teresa Lucretia, Teresa Titing Nurhayati Valerie, Rachel Vita Murniati Tarawan Wahyudianigsih, Roro Waty, Wenny Wijayanto, Karen Regina Yumilia, Hoo Zecha, Rosa Nurul