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All Journal Semantik : Jurnal Ilmiah Program Studi Pendidikan Bahasa dan Sastra Indonesia Ayumi : Jurnal Budaya, Bahasa, dan Sastra Bioscientia Medicina : Journal of Biomedicine and Translational Research Parole (Jurnal Pendidikan Bahasa dan Sastra Indonesia) Specta Journal of Technology These proceedings represent the work of researchers participating in The International Conference on Elementary Education (ICEE) which is being hosted by the Elementary Education Study Programme School of Postgraduate Studies, Universitas Pendidikan Bioscientia Medicina : Journal of Biomedicine and Translational Research Matriks Teknik Sipil Al-Zayn: Jurnal Ilmu Sosial & Hukum Jurnal Aksara Raga JPM (Jurnal Pengabdian Masyarakat) Ruwa Jurai
Aditya Permana Aditya Permana
Telkom University
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Perioperative Anesthesia Challenges in a Neonate with Concurrent Intussusception and Abdominal Compartment Syndrome: A Rare Clinical Scenario Pratama Nanda; Dino Irawan; Aditya Permana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 10 No. 6 (2026): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v10i6.1612

Abstract

Background: Intussusception and abdominal compartment syndrome (ACS) are severe surgical emergencies in pediatric populations, particularly in neonates. The concurrent presentation of both conditions is exceptionally rare and presents formidable perioperative anesthetic challenges. Case presentation: We report the case of a 2-month-old male neonate weighing 6.9 kg who presented with a 4-day history of bloody stools and bilious vomiting following blunt abdominal trauma inflicted by a 12 kg sibling. Clinical examination and imaging confirmed concurrent intussusception with abdominal compartment syndrome. The patient presented with significant hematologic derangements including severe leukopenia (WBC 1,180/μL), anemia (hemoglobin 9.2 g/dL), thrombocytosis, coagulopathy (INR 1.88), and electrolyte abnormalities. Emergency rapid sequence induction anesthesia was employed with careful fluid management utilizing the Holliday-Segar formula to prevent exacerbation of compartment pressures. A successful exploratory laparotomy with resection of necrotic small bowel segments was performed. Conclusion: The case demonstrates the critical importance of comprehensive preoperative assessment, meticulous fluid management strategies, and multidisciplinary collaboration in managing complex neonatal surgical emergencies. This rare clinical scenario highlights unique anesthetic considerations and provides valuable insights into perioperative management of ACS in the neonatal population.
Co-Authors Ahmad Zazili Ali Budiman Andrew Wicaksono Ary Setyawan Aryan Danil Mirza. BR Azizah Debi Safitri Cacu Zaenudin Dino Irawan Djumari Djumari Dora Mustika Elsa Karlina Elsa Nova Rahmawati Elvia Rahma Nisa Endrawati, Budiani Fitria Ethel Deborah Lewerissa Faiq Adhwa Hasanuddin Febria Friskawati, Gita Ghea Setyarini Hadyansah , Diky Harfa Alifio Dito Ananta Heru Sulistiadinata I Gusti Ayu Agung Elis Indira Ira Anggraeni Kurnia, Dedi Laula Khairun Nisa Nadya Nurul Fitriani Nenny Dwi Ariani Neny Desriani Ni Made Dwi Puspawati Ni Putu Wina Widyastuti Nita Nuraeni Nyoman Suryawati Pratama Nanda Pratikno, Faishal Arham Putri Ayu Cempaka R Mekar Ismayani Rahman Revy Cahya Gustina Rifqi Priyana Rizki Fuji Handika Rizki Maludin Sary Sukawati Sepriyadi Adhan S Suci Rahmani Supriady, Andy Tesa Apriani Trisari Schiff, Nancy Wikanengsih Wikanengsih