FISTULA UMBILIKALIS new.ppt

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Endah Dwinata Jisanti 012075477 Bimbi Destiana 012085602 Febrita Putri Perdani 012085656 I Komang JCAP 012085674 KEPANITERAAN KLINIK BAGIAN BEDAH FAKULTAS KEDOKTERAN UNIVERSITAS ISLAM SULTAN AGUNG RSUD KABUPATEN KUDUS 2013
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    28-Oct-2015
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Transcript of FISTULA UMBILIKALIS new.ppt

  • Endah Dwinata Jisanti012075477Bimbi Destiana012085602Febrita Putri Perdani 012085656I Komang JCAP012085674KEPANITERAAN KLINIK BAGIAN BEDAHFAKULTAS KEDOKTERAN UNIVERSITAS ISLAM SULTAN AGUNGRSUD KABUPATEN KUDUS2013

  • Pemeriksaan lab rutin tidak diperlukan untuk menegakkan diagnosis

    Histologi: sisa umbilikalsisa urachus

    Radiography tidak disarankan pada kebanyakkan anak-anak dengan kelainan umbilicus.

    Fistulography atau sinography

  • Fistulography demonstrates free passage of contrastthrough the umbilical nodule into the bowel loops. No contrastopacification of the urinary bladder or contrast spillage into theperitoneum was seen. The features are in keeping with failedvitelline duct obliteration, with umbilical enteric fistula.

  • Diagrammatic illustrations of different malformationsdue to failure of obliteration of the vitelline duct. (a) Meckelsdiverticulum with feeding vessel. (b) Meckels diverticulum attachedto the posterior surface of the anterior abdominal wall by a fibrouscord. (c) Fibrous cord attaching the ileum to the abdominal wall.(d) Umbilical enteric fistula: intestinal mucosa extends to the skinsurface. (e) Vitelline cyst arising in a fibrous cord, the cyst maycontain intestinal or gastric mucosa. (f) Umbilical sinus ending ina fibrous cord attaching to the ileum. (g and h) Vitelline cyst andsinus without intestinal attachments

  • PENATALAKSANAAN