Small Bowel Obstruction:

What to Look For

Venia endah tamara
406172065
RSUD K.R.M.T WONGSONEGORO SEMARANG
FAKULTAS KEDOKTERAN UNIVERSITAS TARUMANAGARA

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Introduction

 SBO sering didiagnosis terlambat atau salah didiagnosis  morbiditas

dan mortalitas yang signifikan.

 pencitraan abdomen membantu keputusan terapeutik ahli bedah dalam

kasus SBO. Apakah usus kecil terhambat? Seberapa parah obstruksi, di
mana letaknya, dan apa lokasinya sebab? Apakah ada pencekikan?

Namun, radiografi bersifat diagnostik hanya dalam 50% –60%

kasus dan memiliki sensitivitas tinggi

 CT scan standar sebagai modalitas pencitraan unggulan untuk pra operas

i
evaluasi SB  sensitivitas 90% -96%, spesifisitas 96%, dan akurasi 95%
Findings at plain abdominal radiography
 tanda-tanda SBO letak tinggi dan letak rendah  adanya distensi usus
kecil, dengan loop dilatasi maksimal rata-rata 36 mm, air-fluid level dengan
lebar > 2,5 cm dan tinggi >2 cm
Findings at Sonography

 terbatas pada operator dan tidak dapat mengevaluasi struktur yg menga

ndung gas.

 temuan  lumen terisi cairan dan melebar >3 cm, panjang segmen >10
cm, gerakan peristaltik meningkat
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