fistula umbilikalis new.ppt

Endah Dwinata Jisanti 012075477Bimbi Destiana 012085602

Febrita Putri Perdani 012085656I Komang JCAP 012085674

KEPANITERAAN KLINIK BAGIAN BEDAHFAKULTAS KEDOKTERAN UNIVERSITAS

ISLAM SULTAN AGUNGRSUD KABUPATEN KUDUS

2013

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 failed

vitelline duct obliteration, with umbilical enteric fistula.

Diagrammatic illustrations of different malformationsdue to failure of obliteration of the vitelline duct. (a) Meckel’sdiverticulum with feeding vessel. (b) Meckel’s 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 skin

surface. (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 and

sinus without intestinal attachments

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