LEMBAR PENGESAHAN

REFERAT

GAMBARAN RADIOLOGI PADA HIRSCHSPRUNG DISEASE

Disusun untuk Memenuhi Syarat Mengikuti Ujian Kepaniteraan Klinik

Departemen Radiologi

Rumah Sakit Umum Pusat Persahabatan

Periode 25 Mei – 27 Juni 2015

Telah disetujui

Tanggal :

.............................................................

Disusun oleh :

Rr. Pramita Ines Parmawati

1410221086

Pembimbing

dr. Maryastuti, Sp.Rad

ii

KATA PENGANTAR

Puji syukur senantiasa penulis panjatkan kehadirat Tuhan YME, berkat karunia-

Nya penulis dapat menyelesaikan pembuatan Referat yang berjudul GAMBARAN

RADIOLOGI PADA HIRSCHSPRUNG DISEASE yang merupakan salah satu syarat

dalam mengikuti ujian kepaniteraan klinik Pendidikan Profesi Dokter Departemen

Radiologi Rumah Sakit Umum Pusat Persahabatan Periode 25 Mei – 27 Juni 2015.

Dalam menyelesaikan Referat ini penulis mengucapkan rasa terima kasih kepada

dr. Maryastuti, Sp.Rad sebagai dokter pembimbing. Penulis menyadari bahwa dalam

penyusunan Referat ini banyak terdapat kekurangan dan juga masih jauh dari

kesempurnaan, sehingga penulis mengharap kritik dan saran dari pembaca.

Semoga Referat ini dapat bermanfaat bagi teman-teman pada khususnya dan

semua pihak yang berkepentingan bagi pengembangan ilmu kedokteran pada umumnya.

Amin.

Jakarta, Juni 2015

Penulis

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DAFTAR ISI

Halaman

LEMBAR JUDUL.............................................................................................................

.............................................................................................................................................i

LEMBAR PENGESAHAN...............................................................................................

.............................................................................................................................................ii

KATA PENGANTAR.......................................................................................................

.............................................................................................................................................iii

DAFTAR ISI......................................................................................................................

.............................................................................................................................................iv

BAB I. PENDAHULUAN

I.1. Latar Belakang..............................................................................................................

.............................................................................................................................................1

BAB II. TINJAUAN PUSTAKA

II.1. Definisi.........................................................................................................................

.............................................................................................................................................2

II.2. Epidemiologi................................................................................................................

.............................................................................................................................................2

II.3. Etiologi.........................................................................................................................

.............................................................................................................................................3

II.4. Klasifikasi....................................................................................................................

.............................................................................................................................................4

II.5. Anatomi dan Fisiologi Usus Besar..............................................................................

.............................................................................................................................................5

II.6. Patofisiologi.................................................................................................................

.............................................................................................................................................8

II.7. Diagnosis......................................................................................................................

.............................................................................................................................................9

II.7.1. Anamnesis.................................................................................................................

.............................................................................................................................................12

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II.7.2 Gejala Klinik..............................................................................................................

.............................................................................................................................................10

II.7.3. Pemeriksaan Penunjang............................................................................................

.............................................................................................................................................11

A. Pemeriksaan Radiologi...................................................................................................................................................................................................................11

B. Anorectal Manometry......................................................................................................................................................................................................................21

C. Biopsy Rectal...................................................................................................................................................................................................................................21

II.8. Diagnosis Banding.......................................................................................................

.............................................................................................................................................23

II.9. Penatalaksanaan...........................................................................................................

.............................................................................................................................................24

II.9.1 Tindakan Bedah.........................................................................................................

.............................................................................................................................................25

II.10. Komplikasi.................................................................................................................

.............................................................................................................................................25

II.11. Penatalaksanaan.........................................................................................................

.............................................................................................................................................26

BAB III. KESIMPULAN..................................................................................................

.............................................................................................................................................27

DAFTAR PUSTAKA........................................................................................................

.............................................................................................................................................28

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