Obstruksi Intestinal Berulang et causa Jejunal Web (Windsock Deformity)

Revi Rilliani✉
DOI: https://doi.org/10.25077/mka.v46.i5.p870-877.2023

Abstract

Divertikulum intraluminal/ inverted diverticulum (windsock web/ deformity) merupakan suatu kelainan bawaan yang jarang terjadi dan sebagai penyebab obstruksi intestinal, dengan angka kejadian 1 dari 9.000-40.000 kelahiran. Kelainan ini biasanya terjadi pada bagian kedua duodenum dan jarang terjadi di yeyunum. Hingga saat ini, laporan kasus dan literatur tentang windsock deformity yeyunum masih langka. Pada laporan kasus ini dibahas seorang pasien anak perempuan berusia 15 bulan dengan obstruksi intestinal berulang akibat jejunal web. Pada pasien dilakukan dekompresi dengan pipa nasogastrik, diberikan cairan rehidrasi, dan dijadwalkan untuk laparotomi elektif. Dalam perawatan, pasien mengalami ileus obstruksi total sehingga dilakukan laparotomi eksplorasi dengan temuan intraoperatif menunjukkan web dan stenosis ±20 cm dari ligamen Treitz. Dilakukan reseksi dan anastomosis jejunojejunostomy end-to-side. Asupan per oral dimulai pada hari kedua pascaoperasi dan volume ditingkatkan secara bertahap. Pasien mentoleransi asupan oral dengan baik dan dipulangkan setelah 9 hari tanpa komplikasi.

Keywords

Obstruksi intestinal; windsock deformity; jejunal windsock deformity; inverted diverticulum; jejunal web

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