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
PENATALAKSANAAN
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