APPENDICITIS ACUTE : CASE REPORT
DOI:
https://doi.org/10.31004/prepotif.v9i3.53520Keywords:
Apendisitis Akut, NyeriAbstract
Seorang laki - laki berusia 18 tahun datang ke rumah sakit dengan keluhan nyeri perut kananbawah, nyeri dirasakan sejak 3 hari terakhir sebelum masuk rumah sakit, nyeri dirasakan hilang timbuldisertai adanya nyeri ulu hati. Demam tidak ada riwayat demam ada sejak 3 hari terakhir, mual ada, muntah ada frekuensi 4x, nyeri kepala ada, batuk tidak ada, flu tidak ada, nafsu makan menurun, buang air besarkesan encer frekuensi 2x sehari, buang air kecil kesan normal. Pemeriksaan lokalis regio abdomeninspeksi cembung, ikut gerak nafas. Auskultasi peristaltik ada kesan meningkat. Palpasi Mc Burney sign ada, rovsing sign tidak ada, psoas sign ada, dunphy sign ada, perkusi timpani. Kemudian dilakukanpemeriksaan alvarado score didapatkan Migration of pain (1), Anorexia (1), Nausea (1), Tenderness inright lowe quadrant (2), Rebound pain (1) Elevated temparature (0), leucocytosis (2), Shift of blood cell count to the left (0) sehingga didapatkan skor 8References
Adhar, A., Lusia, S., & Andi, P. (2017). Faktor risiko kejadian apendisitis dibagian rawat inap Rumah Sakit Umum Anutapura Palu. Jurnal Preventif, 8, 1–58.
Aditya, F., & Satria, M. (2024). Apendisitis akut pada pasien dewasa: Ulasan singkat. Medula, 14.
Becker, P., Fichtner-Feigl, S., & Schilling, D. (2018). Clinical management of appendicitis. Visceral Medicine, 34(6), 453–458.
Calis, H. (2018). Morbiditas dan mortalitas pada apendisitis pada lansia. Journal of the College of Physicians and Surgeons Pakistan, 28(11), 875–878.
Di Saverio, S., Podda, M., De Simone, B., Ceresoli, M., Augustin, G., Gori, A., Boermeester, M., Sartelli, M., Coccolini, F., Tarasconi, A., De’ Angelis, N., Weber, D. G., Tolonen, M., Birindelli, A., Biffl, W., Moore, E. E., Kelly, M., Soreide, K., Kashuk, J., … Catena, F. (2020). Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines. World Journal of Emergency Surgery, 15(1). https://doi.org/10.1186/s13017-020-00306-3
Hamilton, A. L., Kamm, M. A., Ng, S. C., & Morrison, M. (2018). Proteus spp. sebagai patogen gastrointestinal yang diduga. Clinical Microbiology Reviews, 31(3).
Hwang, M. E. (2018). Sonografi dan tomografi terkomputasi dalam diagnosis apendisitis akut. Radiologic Technology, 89(3), 224–237.
Jiang, J., Wu, Y., Tang, Y., Shen, Z., Chen, G., Huang, Y., Zheng, S., Zheng, Y., & Dong, R. (2019). A novel nomogram for the differential diagnosis between advanced and early appendicitis in pediatric patients. Biomarkers in Medicine, 13(14), 1157–1173.
Jones, M. W., Lopez, R. A., & Deppen, J. G. (2023). Appendicitis. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK493193/
Keller, C. A., Dudley, R. M., Huycke, E. E., Chow, R. B., & Ali, A. (2022). Apendisitis stump. Radiology Case Reports, 17(7), 2534–2536.
Moris, D., Paulson, E. K., & Pappas, T. N. (2021). Diagnosis and management of acute appendicitis in adults: A review. JAMA, 326(22), 2299–2311.
Snyder, M. J., Guthrie, M., & Cagle, S. (2018). Acute appendicitis: Efficient diagnosis and management. American Family Physician, 98(1), 25–33.
Stringer, M. D. (2017). Apendisitis akut. Journal of Paediatrics and Child Health, 53(11), 1071–1076.
Téoule, P., Laffolie, J., Rolle, U., & Reissfelder, C. (2020). Apendisitis akut pada anak dan dewasa. Deutsches Ärzteblatt International, 117(45), 764–774.
Ucar Karabulut, K., Erinanc, H., Yonar, A., Kisinma, A., & Ucar, Y. (2022). Korelasi diagnosis histologis dan temuan laboratorium dalam membedakan apendisitis akut dan hiperplasia limfoid. Annals of Surgical Treatment and Research, 103(5), 306–311.
Withers, A. S., Grieve, A., & Loveland, J. A. (2019). Correlation of white cell count and CRP in acute appendicitis in paediatric patients. South African Journal of Surgery, 57(4), 40.
Yalamanchili, N., Mortala, V. R., Medasani, R., & Gade, R. K. (2021). Study of modified Alvarado score and ultrasound imaging with post-operative histopathology in diagnosis of acute appendicitis. International Journal of Surgery Science, 5(4), 91–96.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Muhammad Rifky Mulya Abadi, Azis Beru Gani, Sarinah Mandella Rumlawan

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work’s authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal’s published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).







