kuliah pa patologi kolon unila dr resti

7/25/2019 Kuliah Pa Patologi Kolon Unila Dr Resti

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Patologi Kolon RektumPatologi Kolon Rektum

AnusAnus

Dr. Resti Arania Sp.PA


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B, Normal colon histology, showing flat mucosal surface and abundant

vertically oriented crypts.

Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 24 March 2005 0:0! "M#

$ 2005 %lseier


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ANOMALI KONGENITAL

Pada usus kecilAtresia/ stenosisDuplikasiDiverticulum Meckels

Omalokel

Pada usus !esarMalrotasi

Pen"akit #irsc$sprun%


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PenyakitHirschsprung:Congenital Megacolon(Congenital Aganglionic Megacolon)

sebagian usus tanpa ganglion baik

ganglion submukosal Meissners danpleksus myenterik Auerbachs


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Shigella enterocolitis. Segment of colon showing pale, granular, inflamed

mucosa with patches of coagulated exudate.

Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 24 March 2005 0:4 "M#

$ 2005 %lseier


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Shigella enterocolitis. Segment of colon showing pale, granular, inflamed

mucosa with patches of coagulated exudate.


$ 2005 %lseier


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Kolitis dihubungkan denganantibiotik(Kolitis pseudomembranous)

Akut Perlekatan menyerupai plak

causa : C. difficile


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Pseudomembranous colitis from C' difficileinfection."Gross photograph

showing plaques of yellow fibrin and inflammatory debris adherent to a

reddened colonic mucosa. BLow-power micrograph showing superficial

erosion of the mucosa and an adherent pseudomembrane of fibrin, mucus,

and inflammatory debris.


$ 2005 %lseier


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$ 2005 %lseier

Pseudomembranous colitis from C' difficileinfection."Gross photograph showing

plaques of yellow fibrin and inflammatory debris adherent to a reddened colonic mucosa.

BLow-power micrograph showing superficial erosion of the mucosa and an adherent

pseudomembrane of fibrin, mucus, and inflammatory debris.


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Necrotizing Enterocolitisk$ususn"a men"eran% !a"i!aru la$ir

& akut & peradan%an dan nekrosis seluru$ kete!alan dindin% usus


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Necrotizing enterocolitis. A, Postmortem examination in a severe case of NE shows the entire

small bowel is mar!edly distended with a perilously thin wall "usually this implies impending

perforation#. B, $he congested portion of the ileum corresponds to areas of hemorrhagic infarction

and transmural necrosis microscopically. %ubmucosal gas bubbles "pneumatosis intestinalis# can

be seen in several areas "arrows#.

Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 2 March 2005 )0:4* "M#

$ 2005 %lseier


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Necrotizing enterocolitis. A, Postmortem examination in a severe case of NE shows the entire small

bowel is mar!edly distended with a perilously thin wall "usually this implies impending perforation#. B,

$he congested portion of the ileum corresponds to areas of hemorrhagic infarction and transmural

necrosis microscopically. %ubmucosal gas bubbles "pneumatosis intestinalis# can be seen in several

areas "arrows#.Downloaded from: Robbins & Cotran Pathologic Basis of Disease (on 2 March 2005 )0:4* "M#

$ 2005 %lseier


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' Hemoroid

Pelebaran vena di anus danpleksus vena perianal Hemoroid interna : di atas garis

anorektal dan dilapisi mukosarektum Hemoroid eksterna : di bawah

garis anorektal dan dilapisiepitel anus (skuamosa)


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DIVERTIK!"#I#KOLON

' di$ertikulum % kantung

buntu menon&ol ke luar

lumen' dilapisi oleh mukosa

usus dan berhubungan

dengan lumen usus


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"E! "#TR*TI"N

' Hernias

' +dhesi usus

' Intussusception

' $ol$ulus


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T,"R ## KE*I! D+N

## E#+R


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-olip-olipnnon . neoplastikon . neoplastik

Polip hiperplastik

polip inflamatorik


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' +denomas - epitel proliferatif dandisplastik ( ringan- keras )


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' #indrom -oliposis/amilial


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' *olorectal *arcinoma


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#taging 0 1rading

1937 : ukesA!

"

19#$ : Astler and "oller


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APPEN!"# :

Appendisitis AkutAppendisitis akut a$al

Appendisitis supurati% akut

Appendisitis Akut gangrenosa

&umor appendiks

"arsinoidMukokel


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( Infltrat sel radang limosit dan sel plasmapada lamina propria

( (1) metaplasia intestinal, (2) prolierasijaringan limoid


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kuliah pa patologi kolon unila dr resti

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