INTISARI

PROSEDUR PEMERIKSAAN APPENDIKOGRAFI PADA KASUS APPENDISITIS KRONIS DI INSTALASI

RADIOLOGI RUMAH SAKIT UMUM DAERAH dr. R. GOETENG TAROENADIBRATA PURBALINGGA

Risqa Rose Shanti1), Kholik Al Amin2)

Prosedur pemeriksaan appendikografi pada kasus appendisitis kronis dilaksanakan

tanpa persiapan. Pengambilan radiograf secara bertahap mulai 9 jam, 12 jam, 24 jam, sampai
48 jam setelah pemasukan media kontras dengan proyeksi AP, PA, LPO, RAO, dan RPO.
Prosedur pemeriksaan appendikografi pada kasus appendisitis kronis di Instalasi Radiologi
RSUD dr. R. Goeteng Taroenadibrata Purbalingga, sebelum pasien minum media kontras
dilakukan pengambilan foto polos abdomen dan pengambilan radiograf dilaksanakan 24 jam
setelah pemasukan media kontras dengan proyeksi AP dan RAO. Penelitian ini bertujuan untuk
mengetahui prosedur pemeriksaan appendikografi pada kasus appendisitis kronis, alasan
pengambilan radiograf dilaksanakan 24 jam setelah pemasukan media kontras, serta alasan
hanya digunakan proyeksi AP dan RAO.
Jenis Penelitian ini adalah penelitian kualitatif dengan pendekatan studi kasus. Metode
pengumpulan data yang digunakan adalah observasi, wawancara mendalam, dan dokumentasi.
Responden terdiri dari radiolog, radiografer, dokter pengirim, dan pasien. Pengambilan data
dilakukan pada bulan April sampai Mei 2017. Pengolahan dan analisis data menggunakan
analisis interaktif dengan system koding terbuka disajikan dalam bentuk kuotasi, sehingga
dapat diambil kesimpulan dan saran.

Hasil penelitian menunjukan bahwa prosedur pemeriksaan appendikografi yaitu sebelum

pasien minum media kontras dilakukan pengambilan foto polos abdomen, kemudian
pengambilan radiograf dilaksanakan 24 jam setelah pemasukan media kontras. Proyeksi yang
digunakan yaitu foto proyeksi AP dan foto proyeksi RAO. Alasan pengambilan radiograf
dilaksanakan 24 jam setelah pemasukan media kontras yaitu dengan waktu tersebut
diharapkan media kontras sudah sampai di appendik dan daerah sekum. Kemudian alasan
hanya digunakan proyeksi AP dan RAO karena sudah dapat menvisualisasi appendik.

Kata Kunci : appendikografi, appendisitis, RSUD dr. R. Goeteng Taroenadibrata

Purbalingga
 ABSTRACT

PROCEDURES OF APPENDICOGRAPHICAL EXAMINATION ON CHRONIC CENTER

APPENDISITIES IN RADIOLOGICAL INSTALLATION OF DR. R. GOETENG
TAROENADIBRATA HOSPITAL PURBALINGGA

Risqa Rose Shanti1), Kholik Al Amin2)

The procedure of appendicographic examination in cases of chronic appendicitis is carried out

without preparation. Making radiographs gradually started 9 hours, 12 hours, 24 hours, and 48
hours after infusion of contrast media with the AP projection, PA, LPO, RAO, and RPO.
Appendicography examination in the case of chronic appendicitis in Radiology dr. R. Goeteng
Taroenadibrata Purbalingga, before the patient took contrast medium was taken abdominal plain
photo taking and the radiograph taking was done 24 hours after contrast media infusion with AP
and RAO projection. This study aims to determine the appendicography examination in the case
of chronic appendicitis, the reason for taking a radiograph performed 24 hours after infusion of
contrast media, and the only reason to use the AP and RAO projection.

This type of study is a qualitative research with case study method. The data collection was used
observation, in-depth interviews, and documentation. Respondents consisted of radiologists,
radiographers, dispensing doctors, and patients. Data collection is done from April to May 2017.
Processing and analysis of data using interactive analysis with open coding system presented in
the form of quotation, so that can be taken conclusion and suggestion.

The results of this study were that the appendicographic examination before the patient took
contrast medium was taken abdominal plain photo taking, then the radiograph was taken 24
hours after contrast media entry. The projection used is the AP projection image and the RAO
projection photo. The reason for taking the radiograph is done 24 hours after the contrast media
inclusion is with the time it is expected that the contrast media has reached the appendix and the
cecum area. Then the reason is only used AP and RAO projections because it can already
visualize on appendix.

Key Word : appendicography, appendicitis, RSUD dr. R. Goeteng Taroenadibrata

Purbalingga