Laporan Kasus: Seorang Anak Laki-Laki 6 Tahun 9 Bulan dengan Appendicitis

Authors

  • Lucia Mavikasari Universitas Muhammadiyah Surakarta

DOI:

https://doi.org/10.62383/vimed.v3i1.2592

Keywords:

Acute Abdominal Pain, Appendectomy, Appendicitis, Child, USG

Abstract

Appendicitis is one of the most common causes of acute abdominal pain in children and is considered a surgical emergency requiring immediate diagnosis and management to prevent serious complications. Diagnosing appendicitis in children is often challenging because the symptoms are non-specific, and the child's ability to articulate complaints is limited. This case report discusses a 6-year-and-9-month-old boy who presented with a chief complaint of lower right abdominal pain accompanied by nausea, vomiting, and fever. Based on the results of the anamnesis, physical examination, and supporting investigations in the form of laboratory tests and abdominal ultrasound (USG), a diagnosis of acute appendicitis was established. The patient then underwent an appendectomy with good recovery and no complications. This case emphasizes the importance of comprehensive clinical evaluation and the use of non-invasive supporting examinations such as ultrasound in establishing the diagnosis of appendicitis in children. It highlights the critical role of timely diagnosis and intervention, which can lead to favorable outcomes and prevent the risk of perforation or other serious complications. Early recognition and appropriate surgical decision-making are key to improving patient prognosis.

References

Aldayani, F., Juneva, A., Herlina, H., Matasik, M., & Jeni, R. (2024). Analisis tantangan dan peluang pendidikan agama Kristen bagi generasi Alpha. Relinesia: Jurnal Kajian Agama dan Multikulturalisme Indonesia, 3(4), 393-406. https://doi.org/10.572349/relinesia.v3i4.2239

Anharuddin, M., Miftahurrahman, M., & Harahap, H. (2024). Gambaran karakteristik pasien bedah anak dengan apendisitis di RSUD Raden Mattaher Jambi. JOMS, 4(1).

Baykara, A. S., et al. (2023). Acute appendicitis in children: Evaluation of the diagnostic efficacy of ultrasonography and computed tomography. Pediatric Radiology Journal, 53(4), 487-495. https://doi.org/10.7759/cureus.43860

Cruz, H. H. D., & Mayasari, D. (2022). Aspek klinis dan tatalaksana apendisitis akut. JK Unila, 6(2). https://doi.org/10.23960/jkunila.v6i2.pp79-83

Fitrah, Y. S., Purnamasari, R. J., Jafar, M. A., Gani, A. B., & Hasbi, B. E. (2023). Literature review: Akurasi penegakan diagnosis apendisitis akut pada anak menggunakan sistem skoring PAS. INNOVATIVE: Journal of Social Science Research, 3(6).

Gadiparthi, R., & Waseem, M. (2023, July 3). Apendisitis pediatrik. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441864/

Kaplan, C., Vaid, R., & Secko, M. (2025). Identification of pediatric retrocecal appendicitis using point of care ultrasound (POCUS): A case series. Journal of Pediatric Emergency Medicine, 12(1), 45-53. https://doi.org/10.24908/pocusj.v10i01.17744

Krzyzak, M., & Mulrooney, S. M. (2020). Acute appendicitis review: Background, epidemiology, diagnosis, and treatment. Cureus, 12(6), e8562. https://doi.org/10.7759/cureus.8562

Lotfollahzadeh, S., Lopez, R. A., & Deppen, J. G. (2024, February 12). Radang usus buntu. In StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493193/

Marcinkevičs, R., Wolfertstetter, P. R., Klimiene, U., Chin Cheong, K., Paschke, A., Zerres, J., … & Wellmann, S. (2023). Interpretable and intervenable ultrasonography based machine learning models for pediatric appendicitis. arXiv preprint arXiv:2302.14460. https://doi.org/10.1016/j.media.2023.103042

Martin, R. F. (2021). Acute appendicitis in adults: Clinical manifestations and differential diagnosis. Uptodate.

Okeke, R. N., et al. (2022). Infantile appendicitis: Importance of diagnostic accuracy in young children. Journal of Pediatric Surgery Case Reports, 82, 102-108.

Pratama, Y. (2022). Aspek klinis dan tatalaksana apendisitis akut pada anak. Jurnal Kedokteran Nanggroe Medika, 5(2). https://doi.org/10.30596/jih.v2i4.11864

Sagala, W. T., & Naziyah. (2023). Analisis intervensi keperawatan sebagai penggunaan cemicetine zalf sebagai primary dressing pada fase proliferasi luka pada pasien Nn. D dan Ny. F dengan diagnosis medis post op apendisitis di RS UKI. Jurnal Malahayati, 6(4). https://doi.org/10.33024/jkpm.v6i4.8894

Sela, G. M., Lampus, G. F., & Rawung, R. B. F. (2025). Perbandingan sistem penilaian Pediatric Appendicitis Score dan Alvarado Score dalam memprediksi kasus apendisitis pada anak. Medical Scope Journal, 7(2). https://doi.org/10.35790/msj.v7i2.61268

Wendari, A., Kusumajaya, H., & Faizal, M. (2025). Faktor-faktor yang berhubungan dengan kejadian penyakit apendisitis di Rumah Sakit Bakti Timah Pangkalpinang tahun 2023. Jurnal Kesehatan Tambusai, 6(1). https://doi.org/10.31004/jkt.v6i1.39859

Downloads

Published

2025-11-26

How to Cite

Lucia Mavikasari. (2025). Laporan Kasus: Seorang Anak Laki-Laki 6 Tahun 9 Bulan dengan Appendicitis. Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran, 3(1), 69–78. https://doi.org/10.62383/vimed.v3i1.2592