Ruptur Perineum Grade 3A Post Trauma: Laporan Kasus

https://doi.org/10.35912/jimi.v2i1.742
Published: Sep 13, 2022

Abstract:

Purpose: This study aimed to summarize the general history, physical findings, and treatment of a patient with traumatic perineal tears grade 3A.

Research Methodology: A case report from Obstetrics and Gynecology RSUD Abdoel Moeloek Lampung. The subject of this study is a 9-year-old girl, hospitalized in the hospital ward with traumatic perineal tears grade 3A.

Result: A 9-year-old girl complaints of vaginal bleeding after an accident 4 hours before hospitalization. On physical examination, in perineum region found vulnus laceratum regio perineum size 4 x 1 cm to external anal sphincter <50%, hymen rupture (+), bleeding and blood clot (+), rectal touch revealed anal sphincter tone (+) decreased, laceration of anal sphincter <50%. The patient was clinically diagnosed with “Traumatic Perineal Tears Grade 3A”. Definitive management is operative to repair lacerations under general anesthesia.

Limitations: This case is limited to traumatic perineal tears grade 3A cases which is a rare case in children.

Contribution: This article can be helpful in medical education or as a reference in making relevant case reports.

Keywords:
1. Traumatic Perineal Tears Grade 3A
2. Pediatrics
3. Operative
4. General Anesthesia
Authors:
1 . Rahma Hardiyanti
2 . Nurul Islamy
3 . Marzuqi Sayuti
View PDF
How to Cite
Hardiyanti, R. ., Islamy, N. ., & Sayuti, M. . (2022). Ruptur Perineum Grade 3A Post Trauma: Laporan Kasus . Jurnal Ilmu Medis Indonesia, 2(1), 11–24. https://doi.org/10.35912/jimi.v2i1.742
Download Citation
  1. Endnote/Zotero/Mendeley (RIS)
  2. BibTeX

Downloads

Download data is not yet available.
Issue & Section
Vol. 2 No. 1 (2022): September
Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

References

    Angela, R. (2014). Principles of wound management in paediatric patients. Wounds UK A division of Schofield Healthcare.

    Cunningham, F. (2012). Obstetri Williams. EGC.

    Dorland, W. A., & Newman. (2012). Kamus Kedokteran Dorland. Buku Kedokteran EGC.

    Fan, S. M., Grigorian, A., Chaudhry, H. H., Allen, A., Sun, B., Jasperse, N., Albertson, S., & Nahmias, J. (2020). Female pediatric and adolescent genitalia trauma: a retrospective analysis of the National Trauma Data Bank. Pediatric Surgery International, 36(10), 1235–1241. https://doi.org/10.1007/s00383-020-04736-7

    Godosis, D., Kaselas, C., Demiri, C., Anastasiadis, K., Tsiaprazi, T., & Spyridakis, I. (2019). Traumatic perineal injury in a 13-year-old female: Case report and review of the literature. Pediatric Reports, 11(2), 35–37. https://doi.org/10.4081/pr.2019.7993

    Goh, R., Goh, D., & Ellepola, H. (2018). Perineal tears - A review. Aust J Gen Pract, 47(1–2), 35–38.

    Hashish, A. (2011). Perineal truma in children?: a standardized management approach. Annals of Pediatric Surgery, 7(2), 1687–4137.

    Hinata, N., Hieda, K., Sasaki, H., Kurokawa, T., Miyake, H., Fujisawa, M., Murakami, G., & Fujimiya, M. (2014). Nerves and fasciae in and around the paracolpium or paravaginal tissue: An immunohistochemical study using elderly donated cadavers. Anatomy and Cell Biology, 47(1), 44–54. https://doi.org/10.5115/acb.2014.47.1.44

    Jones, J. G., & Worthington, T. (2008). Genital and Anal Injuries Requiring Surgical Repair in Females Less Than 21 Years of Age. Journal of Pediatric and Adolescent Gynecology, 21(4), 207–211. https://doi.org/10.1016/j.jpag.2007.10.010

    Kraima, A. C., West, N. P., Treanor, D., Magee, D., Roberts, N., van de Velde, C. J. H., DeRuiter, M. C., Quirke, P., & Rutten, H. J. T. (2016). The anatomy of the perineal body in relation to abdominoperineal excision for low rectal cancer. Colorectal Disease, 18(7), 688–695. https://doi.org/10.1111/codi.13138

    Meister, M., Rosenbloom, J., Lowder, J., & Cahill, A. (2018). Techniques for Repair of Obstetric Anal Sphincter Injuries. Obstet Gynecol Surv, 73(1), 33–39.

    Moore, K. L., Dalley, A. F., & Agur, A. M. . (2014). Clinically Oriented Anatomy. 7th ed. Lippincott Williams & Wilkins.

    Mwesigwa, D., Wahid, K. A., & Sohheng, N. (2021). A case study on the quality of healthcare in Uganda: Examining the effectiveness, safety, patient-centred and timeliness of district healthcare facilities. Journal of Governance and Accountability Studies, 1(2), 133–144. https://doi.org/10.35912/jgas.v1i2.741

    Nugraheny, E., & Heriyat, H. (2017). Faktor–Faktor Yang Mempengaruhi Terjadinya Rupture Perineum Pada Ibu Bersalin Normal. Jurnal Ilmu Kebidanan, 4(1), 9–16.

    Pandit, B. (2018). Management of Third and Fourth-degree Perineal Tears. Smart Obstetrics and Gynecology Handbook, 29, 101–101. https://doi.org/10.5005/jp/books/13082_12

    Pemiliana, P. D., Sarumpaet, I. H., & Ziliwu, S. (2019). Faktor - Faktor Yang Berhubungan Dengan Ruptur Perineum Pada Persalinan Normal di Klinik Niar Medan. Jurnal Kesehatan, 2(2), 170–182. http://jurnal.fkmumi.ac.id/index.php/woh/article/view/woh2209

    Pradana, Y. (2022). Implementasi Prinsip “Kepentingan Terbaik bagi Anak” dalam proses persidangan Anak secara elektronik pada masa pandemi di Kota Jakarta Barat. Jurnal Ilmiah Hukum dan Hak Asasi Manusia, 1(2), 43–53. https://doi.org/10.35912/jihham.v1i2.1022

    Pramono, W. B., Leksana, E., & Satoto, H. H. (2016). Pengaruh Pemberian Ropivakain Infiltrasi Terhadap Tampilan Kolagen Di Sekitar Luka Insisi Pada Tikus Wistar. Jurnal Anestesiologi Indonesia, 8(1), 1–10.

    Prawirohardjo, S. (2014). Ilmu Kebidanan. Yayasan Bina Pustaka Sarwono Prawirohardjo.

    Sahu, L. (2011). Perineal Tears During Delivery. Jaypee publishers.

    Spitzer, R. F., Kives, S., Caccia, N., Ornstein, M., Goia, C., & Allen, L. M. (2008). Retrospective review of unintentional female genital trauma at a pediatric referral center. Pediatric Emergency Care, 24(12), 831–835. https://doi.org/10.1097/PEC.0b013e31818ea064

    Supriyono, Sholichah, V., & Irawan, A. D. (2022). Urgensi Pemenuhan Hak-Hak Konstitusional Warga Negara Era Pandemi Covid-19 di Indonesia (The Urgency of Fulfilling the Constitutional Rights of Citizens in the Era of the Covid-19 Pandemic in Indonesian). Jurnal Ilmiah Hukum Dan Hak Asasi Manusia (Jihham), 1(2), 55–66.

    Suryadi, I. A., Asmarajaya, A., & Maliawan, S. (2013). Wound Healing Process and Wound Care. E-Jurnal Medika Udayana, 2(2), 254–272.

    Uddin, M., & Uddin, B. (2021). The Impact of COVID 19 on students’ mental health. Journal of Social, Humanity, and Education (JSHE), 1(3), 185–196. https://sme-supportcentre.com/the-impact-of-covid-19-on-kenyan-smes/

    Vieira, F., Guimarães, J., Souza, M., Sousa, P., Santos, R., & Cavalcante, A. (2018). Scientific evidence on perineal trauma during labor: Integrative review. 2018 Apr;223:18-25. Eur J Obstet Gynecol Reprod Biol, 2(23), 18–25.

    White, C. (2018). Perineal Tears. The Lancet, 218(5643), 933. https://doi.org/10.1016/S0140-6736(01)08912-7

  1. Angela, R. (2014). Principles of wound management in paediatric patients. Wounds UK A division of Schofield Healthcare.
  2. Cunningham, F. (2012). Obstetri Williams. EGC.
  3. Dorland, W. A., & Newman. (2012). Kamus Kedokteran Dorland. Buku Kedokteran EGC.
  4. Fan, S. M., Grigorian, A., Chaudhry, H. H., Allen, A., Sun, B., Jasperse, N., Albertson, S., & Nahmias, J. (2020). Female pediatric and adolescent genitalia trauma: a retrospective analysis of the National Trauma Data Bank. Pediatric Surgery International, 36(10), 1235–1241. https://doi.org/10.1007/s00383-020-04736-7
  5. Godosis, D., Kaselas, C., Demiri, C., Anastasiadis, K., Tsiaprazi, T., & Spyridakis, I. (2019). Traumatic perineal injury in a 13-year-old female: Case report and review of the literature. Pediatric Reports, 11(2), 35–37. https://doi.org/10.4081/pr.2019.7993
  6. Goh, R., Goh, D., & Ellepola, H. (2018). Perineal tears - A review. Aust J Gen Pract, 47(1–2), 35–38.
  7. Hashish, A. (2011). Perineal truma in children?: a standardized management approach. Annals of Pediatric Surgery, 7(2), 1687–4137.
  8. Hinata, N., Hieda, K., Sasaki, H., Kurokawa, T., Miyake, H., Fujisawa, M., Murakami, G., & Fujimiya, M. (2014). Nerves and fasciae in and around the paracolpium or paravaginal tissue: An immunohistochemical study using elderly donated cadavers. Anatomy and Cell Biology, 47(1), 44–54. https://doi.org/10.5115/acb.2014.47.1.44
  9. Jones, J. G., & Worthington, T. (2008). Genital and Anal Injuries Requiring Surgical Repair in Females Less Than 21 Years of Age. Journal of Pediatric and Adolescent Gynecology, 21(4), 207–211. https://doi.org/10.1016/j.jpag.2007.10.010
  10. Kraima, A. C., West, N. P., Treanor, D., Magee, D., Roberts, N., van de Velde, C. J. H., DeRuiter, M. C., Quirke, P., & Rutten, H. J. T. (2016). The anatomy of the perineal body in relation to abdominoperineal excision for low rectal cancer. Colorectal Disease, 18(7), 688–695. https://doi.org/10.1111/codi.13138
  11. Meister, M., Rosenbloom, J., Lowder, J., & Cahill, A. (2018). Techniques for Repair of Obstetric Anal Sphincter Injuries. Obstet Gynecol Surv, 73(1), 33–39.
  12. Moore, K. L., Dalley, A. F., & Agur, A. M. . (2014). Clinically Oriented Anatomy. 7th ed. Lippincott Williams & Wilkins.
  13. Mwesigwa, D., Wahid, K. A., & Sohheng, N. (2021). A case study on the quality of healthcare in Uganda: Examining the effectiveness, safety, patient-centred and timeliness of district healthcare facilities. Journal of Governance and Accountability Studies, 1(2), 133–144. https://doi.org/10.35912/jgas.v1i2.741
  14. Nugraheny, E., & Heriyat, H. (2017). Faktor–Faktor Yang Mempengaruhi Terjadinya Rupture Perineum Pada Ibu Bersalin Normal. Jurnal Ilmu Kebidanan, 4(1), 9–16.
  15. Pandit, B. (2018). Management of Third and Fourth-degree Perineal Tears. Smart Obstetrics and Gynecology Handbook, 29, 101–101. https://doi.org/10.5005/jp/books/13082_12
  16. Pemiliana, P. D., Sarumpaet, I. H., & Ziliwu, S. (2019). Faktor - Faktor Yang Berhubungan Dengan Ruptur Perineum Pada Persalinan Normal di Klinik Niar Medan. Jurnal Kesehatan, 2(2), 170–182. http://jurnal.fkmumi.ac.id/index.php/woh/article/view/woh2209
  17. Pradana, Y. (2022). Implementasi Prinsip “Kepentingan Terbaik bagi Anak” dalam proses persidangan Anak secara elektronik pada masa pandemi di Kota Jakarta Barat. Jurnal Ilmiah Hukum dan Hak Asasi Manusia, 1(2), 43–53. https://doi.org/10.35912/jihham.v1i2.1022
  18. Pramono, W. B., Leksana, E., & Satoto, H. H. (2016). Pengaruh Pemberian Ropivakain Infiltrasi Terhadap Tampilan Kolagen Di Sekitar Luka Insisi Pada Tikus Wistar. Jurnal Anestesiologi Indonesia, 8(1), 1–10.
  19. Prawirohardjo, S. (2014). Ilmu Kebidanan. Yayasan Bina Pustaka Sarwono Prawirohardjo.
  20. Sahu, L. (2011). Perineal Tears During Delivery. Jaypee publishers.
  21. Spitzer, R. F., Kives, S., Caccia, N., Ornstein, M., Goia, C., & Allen, L. M. (2008). Retrospective review of unintentional female genital trauma at a pediatric referral center. Pediatric Emergency Care, 24(12), 831–835. https://doi.org/10.1097/PEC.0b013e31818ea064
  22. Supriyono, Sholichah, V., & Irawan, A. D. (2022). Urgensi Pemenuhan Hak-Hak Konstitusional Warga Negara Era Pandemi Covid-19 di Indonesia (The Urgency of Fulfilling the Constitutional Rights of Citizens in the Era of the Covid-19 Pandemic in Indonesian). Jurnal Ilmiah Hukum Dan Hak Asasi Manusia (Jihham), 1(2), 55–66.
  23. Suryadi, I. A., Asmarajaya, A., & Maliawan, S. (2013). Wound Healing Process and Wound Care. E-Jurnal Medika Udayana, 2(2), 254–272.
  24. Uddin, M., & Uddin, B. (2021). The Impact of COVID 19 on students’ mental health. Journal of Social, Humanity, and Education (JSHE), 1(3), 185–196. https://sme-supportcentre.com/the-impact-of-covid-19-on-kenyan-smes/
  25. Vieira, F., Guimarães, J., Souza, M., Sousa, P., Santos, R., & Cavalcante, A. (2018). Scientific evidence on perineal trauma during labor: Integrative review. 2018 Apr;223:18-25. Eur J Obstet Gynecol Reprod Biol, 2(23), 18–25.
  26. White, C. (2018). Perineal Tears. The Lancet, 218(5643), 933. https://doi.org/10.1016/S0140-6736(01)08912-7

Most read articles by the same author(s)