D a fta r Isi Memperoleh wawasan baru bersama PROMETHEUS............................................................v 4.3 Mesenterium dan anlage organ pencernaan di daerah kaudal usus depan: rotasi lambung....................................................32 4.4 Rotasi lambung dan topografi organ-organ di daerah usus-depan bagian kaudal; terjadinya Bursa omentalis................34 4.5 Rotasi jerat usus dan perkembangan organ di daerah usus tengah dan belakang....................................................................36 4.6 Ringkasan perkembangan di daerah usus tengah dan belakang; gangguan perkembangan......................................... 38 5 Sistem urin 5.1 Ringkasan..................................................................................................40 5.2 Perkembangan ginjal, Pelvis renalis dan Ureter...............................42 5.3 Perkembangan nefron dan kandung kemih; sambungan Ureter; malformasi.......................................................... 44 6 Sistem kelamin 6.1 Sinopsis..................................................................................................... 46 6.2 Perkembangan Gonad........................................................................... 48 Mengapa PROMETHEUS?.....................................vii Terima kasih............................................................. ix Struktur dan perkembangan sistem organ pada embrio 1 Rongga tubuh 1.1 Definisi, tinjauan, dan evolusi rongga tubuh......................................2 1.2 Diferensiasi lempeng benih (organogenesis) dan perkembangan rongga tubuh........................................................4 1.3 Pembentukan kompartemen coelom intra-em brional.................... 6 1.4 Pembagian dan arsitektur rongga tubuh............................................ 8 2 Sistem peredaran darah 2.1 Tinjauan dan prinsip struktur dinding............................................... 10 2.2 Pembuluh darah terminal dan sistematika perjalanan utama pembuluh darah........................................................................ 12 2.3 Zona kardiogenik, proses pembentukan tabung jan tu n g ............ 14 2.4 Perkembangan ruang-dalam jantung, takdir sinus venosus........16 2.5 Sekat-sekat jantung (Septum atriale, interventriculare, dan aorticopulmonale)...........................................................................18 2.6 6.3 Perkembangan saluran genital (Ductus genitalis).......................... 50 6.4 Perbandingan jenis kelamin dan hubungannya dengan Systema urinarium...................................................................52 6.5 Perbandingan antara struktur embrional dengan struktur yang m atur............................................................................... 54 7 Sistem limfatik Peredaran darah sebelum dan sesudah lahir serta kelainan jantung bawaan yang paling sering terjadi......................20 7.1 Sinopsis......................................................................................................56 7.2 Jalur-jalur drainase limfe........................................................................58 3 Sistem pernapasan 8 Sistem endokrin 3.1 Tinjauan.....................................................................................................22 8.1 Ringkasan..................................................................................................60 3.2 Perkembangan pangkal tenggorokan dan trachea; bakal paru-paru...................................................................................... 24 8.2 Mekanisme umpan balik di dalam sistem endokrin...................... 62 3.3 Perkembangan dan pematangan paru.............................................. 26 9 Sistem saraf vegetatif 4 Sistem pencernaan 9.1 Simpatis dan parasimpatis....................................................................64 9.2 Aferen pada sistem saraf otonom dan sistem saraf enterik........ 66 4.1 Ringkasan..................................................................................................28 4.2 Perkembangan dan diferensiasi Tractus gastrointestinalis........... 30 Thorax 1 Sinopsis dan Diaphragma 4.3 Batas-batas Pleura dan paru.............................................................132 1.1 Pembagian rongga Thorax dan partisi Mediastinum.....................70 4. 4 Trachea...................................................................................................134 1.2 Diaphragma: lokasi dan proyeksinya pada tu b u h .......................... 72 4.5 Paru: bentuk dan struktur...................................................................136 1.3 Diaphragma: Bentuk dan lubang-lubang u tam a ............................ 74 4.6 Paru: segmen-segmen........................................................................ 138 1.4 Diaphragma: persaratan, pembuluh darah, dan pembuluh limfe...............................................................................76 4.7 Struktur fungsional percabangan (pohon)bronkhus.................... 140 4.8 Arteri dan vena paru (Aa. dan Vv.pulmonales - Vasa publica)..................................................................................... 142 4.9 Arteri dan vena bronkhus (Aa. dan Vv.bronchiales Vasa privata)........................................................................................... 144 4.10 Struktur fungsional percabangan pembuluh darah..................... 146 4.11 Persaratan dan drainase limfatik Trachea, percabangan Bronchus, dan paru...............................................................................148 4.12 Mekanika pernapasan......................................................................... 150 4.13 Anatomi Rontgen paru dan sistem pembuluh darah.................... 152 2 Ringkasan sistematika neurovaskularisasi 2.1 Arteri: Aorta thoracica........................................................................... 78 2.2 Vena: Vena cava dan sistem azigos.....................................................80 2.3 Pembuluh limfe....................................................................................... 82 2.4 Kelenjar limfe di Thorax........................................................................ 84 2.5 Persaratan.................................................................................................86 3 Organ sirkulasi dan neurovaskularisasinya 3.1 Letak jantung di dalam Thorax............................................................ 88 3.2 Pericardium: posisi, struktur, dan persaratan....................................90 3.3 Jantung: bentuk dan struktur...............................................................92 3.4 Struktur otot jantung (Myocardium)..................................................94 3.5 Rongga jan tun g .......................................................................................96 3.6 Sepintas mengenai katup jantung (posisi katup dan kerangka jantung)..................................................98 3.7 Katup jantung dan tempat auskultasi..............................................100 3.8 Gambaran jantung pada foto Rontgen Thorax..............................102 3.9 Sonografi jantung: ekokardiografi................................................... 104 3.10 Magnetic Resonance Imaging (MRI) jantung.................................106 3.11 Sistem eksitasi dan konduksi: elektrokardiogram......................... 108 3.12 Kerja mekanis jan tun g ......................................................................... 110 4.14 Tomografi komputer (CT-scan) p aru ................................................154 5 Oesophagus dan Thymus dan lintasan pembuluh darah, limfatik, dan saraf 5.1 Oesophagus: letak dan pembagian.................................................156 5.2 Oesophagus: pintu masuk dan keluar, pembukaan, dan sfingter............................................................................................ 158 5.3 Oesophagus: Konstruksi dinding dan tempat-tempat yang lemah............................................................................................. 160 5.4 Arteri dan vena Oesophagus.............................................................162 5.5 Drainase limfatik Oesophagus........................................................... 164 5.6 Inervasi Oesophagus........................................................................... 166 5.7 Thymus................................................................................................... 168 6 Anatomi topografis 6.1 Anatomi permukaan, regio-regio topografis dan titik-titik tulang yang dapat diraba...................................................170 6.2 Orientasi pada Skeleton Thorax (proyeksi organ)......................... 172 6.3 Konstruksi dinding Thorax depan dan lintasan pembuluh darah, limfatik, dan saraf................................................174 3.16 Angiografi koroner konvensional (pemeriksaan kateter jan tu n g ).......................................................... 118 6.4 Organ Thorax in situ: dilihat dari ventral, lateral, dan kranial..............................................................................................176 3.17 Angiografi koroner dengan Multisiice Spiral Computed Tomography (MSCT)......................................................... 120 6.5 Organ-organ Thorax in situ: dilihat dari dorsal............................178 6.6 Jantung: Cavitas pericardiaca............................................................180 6.7 Mediastinum sebagai satu kesatuan yang utuh............................182 6.8 Mediastinum posterius....................................................................... 184 6.9 Mediastinum superius............................... 3.13 Arteriae coronariae dan vena jantung: sistematika dan topografi.................................................................. 112 3.14 Arteriae coronariae: jenis pendarahan jan tun g .............................114 3. 15 Penyakit jantung koroner (PJK) dan infark jan tun g ......................116 3.18 Dilatasi balon, IMA-Bypass vena dan arteri aortokoroner........ 122 3.19 Aliran limfe jantung..............................................................................124 3.20 Persyaratan jantung..............................................................................126 4 Organ sistem respirasi, jalan napas, dan neurovaskularisasinya 4.1 Paru (pulmo): letak paru di dalam Thorax...................................... 128 4.2 Rongga pleura (Cavitas pleuralis)..................................................... 130 186 6.10 Arcus aortae dan Apertura thoracis superior.................................188 6.11 Aspek klinis: Stenosis isthmus A o rta...............................................190 6.12 Aspek klinis: Aneurysma aortae....................................................... 192 Abdomen dan Pelvis 1 Ringkasan arsitektur rongga-rongga abdomen dan Pelvis 3.21 Cabang-cabang A.mesenterica superior: Arteri ke Pancreas, usus halus, dan usus besar............................ 260 1.1 Prinsip bangunan, struktur dinding yang ikut ambil bagian dan aspek-aspek fungsional............................................... 196 3.22 Cabang-cabang A.mesenterica inferior: pasokan ke usus besar.......................................................................262 1.2 Organisasi rongga Abdomen dan Pelvis........................................198 3.23 Cabang-cabang A.mesenterica inferior: pasokan ke Rectum..............................................................................264 1.3 Susunan organ interna dalam ruang-ruang di rongga Abdomen dan Pelvis........................................................200 2 Ringkasan sistematika neurovaskularisasi 2.1 Cabang-cabang Aorta abdominalis: Gambaran umum dan cabang-cabang berpasangan.................................................... 202 2.2 Cabang-cabang Aorta abdominalis: Cabang-cabang yang tunggal dan yang berpasangan tidak langsung................ 204 2.3 V.cava inferior........................................................................................ 206 2.4 Sistem vena porta (V. portae hepatis)..............................................208 2.5 Anastomosis vena di Abdomen dan Pelvis.................................... 210 2.6 Trunci lymphatici dan kelenjar limfatik (Nodilymphoidei)......... 212 2.7 Drainase limfatik dari organ...............................................................214 2.8 Ganglion dan Plexus o to n o m ............................................................216 2.9 Organisasi sistem saraf simpatis dan parasimpatis...................... 218 3 Organ sistem pencernaan dan neurovaskularisasinya 3.1 Lambung (Gaster): letak, bentuk, organisasi, dan gambaran internal..............................................................................220 3.2 Lambung: konstruksi dinding dan histologi................................. 222 3.3 Usus halus (Intestinum tenue): usus dua belas jari (Duodenum)...........................................................................................224 3.4 Usus halus (Intestinum tenue): Jejunum dan Ileum (yang disebut konvolusi usus halus)................................................ 226 3.5 Usus besar (Intestinum crassum): ruas-ruas Colon..................... 228 3.6 Usus besar: struktur dinding, Caecum, dan Appendix vermiformis......................................................................... 230 3.7 Usus besar: letak, bentuk, dan gambaran internal Rectum......232 3.8 Organ kontinens: struktur dan komponen.................................... 234 3.9 Organ kontinens: fungsi.................................................................... 236 3.10 Penyakit Canalis analis: hemoroid, abses anal, dan fistula anal...................................................................................... 238 3.24 V.portae hepatis: drainase vena dari lambung, Duodenum, Pancreas, dan Limpa..................................................... 266 3.25 V.mesenterica superior dan inferior: drainase vena dari usus halus dan usus besar............................. 268 3.26 Cabang-cabang V.mesenterica inferior: drainase vena dari Rectum................................................................ 270 3.27 Drainase limfe dari lambung, limpa, Pancreas, Duodenum, dan h ati............................................................................272 3.28 Drainase limfe dari usus halus dan usus besar............................. 274 3.29 Inervasi otonom untuk hati, kandung empedu, lambung, Duodenum, Pancreas dan lim pa....................................................... 276 3.30 Inervasi otonom usus: daerah inervasi Plexus mesentericus superior.............................. 278 3.31 Inervasi otonom usus: daerah inervasi Plexus mesentericus inferior dan hypogastricus inferior............280 4 Organ sistem urinari dan neurovaskularisasinya 4.1 Ringkasan Organa urinaria; Ginjal in situ....................................... 282 4.2 Ginjal (Renes): posisi, bentuk, dan struktur................................... 284 4.3 Ginjal (Renes): arsitektur dan struktur mikrokoskopis................ 286 4.4 Pelvis renalis dan transportasi urin.................................................. 288 4.5 Kelenjar adrenal (Glandula suprarenalis)........................................ 290 4.6 Ureter in situ..........................................................................................292 4.7 Kandung kemih (Vesica urinaria) in situ..........................................294 4.8 Kandung kemih, leher kandung kemih, dan Urethra: konstruksi dinding dan fungsi...........................................................296 4.9 Anatomi fungsional kontinens! urin ................................................ 298 4.10 Urethra.................................................................................................... 300 4.11 Arteri dan Vena Ginjal dan kelenjar adrenal: Ringkasan.............302 4.12 Arteri dan Vena Ginjal dan kelenjar adrenal: varian-varian pembuluh darah.......................................................... 304 4.13 Drainase limfe dari ginjal, kelenjar adrenal, ureter, dan kandung kem ih.............................................................................306 3.11 Karsinoma rektum............................................................................... 240 3.12 Hati (Hepar): letak dan hubungan dengan organ-organ di sekitarnya...........................................................................................242 3.13 Hati (Hepar): situasi peritoneum dan bentuk............................... 244 3.14 Hati (Hepar): segmen-segmen dan histologi............................... 246 3.15 Kandung empedu (Vesica biliaris).................................................... 248 3.16 Saluran empedu ekstrahepatik dan Ductus pancreaticus......... 250 3.17 Pancreas................................................................................................. 252 3.18 Limpa (Splen, Lien)...............................................................................254 3.19 3.20 4.14 Inervasi otonom Organa urinaria dan kelenjar adrenal...............308 5 Organ sistem genital dan neurovaskularisasinya 5.1 Ringkasan systema genitalium..........................................................310 5.2 Organa genitalia interna feminina: ringkasan...............................312 5.3 Organa genitalia interna feminina: bentuk, konstruksi, dan hubungan-hubungan peritoneal..............................................314 5.4 Organa genitalia interna feminina: konstruksi dinding dan fungsi Uterus................................................................................. 316 Cabang-cabang Truncus coeliacus: arteri ke lambung, hati, dan kandung em pedu............................................................... 256 5.5 Organa genitalia interna feminina: kedudukan Uterus dan Vagina..........................................................318 Cabang-cabang Truncus coeliacus: Arteri ke Pancreas, Duodenum, dan lim pa..................................... 258 5.6 Organa genitalia interna feminina: kondisi epitel pada Cervix uteri.................................................................................. 320 5.7 Organa genitalia internal feminina: hapusan sitologi, konisasi; karsinoma serviks............................... 322 5.8 Organa genitalia interna feminina: indung telur (Ovarium) dan pematangan folikel...................................................................... 324 5.9 Graviditas dan partus...........................................................................326 5.10 Organa genitalia masculina: Kelenjar-kelenjar genital aksesoris................................................... 328 6.4 Ruang-ruang drainase dan Recessus di dalam rongga peritoneum ..............................................................................356 6.5 Ringkasan tentang Mesenterium...................................................... 358 6.6 Topografi Bursa omentalis..................................................................360 6.7 Topografi organ-organ Abdomen atas: hati (Hepar), kandung empedu (Vesoca biliaris), Duodenum, dan Pancreas.......................................................................................... 362 6.8 Topografi organ-organ Abdomen atas: Lambung (Gaster) dan limpa (Splen)................................................364 6.9 Anatomi potong lintang organ-organ Abdomen atas................ 366 5.11 Tumor Prostata: Karsinoma prostat dan hiperplasi prostat; pemeriksaan dini ("screening")..........................................................330 5.12 Organa genitalia masculina: Scrotum, Testis, dan Epididymis...................................................................................... 332 5.13 Organa genitalia masculina: saluran yang menyalurkan sperma dan eja kulat.............................................................................334 5.14 Cabang-cabang A.iliaca interna: ringkasan tentang arteri pemasok organ Pelvis dan dinding Pelvis............................336 5.15 Pasokan darah ke organ-organ Pelvis pada laki-laki................... 338 5.16 Pasokan pembuluh darah organ-organ Pelvis pada perempuan.................................................................................. 340 5.17 Pasokan pembuluh darah Organa genitalia interna dan Vesica urinaria pada perempuan................. 5.18 6.10 Topografi dari usus halus dan usus besar...................................... 368 6.11 6.12 Topografi Rectum................................................................................. 372 6.13 Situs retroperitonealis: ringkasan dan pembagian...................... 374 6.14 Situs retroperitonealis: hubungan peritoneal................................376 6.15 Situs retroperitonealis: organ-organ di ruang retroperitoneum................................................................................... 378 6.16 Situs retroperitonealis: letak ginjal.................................................. 380 6.17 Hubungan peritoneal pada permukaan posterior dinding Abdom en.................................................................................382 342 Drainase limfatik dari Organa genitalia masculina dan feminina..........................................................................................344 Radiografi usus halus dan usus besar..............................................370 5.19 Inervasi otonom pada Organa genitalia masculina..................... 346 5.20 Inervasi otonom pada Organa genitalia feminina........................348 6.18 Hubungan peritoneal pada Pelvis minoris......................................384 6 Anatomi topografis 6.19 Topografi jaringan ikat Pelvis, tingkat-tingkatan ruang Pelvis dan dasar Pelvis.............................................................386 6.1 Anatomi permukaan tubuh, regio-regio topografis dan titik-titik tulang yang mudah dipalpasi..................................350 6.2 Posisi organ-organ di Abdomen dan Pelvis dan proyeksinya terhadap dinding badan............................................ 352 6.3 Topografi rongga peritoneum yang dibuka (Pars supracolica dan infracolica).................................................... 354 6.20 Perangkat fiksasi Uterus...................................................................... 388 6.21 Situs Pelvis perempuan....................................................................... 390 6.22 Situs Pelvis laki-laki..............................................................................392 6.23 Anatomi potongan Pelvis perem puan............................................ 394 6.24 Anatomi potongan Pelvis laki-laki.................................................... 396 Rangkuman tentang Organ Sistematika Neurovaskular 1.1 Thymus............................................................................... 400 1.1 Thymus................................................................................................... 420 1.2 Oesophagus...................................................................... 401 1.2 Pericardium............................................................................................421 1.3 C o r....................................................................................... 402 1.3 Jantung (Cor).........................................................................................422 1.4 Pericardium........................................................................ 403 1.4 Trachea, Bronchi, dan paru (Pulmo)................................................ 424 1.5 Pulmo, Bronchi dan Trachea.......................................... 404 1.5 Oesophagus...........................................................................................426 1.6 Diaphragma....................................................................... 405 1.6 Lambung (Gaster)................................................................................ 427 1.7 Hepar, Vesica biliaris dan Splen.................................... 406 1.7 Usus halus (Intestinum tenue): Duodenum..................................428 1.8 Gaster.................................................................................. 407 1.8 Usus halus (Intestinum tenue) Jejunum dan Ile u m ....................429 1.9 Duodenum dan Pancreas............................................... 408 1.9 1.10 Jejunum dan Ile u m ........................................................ 409 Usus besar (Intestinum crassum) Caecum dengan Appendix vermiformis dan Colon....................................430 1.11 Caecum, Appendix vermiformis, Colon ascendens, dan transversum............................................................. 1.10 Usus besar (Intestinum crassum) Rectum..................................... 431 410 1.11 Hati (Hepar)...........................................................................................432 Colon descendens dan Colon sigmoideum............ 411 1.12 Kandung empedu (Vesica biliaris) dan saluran em pedu............433 Rectum............................................................................. 412 1.13 Pancreas................................................................................................ 434 1.14 Re n, Ureter dan Glandula suprarenalis..................... 413 1.14 Limpa (Splen, Lien)............................................................................. 435 1.15 Vesica urinaria, Prostata, dan Glandula vesiculosa. 414 1.15 Glandulae suprarenales...................................................................... 436 1.16 Testis, Epididymis, dan Ductus deferens.................. 415 1.16 Ginjal (Renes)........................................................................................437 1.17 Uterus, Tuba uterina, dan Vagina............................... 416 1.17 U reter..................................................................................................... 438 1.18 Tuba uterina dan Ovarium........................................... .417 1.18 Kandung kemih (Vesica urinaria)..................................................... 439 1.19 Urethra................................................................................................... 440 1.20 Vagina..................................................................................................... 441 1.21 Uterus dan Tubae uterinae................................................................ 442 1.22 Prostata dan Glandula vesiculosa.................................................... 444 1.23 Epididymis dan Ductus deferens..................................................... 445 1.24 Testis (Didymis).................................................................................... 446 1.25 Ovarium................................................................................................. 447 1.12 1.13 Lampiran Daftar Pustaka Indeks.............. 451