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All Journal Jurnal Kedokteran Meditek Cermin Dunia Kedokteran
Leifon, Dave Edgar
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Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

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Hernia Inguinal Lateral pada Seorang Anak Berusia 13 Tahun: Laporan Kasus: Laporan Kasus Putri, Felicia Vivian Nowi; Leifon, Dave Edgar; Sharon, Sonya Hedva; Soeselo, Daniel Ardian
Cermin Dunia Kedokteran Vol 53 No 05 (2026): Mei 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i05.1970

Abstract

Background: Indirect inguinal hernia, particularly in children, is typically due to the failure of the processus vaginalis closure and is located lateral to the inferior epigastric vessels. Hernias are generally found in children aged 0-5 years, in premature infants, and in elderly individuals aged 75-80 years. In this case, however, the patient is 13 years old, an age that is considered uncommon for the manifestation of a congenital hernia. Case: A 13-year-old boy presented with a one-month history of an intermittent left scrotal bulge. Physical examination in the standing position revealed an elongated lump extending from the left inguinal region down to the left scrotum, which became more prominent during the Valsalva maneuver. The lump was spontaneously reduced when the patient was lying down. The lump had a soft consistency, welldefined margins, a smooth surface, and was reducible on pressure. Two similar-sized testes were palpable in the scrotum. The diagnosis was left indirect inguinal hernia; the patient underwent herniotomy without complications. Postoperative recovery was uneventful with no residual complaints. Discussion: Indirect inguinal hernias in children are generally caused by the persistence of the processus vaginalis and are characterized by a lump that appears when intra-abdominal pressure increases. Diagnosis is clinical, and the definitive treatment is surgery (herniotomy) due to the higher risk of incarceration. Conclusion: This case highlights the importance of early detection and appropriate management in the pediatric population to prevent complications such as incarceration or strangulation.
Tragedi di Balik Pembekapan: Ruptur Anterior Inferior Cerebellar Artery Sebagai Penyebab Kematian Mendadak Akibat Asfiksia Liauw, Djai Yen; Sutanto, Eugenia Gerin; Natalie, Agatha Clarice; Anastasia Stella Carmelita; Leifon, Dave Edgar; Fungestu, Eyskens; Kaban, Felix Try Raka; Jusuf, Hans Jasper; Maria Victoria Isabella; Soedjianto, Susanna Gabriella; Tjiu, Wilsen
Jurnal Kedokteran Meditek Vol 32 No 2 (2026): MARET
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i2.3813

Abstract

Introduction: Mechanical asphyxia due to smothering is difficult to diagnose forensically because it often leaves no distinctive signs. Unlike strangulation or hanging, smothering using soft materials generally leaves no external traces, making the mechanism of death difficult to identify. Furthermore, epidemiological data on cerebral vascular rupture due to asphyxia are still limited. This case report aims to add to the forensic literature on variations in asphyxial deaths and strengthen the diagnosis of the cause of sudden death. Case Illustration: A 46-year-old woman was found in a supine position. External examination revealed bruising on the bridge of the nose, philtrum, lower lip, left shoulder blade, inner left upper arm, outer right thigh, and abrasions on the upper lip and left side of the neck caused by blunt force. Internal examination revealed two blood seepage sites in the neck muscles, an enlarged heart, dilated cerebral and cerebellar vessels, and haemorrhage in the posterior brainstem. Discussion: Autopsy findings indicated rupture of the anterior inferior cerebellar artery (AICA), suspected to be triggered by asphyxia. Asphyxia does not always cause death through direct hypoxia, but also through increased intracranial pressure that triggers cerebral blood vessel rupture. This mechanism can be caused by airway obstruction or cerebral venous occlusion. Conclusion: AICA rupture due to asphyxia is a rare phenomenon. Mechanical asphyxia due to smothering requires attention because it can cause hypoxia, decreased consciousness, and even death. This report serves as an important forensic reference in the diagnosis of sudden death due to asphyxia.
Co-Authors Anastasia Stella Carmelita Daniel Ardian Soeselo Fungestu, Eyskens Jusuf, Hans Jasper Kaban, Felix Try Raka Liauw, Djai Yen Maria Victoria Isabella Natalie, Agatha Clarice Putri, Felicia Vivian Nowi Sharon, Sonya Hedva Soedjianto, Susanna Gabriella Sutanto, Eugenia Gerin Tjiu, Wilsen