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Andrea Valentino
Departemen Bedah Saraf, Fakultas Kedokteran, Universitas Riau
Medicine & Pharmacology Public Health

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Eventrasi Diafragma Kanan: Strategi Operasi dan Hasil Klinis Filza R A Aslam; Ibrahim Ismar; Tubagus O R Wahid; Andrea Valentino; Salamullah Salamullah; Viona Sabrina
Journal of Medicine and Health Vol 8 No 1 (2026)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v8i1.11115

Abstract

Eventrasi diafragma kongenital merupakan kelainan bawaan yang jarang terjadi, akibat kegagalan perkembangan otot diafragma, dengan data insidensi dan prevalensi terbatas. Eventrasi diafragma kongenital kanan lebih jarang terjadi, dengan insidensi sekitar 1 dari 10.000 kelahiran hidup, dan dapat menjadi kegawatan pada neonatus karena menimbulkan distres pernapasan berat. Tujuan penulisan ini adalah untuk melaporkan kasus serta menyoroti pentingnya diagnosis serta penatalaksanaan dini pada kasus eventrasi diafragma kongenital kanan. Kami melaporkan kasus bayi perempuan usia tiga hari dengan sesak napas sejak lahir, asimetri gerakan dinding dada, suara napas menurun pada hemitoraks kanan, serta suara usus di rongga toraks. Babygram menunjukkan elevasi hemidiafragma kanan dengan loop usus intratorakal. Pasien menjalani laparotomi eksplorasi emergensi dengan plikasi diafragma, dan pascaoperasi terjadi perbaikan fungsi pernapasan sehingga dapat dipulangkan dalam kondisi baik. Kasus ini menegaskan peran penting deteksi dini dan intervensi pembedahan segera dalam memperbaiki luaran pada neonatus dengan eventrasi diafragma kongenital kanan.
A Rare Presentation of Hemothorax due to Left Hemithorax Penetrative Wound: An Operative Approach Requiring Segmentectomy Adhia Endrika; Romy Deviandri; Ade Wirdayanto; Fakhrul Hendra; Briliant Briliant; Andrea Valentino
Journal of Medicine and Health Vol 8 No 1 (2026)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v8i1.11791

Abstract

Hemothorax is a medical emergency as blood accumulates inside the pleural space due to spontaneous, iatrogenic, or traumatic etiology. In general, hemothorax has a good prognosis. But severe hemothorax, especially those in vital areas, can lead to more invasive management. This case report aims to explore the presentation of massive hemothorax due to penetrative trauma and discuss suitable management approaches. A 16-year-old patient came due to spear wound through the left shoulder without exit wound. From primary assessment we found subcutaneous emphysema in the left lung, without compensation in airway and circulation system. A thoracocentesis intervention promptly performed as initial treatment. Secondary management proceeded with surgical thoracotomy which resulted in segmentectomy. Around 2-6% of patients of hemothorax patients need surgical intervention, and less than 2% will need segmentectomy intervention due to bleeding that cannot be corrected with surgical ligation. This case is one of the rare cases of hemothorax with segmentectomy. Although this patient did not have any respiratory nor circulatory complication, laceration in proximal hilum area leads to massive bleeding that damaged the lung parenchyma. Vigilant assessment in patients with penetrative trauma, especially in the left hemithorax, is essential to diagnose possible complication and execute evidence-based management plan.
Co-Authors Ade Wirdayanto Adhia Endrika Briliant Briliant Fakhrul Hendra Filza R A Aslam Ibrahim Ismar Romy Deviandri Salamullah Salamullah Tubagus O R Wahid Viona Sabrina