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Journal : Innovative: Journal Of Social Science Research

Pneumoperitoneum Pada Pasien Covid-19: Laporan Kasus Hidayat, Imam; Latief, Shofiyah; Bulkis, Bulkis
Innovative: Journal Of Social Science Research Vol. 5 No. 2 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i2.17621

Abstract

Background: Pneumoperitoneum is a serious medical condition characterized by the presence of air or gas in the peritoneal cavity. This phenomenon often requires immediate surgical intervention, although some cases can be non-surgical. In the context of COVID-19, pneumoperitoneum may emerge as an unusual complication that requires in-depth understanding of its mechanisms for appropriate management. Case Presentation: The case of a 63-year-old man with COVID-19 and spontaneous pneumoperitoneum without evidence of visceral perforation is reported. Patients underwent radiological examinations including X-ray and CT scan for diagnosis and monitoring, while management was carried out conservatively without surgical intervention. The examination revealed pneumoperitoneum with signs of Macklin effect without evidence of organ perforation. The patient was maintained with oxygen via nasal cannula, and recovery was marked by resorption of the pneumoperitoneum and clinical improvement within seven days. No further complications were found, and the patient was successfully removed.Conclusion: Pneumoperitoneum in COVID-19 patients can occur without organ perforation, known as non-surgical spontaneous pneumoperitoneum. Mechanisms involving the Macklin effect and high oxygen pressure are the main factors. Conservative management can be a safe and effective approach in cases without surgical indications. Further studies are needed to understand these complications in depth, especially in relation to COVID-19.
Appendicitis Perforasi: Laporan Kasus Ma’arif, Andi Isyraf; Latief, Shofiyah; Mesak, Mesak
Innovative: Journal Of Social Science Research Vol. 5 No. 2 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i2.17622

Abstract

Background: Appendicitis is inflammation of the vermiform appendix which can develop into serious complications if not treated immediately. The prevalence of appendicitis in Indonesia is relatively high, with an incidence rate of 0.05%. The most common treatment for appendicitis is appendectomy, which can be performed using open or laparoscopic surgical techniques. Methods This case involved a 20 year old man who came in with complaints of lower right abdominal pain, which had become increasingly severe in the last two days. Physical examination shows tenderness and typical signs of appendicitis such as positive McBurny Sign and Rovsing Sign. The diagnosis of perforated appendicitis was confirmed after an ultrasound examination. The surgical procedure was carried out by appendectomy laparotomy. Results: The patient underwent a perforated appendectomy procedure. During the surgical process, the appendix is ​​found to be perforated, which can cause peritonitis or abscess if not treated immediately. After the sanitation procedure, the patient is intensively treated with antibiotics and intravenous fluids. Conclusion: Appendicitis perforation is a condition that requires quick treatment to avoid more serious complications such as peritonitis and abscess. Correct diagnosis and prompt treatment are essential to reduce the risk of complications and speed up the patient's recovery process.
Ultrasonografi Pada Pasien Baker Cyst: Laporan Kasus Triwahyuni, Andi Rini; Latief, Shofiyah; Hasbi, Berry Erida
Innovative: Journal Of Social Science Research Vol. 5 No. 2 (2025): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v5i2.18387

Abstract

Baker cyst atau kista popliteal adalah tumor di belakang lutut akibat penumpukan cairan sinovial, sering terkait penyakit sendi. Meski sering asimptomatik, kondisi ini dapat menyebabkan ketidaknyamanan, pembatasan gerakan, dan komplikasi jika tidak ditangani. Seorang anak laki-laki 7 tahun dengan benjolan di belakang lutut kanan selama tujuh bulan didiagnosis melalui pemeriksaan fisik dan ultrasonografi, yang menunjukkan kista anekoik terenkapsulasi. Setelah pendekatan konservatif gagal, pasien menjalani eksisi kista dengan hasil baik. Ultrasonografi adalah metode pencitraan yang akurat dan non-invasif untuk diagnosis Baker cyst, membantu deteksi dan evaluasi ukurannya. Pendekatan konservatif seperti NSAID, aspirasi, dan injeksi kortikosteroid sering digunakan, tetapi pembedahan diperlukan jika gejala menetap atau ada tekanan pada struktur penting. Studi ini menekankan pentingnya ultrasonografi dan pendekatan multidisiplin dalam manajemen Baker cyst, terutama pada anak-anak, untuk mencegah komplikasi dan kekambuhan.