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All Journal Malahayati International Journal of Nursing and Health Science Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta
Billy Daniel Messakh
Universitas Ciputra
Health Professions Nursing Public Health

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Enterocutaneous fistula et cause abdominal tuberculosis in community: An emergency diagnosis challenge Siusanto Hadi; Pieter David Adriaan Ferdinandus; Minarni Wartiningsih; Billy Daniel Messakh; Purwakaning Purnomo Agung; Cempaka Harsa Sekarputri; Vincent Aurelius Gonaldy
Malahayati International Journal of Nursing and Health Science Vol. 7 No. 11 (2025): Volume 7 Number 11
Publisher : Program Studi Ilmu Keperawatan-fakultas Ilmu Kesehatan Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/minh.v7i11.627

Abstract

Background: A fistula is defined as an abnormal connection that connects two hollow spaces of the body. Fistula are divided into two categories, internal and external. Abdominal TB can mimicks other diseases including Enterocutaneous fistula that occur due to chron’s disease, malignancy, typhoid or radiation exposure. Tuberculosis is a rare cause of enterocutaneous fistula increasing the needs of clinicians to diagnose TB in an emergency manner. Purpose: To assess clinical manifestation of enterocutaneous fistula in patient with abdominal tuberculosis, and to determine the best emergency diagnosis tools in the progress of diagnosing abdominal tuberculosis. Method: This literature review is guided by the PICOS framework, encompassing materials published from 2000 to 2024. Data were obtained from diverse sources such as PubMed Central, Google Scholar, Science Direct, Elsevier (SCOPUS), scientific journals, articles, and books. The analysis proceeded through three stages: data reduction, presentation, and formulation of conclusions. Studies fulfilling the inclusions criteria were selected. Results: Patient with TB could have enterocutaenous fistula as one of its clinical manifestations, therefore. This study concludes that multiplex PCR shows an outstanding result for its specificity making it highly effective in ruling out non-tubercular diseases with minimum false positive. Conclusion: Enterocutaneous fistula in intestinal tuberculosis often presents without clear thoracic imaging of pulmonary TB, complicating diagnosis. Abdominal TB's non-specific symptoms can mimic other diseases, making CT scans and ultrasonography useful, though not definitive. Laparoscopy, combined with histological examination, remains the most reliable diagnostic tool. Laboratory tests like ADA levels, PCR, and culture are essential in confirming the diagnosis. A diagnostic algorithm and early anti-tubercular therapy can help when test results are inconclusive.
Perbandingan Efektivitas Penerapan Splenorrhaphy dan Splenektomi pada Trauma Limpa Derajat Ringan hingga Berat Billy Daniel Messakh; Casey Clarissa Gondo
Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta 2025: Proceeding Book Call for Papers Fakultas Kedokteran Universitas Muhammadiyah Surakarta (Trabec
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Pendahuluan: Trauma limpa sering terjadi akibat trauma tumpul atau penetratif pada abdomen dan berisiko tinggi menyebabkan perdarahan internal yang signifikan. Splenorrhaphy dan splenektomi menjadi pilihan dalam memeperbaiki kondisi ini. Tinjauan ini mengeksplorasi perbandingan dari indikasi dan dampak yang diberikan baik dari tindakan splenektomi dan splenorrhaphy. Metode: Literatur ini membahas perbedaan, indikasi tindakan, efek, dan efisiensi biaya dari splenektomi dan splenorrhaphy. Data untuk literatur ini diperoleh dari sumber seperti PubMed Central dan Google Scholar dengan kata kunci splenektomi, splenorrhaphy dan trauma limpa. Hasil dan Diskusi: Splenorrhaphy dan splenektomi dapat digunakan untuk trauma ringan hingga berat dengan perdarahan masif atau kerusakan limpa yang tidak dapat diperbaiki. Splenorrhaphy memiliki risiko perdarahan ulang, sedangkan splenektomi meningkatkan risiko infeksi serius (Overwhelming Post-Splenectomy Infection/OPSI) karena hilangnya fungsi imun limpa. Kombinasi kedua tindakan ini dapat dilakukan untuk mempertahankan fungsi imun parsial sambil mengatasi cedera yang berat. Kesimpulan: Pendekatan manajemen cedera limpa memerlukan evaluasi berdasarkan kondisi pasien dan tingkat keparahan cedera. Splenorrhaphy dapat mengurangi mortalitas dibandingkan splenektomi total, tetapi jika gagal, tindakan dapat meningkatkan morbiditas dan mortalitas. Oleh karena itu, penulis lebih mengutamakan splenektomi dilanjutkan dengan autotransplantasi untuk cedera limpa derajat sedang hingga berat.
Co-Authors Casey Clarissa Gondo Cempaka Harsa Sekarputri Minarni Wartiningsih Pieter David Adriaan Ferdinandus Purwakaning Purnomo Agung Siusanto Hadi Vincent Aurelius Gonaldy