Garuda - Garba Rujukan Digital

Intraventricular Meningioma: A Case Series Valentino, Andrea; Wahyudi; Prastya Pardede, Jeremia; Maspian Tjili , Tondi; Hadisi, Anthar; Aji Prihartomo, Gatot; Wirdayanto, Ade; Rangkuti, Ina Farida
Journal of International Surgery and Clinical Medicine Vol. 4 No. 2 (2024): (Available online: 1 December 2024)
Publisher : Surgical Residency Program Syiah Kuala University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51559/jiscm.v4i2.61

Introduction: Intraventricular meningiomas account for approximately 1.5% of meningiomas, 80% of these were localized in the lateral ventricles, 15% in the third ventricle (mostly in the ventricle trigone), and the remaining 5% in the fourth ventricle. This case report aims to highlight clinical findings and difficulty on removal of the tumor intraoperatively. Case description: We presented 2 cases of Intraventricular Meningioma. Both patient have a chief complaint of chronic headache since 2 years ago. Through the magnetic resonance imaging examination, we found a solid mass at right ventricle trigone with enhance homogenously 7.3 x 5.5 x 6.5 cm on the first patient and 6.8 x 8.4 x 3.2 cm on the second patient. Both patients went through craniotomy tumor removal. The pathology showed a Transitional Meningioma who grade I and KI-67 immunohistochemical staining result: 1-2 % on the first patien and angiomatous meningioma (WHO grade 1) on the second patient. Both patients showed improvement post-surgery Conclusion: We have successfully performed a total craniotomy tumor removal on the right trigone intraventricular meningioma. However, the primary challenge lies in excising intraventricular meningiomas located in the trigone without causing injury to the geniculocalcarine tracts. Therefore, the surgical approach must be carefully planned based on the tumor's location and intraoperative monitoring as well as surgical strategy to avoid the neurological deficits.

Duplikasi Lambung Yang Dikelola Dengan Mucosektomi Dan Perbaikan Lambung: Laporan Kasus Yang Langka Aslam, Filza RA; Ismar , Ibrahim; Wahid, Tubagus OR; Valentino, Andrea; Salamullah, Salamullah; Sabrina, Viona
Journal of Medicine and Health Vol 7 No 2 (2025)
Publisher : Universitas Kristen Maranatha

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.28932/jmh.v7i2.11079

This case report aims to present the clinical presentation, diagnostic workup, surgical management, and outcome of a rare case of gastric duplication in an infant. Gastrointestinal duplication (GD) is a rare congenital anomaly accounting for 4–8% of all duplication cases, predominantly occurring in children. An 8-month-old female presented with a progressively enlarging abdominal mass, vomiting, and distension. Initial ultrasound months earlier showed a mass near the umbilicus, but the family pursued alternative treatments. Examination revealed a well-defined, rubbery cystic mass (8 × 5 cm). Sonography showed a septated cystic lesion, and a barium study demonstrated a filling defect. The patient underwent exploratory surgery with mucosectomy and gastric repair. Postoperatively, she received intravenous fluids, antibiotics, analgesics, and proton pump inhibitors. Despite transient vomiting and distension, by day seven, she gained weight and was discharged. Histopathology confirmed a benign gastric duplication cyst. At 11-day follow-up, she was thriving and feeding well. This case underscores the importance of early diagnosis and surgical intervention in GD to prevent complications and highlights favorable outcomes with timely management.

Functional Limb Salvage Following a 24-Hour-Delayed Fasciotomy for Pediatric Hand Compartment Syndrome: A Case Report Rohman Sungkono; Adri Yandra Hidayat; Andrea Valentino; Ade Wirdayanto; Arip Heru Tripana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 12 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i12.1458

Background: Acute compartment syndrome (ACS) in the pediatric hand is a formidable surgical emergency where delayed diagnosis can lead to devastating neuromuscular deficits and limb loss. The narrow therapeutic window, often termed the "golden hours," is considered critical for preventing irreversible ischemic necrosis. Presentations delayed beyond this period, especially in pre-verbal children, pose a significant clinical and ethical dilemma regarding the utility and risks of surgical intervention. Case presentation: A 2-year-old female presented to our emergency department 24 hours after a severe crush injury to her right hand from a noodle-making machine. The hand was massively swollen, cyanotic, and insensate, with no detectable capillary refill or digital oximetry readings. A clinical diagnosis of advanced, multi-compartmental ACS was made. Emergency surgical decompression was performed via seven incisions, releasing all ten osteofascial compartments. Intraoperative assessment revealed dusky, non-contractile but bleeding muscle. Following staged debridements, the patient demonstrated remarkable recovery. At six months, she achieved full range of motion in all digits except the middle finger and demonstrated age-appropriate grip and pincer grasp, with the primary sequela being a fixed flexion contracture of the middle finger's proximal interphalangeal joint. Conclusion: This report highlights a case of unexpected functional recovery following a significantly delayed fasciotomy. The outcome supports a nuanced approach to delayed pediatric ACS, suggesting that in select cases, aggressive surgical decompression should be considered as the potential for a positive outcome may exist. This case serves as a powerful, hypothesis-generating observation that raises critical questions about the absolute temporal limits for surgical intervention and underscores the importance of individualized surgical judgment.

Functional Limb Salvage Following a 24-Hour-Delayed Fasciotomy for Pediatric Hand Compartment Syndrome: A Case Report Rohman Sungkono; Adri Yandra Hidayat; Andrea Valentino; Ade Wirdayanto; Arip Heru Tripana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 9 No. 12 (2025): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v9i12.1458

Background: Acute compartment syndrome (ACS) in the pediatric hand is a formidable surgical emergency where delayed diagnosis can lead to devastating neuromuscular deficits and limb loss. The narrow therapeutic window, often termed the "golden hours," is considered critical for preventing irreversible ischemic necrosis. Presentations delayed beyond this period, especially in pre-verbal children, pose a significant clinical and ethical dilemma regarding the utility and risks of surgical intervention. Case presentation: A 2-year-old female presented to our emergency department 24 hours after a severe crush injury to her right hand from a noodle-making machine. The hand was massively swollen, cyanotic, and insensate, with no detectable capillary refill or digital oximetry readings. A clinical diagnosis of advanced, multi-compartmental ACS was made. Emergency surgical decompression was performed via seven incisions, releasing all ten osteofascial compartments. Intraoperative assessment revealed dusky, non-contractile but bleeding muscle. Following staged debridements, the patient demonstrated remarkable recovery. At six months, she achieved full range of motion in all digits except the middle finger and demonstrated age-appropriate grip and pincer grasp, with the primary sequela being a fixed flexion contracture of the middle finger's proximal interphalangeal joint. Conclusion: This report highlights a case of unexpected functional recovery following a significantly delayed fasciotomy. The outcome supports a nuanced approach to delayed pediatric ACS, suggesting that in select cases, aggressive surgical decompression should be considered as the potential for a positive outcome may exist. This case serves as a powerful, hypothesis-generating observation that raises critical questions about the absolute temporal limits for surgical intervention and underscores the importance of individualized surgical judgment.

Title

Found 14 Documents
Search

Abstract

Abstract

Abstract

Abstract

Title Search

Found 14 Documents Search

Abstract

Abstract

Abstract

Abstract

Title

Found 14 Documents
Search