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All Journal E-Jurnal Medika Udayana Jurnal Kesehatan Andalas Jurnal Ilmiah Kedokteran Wijaya Kusuma JBN (Jurnal Bedah Nasional) ISM (Intisari Sains Medis) : Jurnal Kedokteran Majalah Patologi Indonesia Health Information : Jurnal Penelitian
Made Widhi Asih
Department Of Radiology, Faculty Of Medicine, Universitas Udayana, Sanglah General Hospital, Bali, Indonesia
Biochemistry, Genetics & Molecular Biology Dentistry Health Professions Medicine & Pharmacology Nursing Public Health

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Serial Case of CT Scan Imaging in Fracture of Midface Region Martono, Budi; Asih, Made Widhi; Sudiatmika, Dewa Gde Mahiswara
JBN (Jurnal Bedah Nasional) Vol 8 No 2 (2024): JBN (Jurnal Bedah Nasional)
Publisher : Program Studi Ilmu Bedah, Fakultas Kedokteran Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/JBN.2024.v08.i02.p06

Abstract

Background: Fractures in the face region are frequently seen in motor vehicle accidents, as the face is highly exposed during such incidents. Motor vehicle accidents are common in Bali, with fracture of the face region is the 2nd most common injury found in radiologic examination. Computed tomography (CT) scans are crucial for assessing these fractures, allowing for an accurate evaluation of severity to plan the patient treatment. Case: We present serial cases CT scan images of complex midface fractures such as Le Fort, tripod, NOE and orbital wall fracture and its characteristic imaging on CT-imaging. Conclusions: CT scan may guide treatment plans aimed at minimizing disability and enhancing the patient's quality of life. Understanding the imaging characteristics of midface fractures is thus essential for effective diagnosis and management.
Pencitraan Computed Tomography Pada Pasien Trauma Thoracolumbar RSUP PROF. DR. I.G.N.G. Ngoerah Tahun 2022 Samantha, Vicky; Sitanggang, Firman Parulian; Martadiani, Elyasanti Dwi; Asih, Made WIdhi
Health Information : Jurnal Penelitian Content Digitized
Publisher : Poltekkes Kemenkes Kendari

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Abstract

Trauma thoracolumbar merupakan salah satu jenis trauma pada tulang yang dapat menyebabkan disabilitas, deformitas dan defisit neurologis, baik secara transien maupun permanen. Dampak keterlambatan diagnosis trauma thoracolumbar dapat menyebabkan kecacatan secara permanen dan mengurangi kualitas hidup. Oleh karena itu, klasifikasi berdasarkan pencitraan perlu dilakukan sesegera mungkin untuk mendapatkan penanganan yang tepat. Penelitian bertujuan untuk mengetahui karakteristik gambaran radiologi computed tomography pada pasien trauma thoracolumbar RSUP Prof. Dr. I.G.N.G Ngoerah tahun 2022. Metode yang digunakan penelitian ini adalah metode cross sectional dengan jenis penelitian berupa deskriptif retrospektif. Pengumpulan sampel diperoleh melalui data pasien dengan trauma thoracolumbar di RSUP Prof. Dr. I.G.N.G. Ngoerah pada tahun 2022. Analisis data penelitian ini berupa analisis deskriptif berupa frekuensi dan persentase pada data kategorik serta rata-rata dan standar deviasi pada data numerik menggunakan software Statistical Product and Service Solution (SPSS) versi 26.0. Berdasarkan usia, didapatkan responden terbanyak yang mengalami trauma thoracolumbar berada pada usia 51-59 (31,3%). Berdasarkan jenis kelamin, pasien laki-laki (68,7%) dan perempuan (31,3%). Berdasarkan gejala klinis, pasien dengan nyeri punggung (90,7%) dan gangguan neurologis (28,1%). Berdasarkan riwayat pencitraan radiologis, didapatkan listhesis (21,9%), korpus kompresi (100%), korpus retropulsi (78,1%), dislokasi facet (6,3%), interspinous distance (3,1%). Berdasarkan tipe trauma dapat dibagi menjadi tiga, yaitu tipe compression (15,6%), tipe burst (78,1%), dan tipe chance (12,5%). Rerata canal encroachment juga ditemukan sebesar 37,63 ± 27,97. Karakteristik responden yang terbagi dalam 4 kategori, yaitu usia, jenis kelamin, gejala klinis, dan pencitraan radiologis dengan CT Scan
Nilai Diagnostik Ultrasonografi Hepatobilier sebagai Prediktor Atresiabilier pada Kolestasis Bayi di RSUP Sanglah Denpasar Tahun 2017 - 2021 Agustina, Kristin; Anandasari, Pande Putu Yuli; Sitanggang, Firman Parulian; Putra, I Wayan Gede Artawan Eka; Asih, Made Widhi; Patriawan, Putu
Jurnal Kesehatan Andalas Vol. 12 No. 1 (2023): Online March 2023
Publisher : Faculty of Medicine, Universitas Andalas

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25077/jka.v12i1.2156

Abstract

Hepatobiliary ultrasound is the most common initial diagnostic modality in the early detection of biliary atresia. It is not the gold standard, but the hepatobiliary ultrasound examination can be used to determine the appropriate further management. Objective: To determined the diagnostic value of ultrasound examination as a predictor of biliary atresia in cholestasis of infants. Methods: This was an observational study with a diagnostic test to determine the validity of hepatobiliary ultrasound as a predictor of biliary atresia with cholangiography as the gold standard. The research subjects were 40 infants taken by total sampling from January 2017 until December 2021. Data were obtained from medical records, hepatobiliary ultrasound images were accessed from PACS, and cholangiography results from SIMARS. The hepatobiliary ultrasound images were scored by two observers using a scoring table. The variables assessed included: gallbladder morphology, absence of common bile duct, triangular cord sign, gallbladder contraction index and liver morphology. Data analysis consisted of interobserver reliability test, and relationship assessment analysis. Diagnostic tests to determine the optimal cut-off score, sensitivity, specificity, positive predictive value, negative predictive value and accuracy. Results: At cut-off≥ 5, the number of patients with radiologically impressive biliary atresia was 26 and not biliary atresia was 14. The validity analysis showed a sensitivity 87.5%, specificity 68.8%, positive predictive  80.8%, negative predictive 78.6%, and accuracy 80%. Conclusion: The diagnostic value of hepatobiliary ultrasound as a predictor of biliary atresia in cholestasis of infants is good.Keywords:  biliary atresia, hepatobiliary ultrasound, neonatal cholestasis
Intra-adrenal Paraganglioma and Paraaortic Paraganglioma in 15 Years Old Boys Butarbutar, Christine Rosalina; Maker, Luh Putu Iin Indrayani; Sumadi, I Wayan Juli; Winarti, Ni Wayan; Ariyanta, Kadek Deddy; Asih, Made Widhi
Majalah Patologi Indonesia Vol. 33 No. 1 (2024): MPI
Publisher : Perhimpunan Dokter Spesialis Patologi Anatomik Indonesia (PDSPA)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55816/mpi.v33i1.631

Abstract

Intra-adrenal paraganglioma (also called pheochromocytoma) is a chromaffin cell tumor that arises in the adrenal medulla and produces excess catecholamines. Paraganglioma can also be located in the extra-adrenal area. The incidence rate of intra-adrenal and extra-adrenal paraganglioma is about 1 case per 2.500-6.500 population, highest incidence at 40-50 years old, and distribution is the same in males and females. Intra-adrenal paraganglioma in pediatrics is more familial, bilateral, multifocal, and malignant. In children, the incidence rate of these tumors was 8.86%, the ratio of boys to girls was 2:1, and the average age of 11. This article reports a case, of a 15 years old boy with severe headaches, recurrent seizures, and a hypertension crisis (143/103-220/110 mmHg). MSCT scan of abdominal showed solid mass heterogeneous with central necrotic multiple in the supero-anterior of the left and right kidneys and on the right anterolateral aorta as high as CV L2, impressive adrenal gland mass and extra-adrenal, suspect pheochromocytoma. Performed surgery, routine histopathological examination, and Immunohistochemistry. Macroscopic examination showed an oval round shape mass of left and right adrenal tumors as well as the paraaortic, a smooth outer surface of the capsular, with yellowish brown color mass tumor at cut surface, supple consistency. Microscopic examination showing adrenal gland and paraaortic tissue with fibrous capsule contains proliferation of neoplastic cells forming a nested alveolar (Zellballen) pattern with a round oval to polygonal cells, granular eosinophilic cytoplasm, round oval nuclei, surrounded by sustentacular cells. Chromogranin A and S-100 are positive. The case was concluded by clinical findings, histopathological, and immunohistochemistry as intra-adrenal paraganglioma and paraganglioma of paraaortic.
Co-Authors Agustina, Kristin Anak Agung Ayu Ngurah Susraini Anak Agung Bagus Ngurah Nuartha Anastasia Tjan Ariyanta, Kadek Deddy Budi Martono Butarbutar, Christine Rosalina Eka Putra, I Wayan Gede Artawan Elysanti Dwi Martadiani Harley Septian I Gde Raka Widiana I Wayan Gede Artawan Eka Putra, I Wayan Gede Artawan Eka I Wayan Juli Sumadi Ida Ayu Sri Wijayanti Inez Kartika Jessica Harlan Juniada, Putu Herry Komang Mila Triana Sari Mahendra Wijaya, I Gusti Agung Gede Maker, Luh Putu Iin Indrayani Maria, Dessy Martadiani, Elyasanti Dwi Mirani Ulfa Yusrika Ni Nyoman Margiani Ni Wayan Winarti Nyoman Srie Laksminingsih Pande Putu Yuli Anandasari Patriawan, Putu Samantha, Vicky Sitanggang, Firman Parulian Skolastika Savitri Sujatmiko Sudiatmika, Dewa Gde Mahiswara Tjan, Anastasia