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Fuadhi, Singgih Annas
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Ileus Obstruksi Et Causa Karsinoma Caecum dan Karsinoma Rectosigmoid (Karsinoma Colorectal Sinkronus) Fuadhi, Singgih Annas; Raharjo, Agus
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : CV. Ridwan Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (219.034 KB) | DOI: 10.36418/syntax-literate.v6i5.2733

Abstract

Karsinoma colorectal dapat mengakibatkan keadaan emergensi ileus obstruksi pada 38% pasien. Karsinoma colorectal primer bisa terjadi lebih dari satu lokasi di colon dan rectum yang terjadi secara bersamaan (karsinoma sinkronus). Insiden dari karsinoma colorectal sinkronus adalah 4,8%. Diagnosis preoperatif atau intraoperatif sangat penting untuk mendeteksi adanya karsinoma colorectal sinkronus. Tujuan: Melaporkan keberhasilan penatalaksanaan ileus obstruksi yang disebabkan karsinoma caecum dan karsinoma rectosigmoid (karsinoma colorectal sinkronus). Kasus: Laki-laki 70 tahun dengan keluhan nyeri perut, juga disertai kembung dan tidak bisa buang air besar selama satu minggu. Pada rectal toucher didapatkan ampula kolaps, tetapi tidak teraba adanya massa tumor. Pada rontgen abdomen 3 posisi,didapatkan gambaran ileus obstruksi letak tinggi dan tidak ada perforasi. Pasien ini didiagnosis dengan ileus obstruksi letak tinggi et causa suspect malignancy. Metode: Laporan kasus. Hasil: Dilakukan laparotomi dan ditemukan adanya karsinoma di caecum dan ditemukan juga tumor di rectosigmoid. Dilakukan hemicolectomi kanan dan reseksi anterior. Diagnosis post operasi ileus obstruksi et causa karsinoma caecum dan karsinoma rectosigmoid. Hasil laboratorium patologi anatomi kedua tumor adalah adenocarcinoma differensiasi baik.
Choledochal Cysts in Female Adult: Diagnostic Pitfall and Conservative Therapy for Bile Leak Fuadhi, Singgih Annas; Barmawi, Agus; Sofii, Imam; Setyawan, Nurcahya; Handaya, Adeodatus Yuda
Smart Medical Journal Vol 6, No 2 (2023): August
Publisher : Faculty of Medicine Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.13057/smj.v6i2.72426

Abstract

Introduction: Choledochal cysts that are accompanied by obstructive jaundice are a rare case. These cysts can cause intrahepatic or extrahepatic ductal dilatation. Their diagnosis is difficult, particulary in adults. Proper management can prevent further complications.Methods: A serial case report of a patient with a choledochal cyst.Results: 2 female patients aged 21 years and 22 years have a painful and fixed lump in the upper right abdomen. The first patient also complained jaundice. Laboratory results showed an increase in total bilirubin and direct bilirubin. The second patient didn’t complaint about jaundice or increased bilirubin, and she had a cholecystectomy when she was ten. The diagnosis was confirmed by a contrast abdominal CT scan, showing type 1A Todani choledochal cysts in both patients. Management of the first patient was cyst excision, cholecystectomy, and Roux n Y hepaticojejunostomy. In the second patient, adhesiolysis, cyst excision, and Roux n Y hepaticojejunostomy were performed. The second patient had no postoperative complications.Conclusion: Choledochal cysts are a rare congenital condition in adulthood. n both cases, two patients were manage surgically. Bile leakage complications can be manage conservatively. Diagnostic and management of choledochal cysts must be correct to prevent pitfall and complications.
Co-Authors Adeodatus Yuda Handaya Agus Barmawi Agus Raharjo Nurcahya Setyawan Sofii, Imam