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All Journal JPP Jurnal Kesehatan Poltekkes Palembang Cermin Dunia Kedokteran
Hapsari, Fikhy Rizky
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Health Professions Medicine & Pharmacology Nursing Public Health

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Kistadenoma Ovarium Serosum pada Kehamilan: Laporan Kasus pada Wanita Primigravida 23 Tahun dengan Kehamilan Aterm Isbach, Galuh Prasasti; Hapsari, Fikhy Rizky; Permadi, Danang Pramudya
JPP JURNAL KESEHATAN POLTEKKES PALEMBANG Vol 20 No 1 (2025): JPP (Jurnal Kesehatan Poltekkes Palembang)
Publisher : Poltekkes Kemenkes Palembang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36086/jpp.v20i1.2766

Abstract

Background: An ovarian cyst is a sac that contains a search that forms in the ovaries. Ovarian cysts often go undiagnosed due to the asymptomatic or asymptomatic nature of the cyst. In pregnancy, the incidence of ovarian cysts ranges from 0.9%-8.8%. The occurrence of cysts in pregnancy can cause various risks that can harm the mother and fetus. Confirmation of cyst diagnosis can be done using ultrasound imaging and tumor markers based on the type of cyst present. The purpose of this case report is to present symptoms, signs, labolatorium results, histological results of anatomical pathology, and intraoperative findings of a case of sinistra ovarian cyst in women G1P0000 23 years of age with a gestational age of 39-40 weeks. Case Report: : A 23-year-old pregnant woman with a gestational age of 39-40 weeks was referred from the health center for examination at the hospital obstetrics and gynecology polyclinic with suspicion of ovarian cysts. The patient felt symptoms of an enlarged abdomen since 2 years ago and carried out an examination at a health facility, but the findings did not lead to cysts, only complaints on the patient's stomach. The patient only realized the presence of a cyst at 19-20 weeks gestation with a size of 12x12 cm after an imaging examination using ultrasound. There were no signs of distress in either the mother or the fetus in the womb until the patient was re-examined at the hospital at 39-40 weeks gestation. Then, the patient was treated with sectio caesarean section + salfingooovorectectomy with the outcome of the mother and baby being good without any abnormalities. Conclusion: Diagnosis of adnexal masses in pregnancy should be done early to prevent complication in both the mother and the fetus.
Hyperemesis Gravidarum-induced Encephalopathy, Gagal Ginjal, dan Kematian Janin – Laporan Kasus: Laporan Kasus Risqiyani, Siti Zulaikha; Hapsari, Fikhy Rizky
Cermin Dunia Kedokteran Vol 53 No 07 (2026): Juli 2026
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v53i07.1903

Abstract

Introduction: Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting during pregnancy that can become life-threatening for the mother and fetus if not treated properly. Although most cases resolve with conservative management, rare instances progress to severe multisystem complications, including encephalopathy, acute kidney injury, and fetal demise. Case: A 22-year-old G1P0A0 woman at 13 weeks of gestation presented with decreased consciousness following four weeks of intractable vomiting since 8 weeks of pregnancy. The patient has been vomiting more than five times a day, and consciousness began to decrease over the last two days, with complaints of blurry vision and tremors. Physical examination revealed hypotension (blood pressure 80/45mmHg), tachycardia, and cold extremities. Laboratory findings demonstrated acute kidney injury (serum creatinine 8.1 mg/dL), severe electrolyte disturbances (sodium 115.7 mmol/L, potassium 2.07 mmol/L, chloride 77.8 mmol/L), and hepatocellular injury. Transabdominal ultrasound confirmed fetal demise at 13 weeks of gestation. Discussion: HG can precipitate life-threatening complications, including Wernicke's encephalopathy, acute kidney injury, and fetal loss through mechanisms of severe dehydration, malnutrition, and electrolyte imbalance. Early recognition with aggressive fluid resuscitation, electrolyte correction, and nutritional support is essential to prevent irreversible multisystem deterioration and improve maternal-fetal outcomes. Conclusion: Multisystem complications in HG are extremely dangerous for both mother and fetus. Appropriate preventive measures and early intervention must be taken to prevent worsening outcomes and reduce the risk of maternal and fetal mortality.
Co-Authors Isbach, Galuh Prasasti Permadi, Danang Pramudya Risqiyani, Siti Zulaikha