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All Journal Majalah Kedokteran Bandung Indonesian Journal of Urology Cermin Dunia Kedokteran Cermin Dunia Kedokteran
Singgih, Nicholas Andrian
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Health Professions Medicine & Pharmacology Public Health

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Diagnosis dan Tata Laksana Varikokel Singgih, Nicholas Andrian
Cermin Dunia Kedokteran Vol 49, No 2 (2022): Infeksi
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (16.896 KB) | DOI: 10.55175/cdk.v49i2.1724

Abstract

Varikokel merupakan dilatasi abnormal dan pembesaran sistem vena pleksus pampiniformis dan vena testis dengan refluks darah vena secara terus-menerus ataupun intermiten. Modalitas pencitraan dapat digunakan untuk konfirmasi diagnosis varikokel. Varikokel merupakan salah satupenyebab infertilitas pada laki-laki. Tata laksana yang tepat akan meningkatkan parameter semen. Varikokelektomi dengan teknik bedah mikroefektif dengan tingkat rekurensi dan komplikasi yang rendah.
Giant Pyonephrosis Due to Calculus of Ureter: A Case Report Singgih, Nicholas Andrian; Lionardi, Stevan Kristian; Mintardi, Mintardi
Majalah Kedokteran Bandung Vol 55, No 4 (2023)
Publisher : Faculty of Medicine, Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15395/mkb.v55n4.2985

Abstract

Giant pyonephrosis (GP) is a rare and severe form of pyonephrosis characterized by a massive enlargement of the affected kidney due to the accumulation of infected fluid. This study presents case of a 51-year-old male patient with giant pyonephrosis who underwent nephrectomy as treatment. The clinical manifestations of giant pyonephrosis are nonspecific, necessitating the use of imaging and laboratory techniques to aid in diagnosis. Nephrectomy is the preferred treatment option for these patients. One week after nephrectomy, the laboratory results showed improvements. Making the right treatment decision is challenging in this particular case.
Perdarahan Perirenal Spontan pada Pasien dengan Sindrom Antifosfolipid: Laporan Kasus Adipurnama, William; Oktaviani, Jacinda Risha; Singgih, Nicholas Andrian; Salim, Cecilia Noviyanti; Derry Wendians Suhanto; Manuputty, Egi Edward; Budiawan Atmadja
Cermin Dunia Kedokteran Vol 52 No 7 (2025): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v52i7.1353

Abstract

Introduction: Spontaneous perirenal hemorrhage (SPH), also known as Wunderlich syndrome, is a rare condition that can potentially progress into life-threatening non-traumatic retroperitoneal hemorrhage. Common symptoms include acute flank or abdominal pain, a palpable flank mass, and fulminant hypovolemia, collectively referred to as Lenk’s triad, and diagnosis is typically established radiologically using a CT scan. Antiphospholipid syndrome (APS) - a rare, immune-mediated hypercoagulable disorder that occurs in only 5 cases per 100,000 people per year worldwide. It is immune-mediated, characterized by persistent antiphospholipid antibodies (APLA) that cause both arteries and venous thrombosis, and can present as peripheral arterial disease (PAD), acute arterial occlusion, and early atherosclerosis. Case : A 33-year-old woman with chronic kidney disease (CKD) presented with SPH and incidentally diagnosed with peripheral arterial disease (PAD) and APS. Conclusion : Conservative management was beneficial for SPH without the need for surgical intervention; however, antithrombotic therapy for PAD posed additional challenges before the patient was eventually discharged in improved condition for outpatient follow-up.
PRIMARY DIFFUSE LARGE B CELL LYMPHOMA OF TESTICULAR : A CASE REPORT Lionardi, Stevan Kristian; Singgih, Nicholas Andrian; Bagus, Lutfi
Indonesian Journal of Urology Vol 30 No 1 (2023)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v30i1.805

Abstract

Objective: To report our experience in treating a case of Testicular non-Hodgkin Lymphoma. Case(s) Presentation: A 55-year-old man came to the urology outpatient clinic with complaints of an enlarged left painless testicle that was lumpy and heavy. Urological examination found left unilateral testicle enlargement testicle, the size measured 10x7x7 cm with firm borders, solid consistency, and no tenderness. The patient then was treated with left orchiectomy. Histology and Immunohistochemical examination found non-Hodgkin B cells (CD20+) high grade, non-GCB. Discussion: In this case, the patient was treated with orchiectomy followed by a CHOP chemotherapy regimen. However, there was an unusual presentation due to the suspicion of metastases through the findings of a tender lump in the left inguinal region which was further confirmed by histological and immunohistochemical examination. Conclusion: Primary testicular lymphoma with a subtype of DLBCL (Diffuse Large B-Cell Lymphoma) is a rare disease. Orchiectomy is the initial treatment option for Testicular non-Hodgkin Lymphoma followed by combination therapy of chemotherapy to improve the prognosis. Keywords: Orchiectomy, testicular lymphoma, testicular tumors.
Seminoma Klasik pada Laki-laki Usia 72 Tahun Singgih, Nicholas Andrian; Lionardi, Stevan Kristian; Mintardi, Mintardi
Cermin Dunia Kedokteran Vol 51 No 1 (2024): Kedokteran Umum
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i1.1180

Abstract

Testicular cancer accounts for 1% of all malignancies and 5% of urological-related neoplasms; most commonly in young males aged 15-40 years, seminoma is the most common subtype (50%-60%). A 72-year-old patient with increasing right scrotum size since 3 years ago. A right testicular tumor was found. Trans-scrotal radical orchiectomy was done as the definitive treatment. The result of the histopathological examination was a classic seminoma pT1. GCT is a testicular cancer uncommonly diagnosed in the elderly. A better prognosis is achieved through early diagnosis and appropriate treatment.
Co-Authors Adipurnama, William Bagus, Lutfi Budiawan Atmadja Derry Wendians Suhanto Egi Edward Manuputty, Egi Edward Lionardi, Stevan Kristian Mintardi, Mintardi Oktaviani, Jacinda Risha Salim, Cecilia Noviyanti