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Candy, Candy
Universitas Internasional Batam
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Journal : e-CliniC

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Ovarian Cyst Torsion: A Case Report Lampus, Harsali; Rendy, Leo; Candy, Candy; Rangan, Andy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61259

Abstract

Abstract: Accidents involving ovarian cysts might include cyst rupture, hemorrhage, and torsion. Any girl who has abdominal pain or a pelvic or abdominal mass should be evaluated for ovarian torsion, a rare issue in the juvenile age group. We reported a 10-year-old girl presented with complaints of lower left abdominal pain that began three days prior to her hospital admission. Initially, the pain was intermittent but subsequently became persistent and intensified, with no pain-free intervals. CT-Scan of the abdomen – pelvis without contrast revealed cystic mass with fat components and intralesional calcification, in the suprapubic quadrant. The impression came from the ovary (difficult to determine the right/left ovary), which urged the bladder to the anteroinferior and urged the uterus to the posterior, suspected of mature cystic ovarian teratoma. The patient was managed with intravenous fluids (IVFD), antibiotics, and analgesics for pain control. Due to the high suspicion of ovarian torsion, emergency exploratory laparotomy was performed. Anatomical differences in the paediatric population and their effects on surgery were also be considered. Intraoperative findings confirming a left ovarian cyst measuring approximately 8 x 6 x 4 cm, which had undergone torsion twice. Detorsion was performed, and the ovary was found to be viable. Cystectomy was carried out, preserving healthy ovarian tissue. The right ovary appeared normal. In conclusion, this case underscores the importance of timely surgical intervention, even beyond the traditional "golden period" of 6–12 hours, as collateral blood supply may help maintain ovarian viability. The shift from oophorectomy to ovarian preservation in the management of ovarian torsion reflects evolving clinical practices, emphasizing better reproductive and long-term health outcomes. Early recognition, prompt imaging, and surgical intervention are crucial to preserving ovarian function and improving patient prognosis. This case also highlights the need for increased awareness of ovarian torsion in pediatric and adolescent populations, given its rarity and diagnostic complexity. Keywords: torsion cyst; ovarian cyst; paediatric surgery
Hubungan Tipe Fistula, Waktu Operasi, dan Toilet Training pada Malformasi Anorektal dengan Pola Defekasi Pascaoperasi Berdasarkan Skor Rintala Saputra, Sabrandi P.; Lampus, Harsali F.; Candy, Candy
e-CliniC Vol. 13 No. 2 (2025): e-CliniC
Publisher : Universitas Sam Ratulangi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35790/ecl.v13i2.61271

Abstract

Abstract: Anorectal malformation is a congenital abnormality in which the anus does not open normally into the perineum. In several studies, earlier surgery time has a better impact on patients. Toilet training performed postoperatively is assumed to help improve patient defecation patterns. This study is an observational analytical study with a retrospective cohort design. The population in this study were pediatric patients after surgery for Anorectal Malformation based on the Wingspread classification at Prof. R.D. Kandou General Hospital, Manado. The independent variables were fistula type, surgery time, and toilet training. In this study, the dependent variable was postoperative defecation pattern based on the Rintala Score. Bivariate analysis was used to analyze the relationship between independent variables and dependent variables. The Somers' D test was used to measure the relationship between categorical variables. The results showed that the variables namely fistula type, surgery time, and toilet training in anorectal malformation did not have statistically significant relationships with postoperative defecation pattern based on the Rintala score (p-value >0.05). The Rintala score does not always describe the anatomical or functional conditions of the anus in detail. In conclusion, there is no significant relationship between fistula type, surgery time, and toilet training in anorectal malformation with postoperative defecation pattern based on the Rintala score.   Keywords: anorectal malformation; fistula type; surgery time; toilet training; Rintala score   Abstrak: Malformasi anorektal merupakan sebagai salah satu kelainan bawaan dengan kondisi anus tidak membuka secara normal ke perineum. Toilet training yang dilakukan pascaoperasi diasumsikan membantu memperbaiki pola defekasi pasien. Penelitian ini bertujuan untuk mengevaluasi hubungan antara tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal dengan pola defekasi pascaoperasi berdasarkan skor Rintala. Jenis penelitian ialah analitik observasional dengan desain kohort retrospektif. Populasi penelitian ialah pasien anak pascaoperasi malformasi anorektal berdasarkan klasifikasi Wingspread di RSUP Prof. Dr. R. D. Kandou Manado. Variabel bebas ialah tipe fistula, waktu operasi, dan toilet training sedangkan variabel terikat ialah pola defekasi paska operasi berdasarkan Skor Rintala. Analisis bivariat digunakan untuk menganalisis hubungan kedua variabel, dan uji Somers’D untuk mengukur hubungan variabel kategori. Hasil penelitian ini yaitu variabel tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal tidak berhubungan bermakna secara statistik dengan pola defekasi pascaoperasi berdasarkan skor Rintala (p>0,05). Skor Rintala tidak selalu menggambarkan kondisi anatomis atau fungsional anus secara rinci. Simpulan penelitian ini ialah tidak terdapat hubungan bermakna antara tipe fistula, waktu operasi, dan toilet training pada malformasi anorektal dengan pola defekasi pascaoperasi berdasarkan skor Rintala. Kata kunci: malformasi anorektal; tipe fistula; waktu operasi; toilet training; skor Rintala
Co-Authors Ade Agustika Br Surbakti agustin, isnaini nuzula Albert Lee Alex Alex Alex Alex Aliandrina, Dessy Alice Alice Alice Alice Alzi Andre Steven Hutagaol Andrew Andrew Andryanto Andryanto Angelina Goh Angelina Valensia Angeline Aurellia Anton Winardy Apriyadi, Riki Brahmantya Chriswardhana Cahyani, Isty Rosy Calvina Hartanto Calystania, Verren Chandra Wijaya Cheristina, Cheristina Chrysti, Angelica Vivian Cindy Fransiska Cuandra, Fendy Dastin Dastin Dastin Dastin, Dastin Delfina Delfina Delfina, Delfina Dhifira Annisa Widyasari Eddy Oktarianto Elfan Wahyu Mulyana Eliya, Sartika Erick Erick Ernestine, Ernestine Estina Sativa Evelyn Loo Feronika Romadoni, Salsabilah Freddy Freddy Goh, Angelina Hansen Can Harsali F. Lampus Hendru Hendru Hendru, Hendru Hery Haryanto Hesniati Hesniati Hesniati, Hesniati Indra Novita Isty Rosy Cahyani Isty Rosy Cahyani Ivander Lukito Jacelyin, Jacelyin Jenny Jenny Jeslin Jeslin Jessica Novia Jessica Novia Jessica Valeria Jesslyn Jesslyn, Jesslyn Jimmy Tjong Joey Joey Jofia, Nurul Johny Budiman Jolin, Jolin Jones, Ivan Joycelin Joycelin Joycelin, Joycelin Julia Rahayu Putri Julia Renaldi, Angelina Junestin Junestin Junita Junita Junita Junita Junita Junita Justyanita Justyanita Kellen Vincent Kelvin Kelvin Kelvin Kelvin Kelvin Kwek Keyi Sylvia Tania Kristiani Kristiani Kristina Kristina Lady, Lady Lay, Sevvie Prissy Lena Sepriani Lena Sepriani Leo Rendy Liana, Jumi Licca, Vellia Lie, Kelvin Liu, Michelle Selvia Lu Sudirman Marcelino Marcelino Marheni, Dewi Khornida Mayviana, Vivin Merlin Leona Michael Setiawan Michelle Angel Lim Michelle Selvia Liu Miftachul Choiri Nainggolan, Ferdinand Novi Angelina Noviany, Ivana Metta Oscar, Franky Priscillia, Viviona Putri, Shieny Tan Quinn, Fionna Rangan, Andy Renato, Rio Rio Renato Rizal Verandi Robin Robin Robin Robin Rudyanto Rudyanto Saleh, Denny Salim, Silvia Sandy Putra Saputra, Sabrandi P. Sari, Mentari Indah Selen Angelina Selina Phang Sephia Septiana Shellyna Shellyna Shelvi Shelvi Shelvi, Shelvi Sherry Sherry Sisca, Veni Sorongku, Ronald Soveinia Soveinia Stefhani Susanto Stephanie Stephanie Suprapto, Yandi Suryoprabowo, Vincent Susanto, Stefhani Tan, Ie Ling Teddy Ong Tony Chandra Verawati Vincent Vincent Vincent, Vincent Vira Vira Vira, Vira Vivian Vivian Welen Welen Wijaya, Calvin Winny Lim Winny Stevania Wisnu Yuwono Wynne Lie Yandi Suprapto Yeria, Winny Yodiputra, Jason Yopie, Santi Yudhaputri, Egabetha Amirah Yulfiswandi, Yulfiswandi