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Prilly Astari
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TUBERKULOSIS INTRAOKULAR Prilly Astari
Jurnal Kedokteran Syiah Kuala Vol 18, No 3 (2018): Volume 18 Nomor 3 Desember 2018
Publisher : Universitas Syiah Kuala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jks.v18i3.18023

Abstract

Abstrak. Tuberkulosis (TB) adalah suatu penyakit menular yang disebabkan oleh kuman dari kelompok Mycobacterium yaitu Mycobacterium tuberculosis. TB paling banyak menyerang organ paru-paru, namun sekitar 20% dapat melibatkan organ tubuh lainnya, termasuk mata. Infeksi oleh Mycobacterium tuberculosis pada struktur di dalam mata dinamakan TB intraokular. Terdapat beberapa kontroversi terkait terminologi, diagnosis, dan terapi yang mengakibatkan prevalensi TB intraokular sangat beragam, pemilihan tes diagnostik yang berbeda – beda, serta durasi terapi Obat Anti Tuberkulosis (OAT) yang berbeda – beda. Kata kunci: imunologi, infeksi, koroiditis, tuberkulosis, uveitis Abstract. Tuberculosis (TB) is an infectious disease caused by the bacteria, Mycobacterium tuberculosis. TB typically affects the lungs, but it can also affect other organs, including the eyes. Infection by Mycobacterium tuberculosis inside the eye is called intraocular TB. There are several controversies related to the terminology, diagnosis, and therapy that result in varying prevalence of intraocular TB, different selection of diagnostic tests, and different duration of Anti-TB therapies.  Keywords: choroiditis, immunology, infection, tuberculosis, uveitis
Spontaneous Multifocal Endometriosis: Ovarian and Umbilical Involvement Without Prior Surgery Prilly Astari; Ong Tjandra; Airine Stefanie Lians
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.38682

Abstract

Umbilical endometriosis is a rare manifestation of extra-pelvic endometriosis and is frequently underdiagnosed, particularly in women without prior abdominal surgery or infertility. Its clinical presentation may mimic other umbilical pathologies, leading to delayed recognition. A 34-year-old multiparous woman presented with a 3-month history of cyclical bleeding from the umbilicus associated with a painful umbilical nodule, severe dysmenorrhea, deep dyspareunia, and right-sided pelvic pain. She had no history of abdominal or pelvic surgery. Physical examination revealed a firm, reddish umbilical nodule with active bleeding. Ultrasonography demonstrated a large right ovarian endometrioma with a ground-glass appearance. The patient underwent laparotomy with right salpingo-oophorectomy and complete excision of the umbilical lesion. Histopathological examination confirmed endometriosis in both sites. Complete symptom resolution was observed at two-week follow-up. This case highlights spontaneous multifocal endometriosis involving the ovary and umbilicus in a non-infertile, multiparous woman, emphasizing the need for heightened clinical suspicion. Limited access to advanced imaging such as MRI did not preclude accurate diagnosis when clinical, ultrasonographic, and pathological findings were integrated. Umbilical endometriosis should be considered in patients with cyclical umbilical symptoms regardless of parity or fertility status. Early recognition and surgical management are crucial to prevent misdiagnosis and prolonged morbidity.
Spontaneous Multifocal Endometriosis: Ovarian and Umbilical Involvement Without Prior Surgery Prilly Astari; Ong Tjandra; Airine Stefanie Lians
Tirtayasa Medical Journal Vol 5, No 2 (2026): May
Publisher : Universitas Sultan Ageng Tirtayasa

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62870/tmj.v5i2.38682

Abstract

Umbilical endometriosis is a rare manifestation of extra-pelvic endometriosis and is frequently underdiagnosed, particularly in women without prior abdominal surgery or infertility. Its clinical presentation may mimic other umbilical pathologies, leading to delayed recognition. A 34-year-old multiparous woman presented with a 3-month history of cyclical bleeding from the umbilicus associated with a painful umbilical nodule, severe dysmenorrhea, deep dyspareunia, and right-sided pelvic pain. She had no history of abdominal or pelvic surgery. Physical examination revealed a firm, reddish umbilical nodule with active bleeding. Ultrasonography demonstrated a large right ovarian endometrioma with a ground-glass appearance. The patient underwent laparotomy with right salpingo-oophorectomy and complete excision of the umbilical lesion. Histopathological examination confirmed endometriosis in both sites. Complete symptom resolution was observed at two-week follow-up. This case highlights spontaneous multifocal endometriosis involving the ovary and umbilicus in a non-infertile, multiparous woman, emphasizing the need for heightened clinical suspicion. Limited access to advanced imaging such as MRI did not preclude accurate diagnosis when clinical, ultrasonographic, and pathological findings were integrated. Umbilical endometriosis should be considered in patients with cyclical umbilical symptoms regardless of parity or fertility status. Early recognition and surgical management are crucial to prevent misdiagnosis and prolonged morbidity.
Co-Authors Airine Stefanie Lians Ong Tjandra