Article Per Year (5 Year)
p-Index From 2021 - 2026
2.47
P-Index
This Author published in this journals
All Journal journal of internal medicine E-Jurnal Medika Udayana Universa Medicina Jurnal Penyakit Dalam Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran MEDICINUS The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
I Ketut Mariadi
Division Of Gastroenterology And Hepatology, Department Of Internal Medicine, Udayana University/Sanglah General Hospital, Bali
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Published : 33 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 3 Documents
Search
Journal : MEDICINUS

 1 
 Hepatic Encephalopathy in a Postpartum Patient with Chronic Hepatitis B: A Case Report  Priska Harsanti Devi; I Ketut Mariadi
MEDICINUS Vol. 39 No. 2: MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/7n0pqt23

Abstract

Decompensated liver cirrhosis in the postpartum period is rarely reported, particularly in association with chronic hepatitisvB infection. We presented the case of a 33-year-old woman who developed decreased level of consciousness one day afterdelivery. She had no prior history of chronic illness, although her father had passed away from complications of hepatitisvB. Clinical findings included jaundice, ascites, and hepatic encephalopathy. Laboratory results revealed reactive HBsAg, hypoalbuminemia, elevated liver enzymes, hyponatremia, hypokalemia, and markedly elevated total bilirubin. Abdominalultrasound demonstrated cirrhosis with splenomegaly and ascites. The patient was diagnosed with Child-Turcotte-Pughclass C cirrhosis with grade II ascites, grade II hepatic encephalopathy, chronic hepatitis B, and esophageal varices. She received supportive treatment including lactulose, albumin transfusion, and antiviral therapy with tenofovir, resulting inclinical and biochemical improvement after one month. This case highlighted the importance of early screening for hepatitis B during pregnancy to prevent potentially fatal postpartum hepatic decompensation.
"Steakhouse Syndrome" pada Pasien Dewasa di RSUP Prof. dr. I.G.N.G. Ngoerah, Denpasar Ni Made Ayu Dwipayanti; I Ketut Mariadi
MEDICINUS Vol. 39 No. 3 (2026): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/tvmwhd73

Abstract

Esophageal obstruction by foreign body is a common emergency condition, third rank after upper and lower gastrointestinal bleeding. This condition may be life-threatening, depending on the type of ingested object, the location of the obstruction, the patient’s condition, and the time interval from the incident until the treatment is given. The annual incidence has been reported to be 13 per 100,000 of the general population. We report the case of a 30-year-old female patient who presented with difficulty swallowing for two days prior to hospital admission after eating beef steak. This complaint was accompanied by chest pain and a burning sensation. Examination revealed a patent airway, with no complications such as hematemesisor abnormal breath sounds. Upper gastrointestinal endoscopy showed a food blockage (a mass of insufficiently chewed steak) in the esophagus, located 20 cm from the teeth, with erosion of the surrounding mucosa. This location is consistentwith previous studies showing that, in adults, about 68% of obstructions occur in the distal esophagus, between the aortic arch and the lower esophageal sphincter (LES). In this case, no medications were administered to relax the smooth muscles of the LES. The steak was pushed from the esophagus into the stomach using endoscopy. The obstruction was successfully removed, and the patient’s symptoms resolved. In conclusion, the patient’s symptoms were caused by an acute steak mass, known as “steakhouse syndrome”.
Pendekatan Diagnosis pada Pasien dengan Primary Sclerosing Cholangitis (PSC): Sebuah Laporan Kasus I Putu Aris Govindha Putra; I Ketut Mariadi
MEDICINUS Vol. 39 No. 5 (2026): MEDICINUS
Publisher : PT Dexa Medica

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56951/pznw5k98

Abstract

Primary sclerosing cholangitis (PSC) is a chronic, progressive cholestatic liver disorder of unknown etiology, characterized by inflammation, fibrosis, and narrowing of the intrahepatic and/or extrahepatic bile ducts. The discovery of commonclinical manifestations of cholestasis, whose etiology is difficult to determine, makes PSC cases a challenge for clinicians. We reported the case of a 20-year-old female who presented with the chief complaint of jaundice lasting 6 months.Symptoms included pruritus, tea-colored urine, pale stools, decreased appetite and body weight, and the appearance of bruising without trauma. The patient underwent several examinations, including laboratory tests, ultrasound, CT scan,and magnetic resonance cholangiopancreatography (MRCP), which showed a blockage and narrowing of the bile ducts. The first endoscopic retrograde cholangiopancreatography (ERCP) included biliary stent placement, but the complaints persisted, so a repeat ERCP was performed, revealing a biliary tract stricture. The initial diagnosis was PSC with severe acute cholangitis and coagulopathy. Patient was treated with antibiotics, steroids, and ursodeoxycholic acid (UDCA). In clinical practice, the recognition and confirmation of the diagnosis, as well as the management of PSC remain challenging. This case highlights the importance of early recognition and suspicion as well as comprehensive treatment of PSC to prevent further complications.
Co-Authors Alamsyah, Ajib Zaim bin Abd Rahman, Mohamad Fadli Cokorda Agung Wahyu Purnamasidhi Derryl Ravertio Timothy Subroto Dewa Gde Agung Budiyasa Dewa Gde Agung Budiyasa Dewi, Ni Luh Putu Yunia Dewi, Ni Nyoman Gita Kharisma Dewi, Putu Itta Sandi Lesmana Dwijo Anargha Sindhughosa, Dwijo Anargha Gde Somayana Godfried Erycesar Yeremia Saragih Hardian, Harris Hendra Koncoro Hendra Koncoro Hendra Koncoro I Dewa Nyoman Wibawa I Gusti Agung Suryadarma I Nyoman Astika I Putu Aris Govindha Putra I Wayan Surya Ardiana Ida Ayu T risha Kundalini Ida Bagus Nyoman Wibawa IDN Wibawa Itta Sandi Lesmana Dewi Jemi Tubung Jessica Raphaela Pranata Kadek Mercu Narapati Pamungkas Kumbara, Cokorde Istri Yuliandari Krisnawardani Kuwai, Toshio Made Wardhana Magat, Renaldy Frederich Nathanael Mirdania, Yaditta N Purwadi Ni Made Ayu Dwipayanti Nyoman Purwadi Pamungkas, Kadek Mercu Narapati Pande Ketut Kurniari Prasenah Subramaniam Priska Harsanti Devi Putra, I Komang Wisuda Dwija Putu Prathiwi Primadharsini Saturti, Tjokorda Istri Anom Triyanayasa, I Nyoman Tubung, Jemi Wayan Arlis Saputra Wibawa, Ida Bagus Nyoman Wira Gotera Wira Nugraha, Komang Agus Yaditta Mirdania Yenny Kandarini Yuna Ariawan