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Ovarian cyst mimicking acute appendicitis in children: a case report Noor, Hafni Zuchra; Wahyuni, Alfaina; Retnowati, Sulistiari
Sains Medika: Jurnal Kedokteran dan Kesehatan Vol 15, No 1 (2024): June 2024
Publisher : Faculty of Medicine, Universitas Islam Sultan Agung (UNISSULA), Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30659/sainsmed.v15i1.31564

Pediatric acute appendicitis is common; however, it is different from torsion ovarian cysts. The estimated incidence of ovarian torsion in children is 5 per 100,000 girls. Herein, we report two cases of ovarian torsion mimicking pediatric acute appendicitis mimicking ovarian cyst. In the first case, a girl who was being assessed for acute appendicitis was identified to have torsion of the ovarian cyst during the surgery. In the second case, a girl experienced a ruptured ovarian cyst but then got severe appendicitis following the surgical procedure. The simultaneous occurrence of appendicitis and ovarian cysts is rare. These two patients' acute gastrointestinal complaints and symptoms exhibit similarities and may coincide. Both patients underwent salpingo-oopherectomy and appendectomy. Both patients were healthy on hospital discharge in a healthy condition. Female patients with severe abdominal pain and amenorrhea should be evaluated for ovarian torsion. Diagnosing the condition may be challenging due to non-specific clinical signs.

COVID-19 infection in pregnant women with preeclampsia and HELLP syndrome, with possible vertical transmission to the fetus: a case report Retnowati, Sulistiari; Wahyuni, Alfaina; Pramono, Nabila A
MEDISAINS Vol 20, No 2 (2022)
Publisher : Universitas Muhammadiyah Purwokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30595/medisains.v20i2.14036

Background: During pregnancy, a woman's immune cells undergo cellular and functional alterations, rendering them more vulnerable to illness. Preeclampsia and HELLP syndromes are pregnancy problems and one of Indonesia's leading causes of maternal mortality; COVID-19 infection would exacerbate the situation. The evidence for COVID-19 vertical transmission is not well established, and the report on the incidence of vertical transmission, especially in Indonesia, is still limited.Case presentation: We discuss the case of a 26-year-old, 36 weeks of gestation, with preeclampsia and HELLP syndrome, who was infected with COVID-19 and got severe pneumonia and ARDS. The infant was born by cesarean section, and there was no contact between the infant and mother following delivery. Based on the results of the PCR examination, the baby was also confirmed to have COVID-19 without any symptoms.Conclusion: Vertical transmission during pregnancy is possible in women with a severe type of COVID-19 with preeclampsia and HELLP syndrome.

Clinical Characteristics and Management of Adolescent Ovarian Cysts Retnowati, Sulistiari; Wahyuni, Alfaina; Tritia Widiantara, I Nyoman; Nisrina, Hana
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 2 April 2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i2.2169

Objective : The aim of this study to give clinical characteristic of ovarian cysts in adolescent patient and comprehend the delineation of the management protocol implemented in patients diagnosed with ovarian cysts Methods : This study used a retrospective method conducted by reviewing patient medical records. This study was conducted by collecting medical record data retrospectively for 5 years at PKU Muhammadiyah Gamping Hospital and Panembahan Senopati Bantul Hospital. All data of outpatients, and inpatients diagnosed with ovarian cysts from January 2018 to July 2023 aged 11-21 years were taken to be included in the study. Results: A total of 56 adolescent patients were identified with ovarian cysts. Researchers found most patients with adolescent age group 18-21 years (n=43). Patients presented with a chief complaint of abdominal pain and the cyst was unilateral. Conclusion :. The patients exhibited a primary concern of pain, and the cyst was found to be located on one side only. Efforts to save the ovary were deemed vital owing to the relatively low probability of cyst malignancy. In this study also found that there were no correlation between clinical symtopms (abdoment pain, nausea and menstrual disorder) with size of cyst. Keywords: adolescents, clinical characteristic, ovarian cyst, management

PROGRAM KONSELING MENOPAUSE: STRATEGI PENINGKATAN PENGETAHUAN DAN KUALITAS HIDUP WANITA LANSIA Wahyuni, Alfaina; Retnowati, Sulistiari
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 4 (2025): Agustus
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i4.33114

Abstrak: Menopause adalah fase akhir menstruasi yang ditandai berhentinya pendarahan secara permanen, biasanya terjadi pada usia sekitar 50 tahun. Penurunan hormon estrogen menyebabkan berbagai keluhan, seperti nyeri seksual dan hot flushes, yang dapat mengganggu aktivitas sehari-hari dan menurunkan kualitas hidup wanita. Studi awal di Desa Kauman dan Ketandan menunjukkan bahwa dari 250 lansia, 12 wanita mengalami menopause selama 4–5 tahun dengan keluhan kesehatan seperti peningkatan berat badan dan gangguan aktivitas. Pengetahuan mereka mengenai menopause dan cara mengelolanya masih rendah. Untuk mengatasi hal tersebut, dilakukan kegiatan pelayanan masyarakat berupa konseling kesehatan tentang menopause kepada 54 peserta, menggunakan pendekatan edukatif-partisipatif melalui tatap muka, ceramah, diskusi dan pemeriksaan kesehatan. Evaluasi dilakukan menggunakan kuesioner pre-test dan post-test, yang menunjukkan peningkatan pengetahuan sebesar 13,1%. Kegiatan ini terlaksana dengan lancar dan sukses sesuai dengan tujuan kegiatan, Dengan demikian, kegiatan ini dinilai efektif dalam meningkatkan pemahaman dan kesiapan wanita lansia menghadapi masa menopause secara sehat dan tanpa keluhan yang berarti.Abstract: Menopause is the final phase of menstruation, marked by the permanent cessation of bleeding, usually occurring around the age of 50. The decline in estrogen hormones causes various complaints, such as sexual pain and hot flushes, which can interfere with daily activities and reduce a woman's quality of life. Preliminary studies in Kauman and Ketandan villages revealed that out of 250 elderly women, 12 had experienced menopause for 4–5 years, accompanied by health complaints such as weight gain and activity disorders. Their knowledge about menopause and how to manage it remains low. To address this, community outreach activities were conducted, including health counseling on menopause for 54 participants, using an educational-participatory approach through face-to-face sessions, lectures, discussions, and health examinations. Evaluation was conducted using pre-test and post-test questionnaires, showing a 13.1% increase in knowledge. The activity was carried out smoothly and successfully in line with its objectives. Therefore, this activity is considered effective in enhancing the understanding and preparedness of elderly women to face menopause in a healthy manner without significant complaints.

Acute Colonic Pseudo-obstruction (Adynamic Ileus) after Cesarean Section: A Case Series Retnowati, Sulistiari; Ivanna Beru Brahmana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 4 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i4.489

Background. Maternal mortality is still high. The case that we will report below is an example of cases that can be happened in the hospital and can be ended with maternal mortality. Case presentation. A 30 years old disabled primigravida with ileus post- Caesarean Section day 5 was managed by relaparotomy and partial resection of caecum and ileum due to intestinal perforation, and die on the fifth days after relaparotomy due to sepsis. A-33 years old secundigravida with history of relaparotomy on 4 days after caesarean delivery in the first pregnancy due to ileus, was performed re-caesarean section due to unprogressed labor. Twelve hours after the operation the abdomen becomes distended and can be managed successfully by conservative early diagnosis management. A 29 years old primigravida has performed caesarean section with history of myomectomy 3 years ago. Twenty four hours after Caesarean Section, the abdomen becomes distended and early conservative management was done, but at 72 hours after the operation, there was intestinal perforation and performed colostomy. Conclusion. Acute colonic pseudoobstructive after caesarean section is a rare case, and delayed diagnosis and management increase the morbidity and mortality.

Acute Colonic Pseudo-obstruction (Adynamic Ileus) after Cesarean Section: A Case Series Retnowati, Sulistiari; Ivanna Beru Brahmana
Bioscientia Medicina : Journal of Biomedicine and Translational Research Vol. 6 No. 4 (2022): Bioscientia Medicina: Journal of Biomedicine & Translational Research
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/bsm.v6i4.489

Background. Maternal mortality is still high. The case that we will report below is an example of cases that can be happened in the hospital and can be ended with maternal mortality. Case presentation. A 30 years old disabled primigravida with ileus post- Caesarean Section day 5 was managed by relaparotomy and partial resection of caecum and ileum due to intestinal perforation, and die on the fifth days after relaparotomy due to sepsis. A-33 years old secundigravida with history of relaparotomy on 4 days after caesarean delivery in the first pregnancy due to ileus, was performed re-caesarean section due to unprogressed labor. Twelve hours after the operation the abdomen becomes distended and can be managed successfully by conservative early diagnosis management. A 29 years old primigravida has performed caesarean section with history of myomectomy 3 years ago. Twenty four hours after Caesarean Section, the abdomen becomes distended and early conservative management was done, but at 72 hours after the operation, there was intestinal perforation and performed colostomy. Conclusion. Acute colonic pseudoobstructive after caesarean section is a rare case, and delayed diagnosis and management increase the morbidity and mortality.

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