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All Journal The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy Cermin Dunia Kedokteran
Nisan Soeheri
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Health Professions Medicine & Pharmacology

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Pancreatic Pseudocyst with Colonic Perforation Complication Angga Pramudita; Marcellus Simadibrata; Achmad Fauzi; Nisan Soeheri
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy VOLUME 12, NUMBER 1, April 2011
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24871/121201164-69

Abstract

Pancreatic pseudocyst is one of complications of both acute and chronic pancreatitis. It is a rare clinical condition. The incidence is low ranging between 1.6 and 4.5%, or 0.5-1 per 100,000 adults annually. The clinical manifestations range from asymptomatic to severe acute abdomen due to complications. Acute complications may include bleeding, infection, rupture and perforation of the gastrointestinal tract; while chronic complications are gastric and biliary obstruction as well as thrombosis of portal vein. We present a case report of a 38-year-old male with complaints of abdominal pain, fatigue, nausea and vomiting containing undigested food and yellow liquid. On clilnical examination, the patient was found to be fatigue, having enlarged abdomen, unpalpable liver and spleen, no signs of shifting dullness was detected. We found an abdominal mass in the left upper and lower quadrant sized 20 x 10 cm accompanied with epigastric pain on palpation. Abdominal ultrasonography revealed a cystic lesion on the head of pancreas with differential diagnosis of pseudocyst. The abdominal computed tomography (CT-scan) showed a lesion arising from pancreas, extending into abdominal cavity and part of left groint and attaching to left intestinal in the abdomen, part of gastric region and left diaphragm. A diagnosis of pancreatitis was suspected with differential diagnosis of pancreatic mass and peritonitis. It is a case report of pancreatic pseudocyst with acute complication of colonic perforation. Keywords: pseudocyst, pancreatitis, pancreatitis complication, colonic perforation
Severe Malaria with Multiple Complications Palayukan, Andrio; Soeheri, Nisan
Cermin Dunia Kedokteran Vol 51 No 2 (2024): Dermatologi
Publisher : PT Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v51i2.865

Abstract

Background: Malaria is still a major global health concern with a high mortality rate. The clinical spectrums of malaria range from mild to life-threatening. Case: A 25-year-old male with weakness, fever, and anuria. Physical examination showed febris, jaundice, and abdominal tenderness at the right upper quadrant. Laboratory findings revealed Plasmodium falciparum hyperparasitemia with increased total bilirubin and creatinine levels. Diagnosis of severe falciparum malaria with multiple complications (cholecystitis, acute kidney injury, and anemia) was established. Intravenous antimalarial and antibiotics were administered along with hemodialysis. The patient was discharged after 11 days of treatment with the improvement of clinical status and laboratory parameters. Conclusion: A comprehensive approach to the diagnosis of malaria is necessary to detect complications and appropriate management.
Co-Authors ACHMAD FAUZI Achmad Fauzi Angga Pramudita Marcellus Simadibrata Marcellus Simadibrata Palayukan, Andrio