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All Journal Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Cermin Dunia Kedokteran The Indonesian Journal of Gastroenterology, Hepatology and Digestive Endoscopy
Prijo Sidipratomo
Departemen Radiologi Fakultas Kedokteran Universitas Indonesia – Rumah Sakit Umum Cipto Mangunkusumo, Jakarta
Health Professions Medicine & Pharmacology Public Health

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Ascariasis Intestinal Berkomplikasi Obstruksi Usus Halus Parsial: CT Scan vs Foto Polos Abdomen Reza Istiantho; Prijo Sidipratomo; Freda Halim
Cermin Dunia Kedokteran Vol 43, No 9 (2016): Kardiovaskuler
Publisher : PT. Kalbe Farma Tbk.

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55175/cdk.v43i9.864

Abstract

Ascariasis intestinal harus selalu dipertimbangkan sebagai salah satu diagnosis pada anak-anak di daerah endemis dengan gejala abdomen akut atau obstruksi usus. Pada kebanyakan kasus, diagnosis tidak cukup hanya dengan gejala klinis dan hasil pemeriksaan laboratorium, namun diperlukan juga pemeriksaan radiologis. Dilaporkan sebuah kasus seorang anak perempuan berusia 9 tahun datang ke IGD dengan keluhan utama tidak bisa buang air besar sejak tiga hari. Dari hasil pemeriksaan radiologi didapatkan adanya obstruksi usus halus parsial disebabkan oleh bolus askariasis di ileum proksimal dan peritonitis diduga disebabkan appendisitis perforasi. Setelah hasil CT scan didapat, diputuskan dilakukan laparotomi eksplorasi.Intestinal ascariasis should be considered as a diagnosis in children in endemic areas with symptoms of acute abdominal or intestinal obstruction. In most cases, the diagnosis is not only by clinical symptoms and results of laboratory examination, but also required radiologically. Reported a case of a 9 -year -old girl came to the ED (emergency departments) with symptom of could not defecate since three days. From the results of radiological examinations obtained a partial small bowel obstruction caused by ascariasis bolus in the proximal ileum appendicitis and peritonitis due to perforation is suspected. After the CT scan results obtained, it was decided to do exploratory laparotomy. 
The Role of Endovascular Intervention in Post Liver Hemorrhagic Blunt Trauma Rahmad Mulyadi; Prijo Sidipratomo; Indrati Suroyo; Jakub Pandelaki; Sahat Matondang; Krishna Pandu Wicaksono; Heltara Ramandika
The Indonesian Journal of Gastroenterology, Hepatology, and Digestive Endoscopy Vol 21, No 1 (2020): VOLUME 21, NUMBER 1, April 2020
Publisher : The Indonesian Society for Digestive Endoscopy

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (242.106 KB) | DOI: 10.24871/211202059-63

Abstract

The liver is the most commonly injured organ in blunt abdominal trauma, and liver trauma is the leading cause of death in abdominal injuries. Liver trauma is associated with high morbidity and mortality, hence thediagnosis and clinical assessment of hepatic trauma play an important role in the management of abdominal liver trauma. Although it is only suitable for patients with stable hemodynamic status, computed tomography(CT scan) is the gold standard for evaluating patients with blunt abdominal trauma, because it can acquire high quality images quickly. For these stable patients, nonsurgical management or endovascular intervention has become the treatment of choice in the majority of liver injuries.
Multiple Radiologic Findings in a Simple Blunt Thoracic Trauma Prijo Sidipratomo; Jacob Pandelaki; Samuel Widjaja; Jason Jason
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 17 No 1 (2023): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v17i1.5123

Abstract

Blunt thoracic trauma is one of the main contributors to trauma-related deaths, with the broad possibility of pathological chest injury. Imaging plays an important role in detecting most of internal organ injuries. Here we presented a 56-years-old male with progressive chest pain following blunt chest trauma several days prior without any early intervention. Chest radiograph showed rib fractures, pneumothorax, atelectasis, and raised left hemidiaphragm. Further CT scan evaluation identified additional hemothorax, subcutaneous emphysema and confirming the fourth to tenth rib fractures, pneumothorax, and unilateral hemidiaphragm elevation. As seen in our case, chest radiograph is crucial in initial evaluation of chest injury, usually through identification of pathological landmark. While chest radiograph is limited to one projection, CT scan provide a global evaluation of a region with a high sensitivity and specificity in detecting and confirming most of the injuries. Thus, one must not overlook any lightly appeared blunt thoracic trauma while optimizing the use of radiography and CT scan for the evaluation of injuries.
Co-Authors Freda Halim Heltara Ramandika Indrati Suroyo Jacob Pandelaki Jakub Pandelaki Jason Jason Krishna Pandu Wicaksono Rahmad Mulyadi Reza Istiantho Sahat Matondang Samuel Widjaja