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Partogi Napitupulu
Departemen Radiologi, Fakultas Kedokteran Universitas Trisakti, Jakarta, Indonesia
Dentistry Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Veterinary

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Radiographic lumbosacral angle has a low yield for diagnosing low back pain in workers 20-70 years of age Partogi Napitupulu; Gupita Nareswari; Mulia Rahmansyah; Tandy Chintya Tanaji
Universa Medicina Vol. 41 No. 3 (2022)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2022.v41.263-270

Abstract

BACKGROUNDThe increasing trend of working from home (WFH) among workers may lead to prolonged sitting time, which is associated with increased complaints of low back pain (LBP). The lumbosacral angle (LSA) is one of the clinically important radiographic angles related to the curves commonly measured to evaluate the biomechanical factors linked with LBP. The purpose of this study was to determine the yield of radiographic LSA for diagnosing LBP among workers aged 20-70 years. METHODS An analytic cross-sectional study involving 119 participants was carried out in Trisakti University. Lumbosacral angle was measured using Ferguson’s method. Data regarding LBP symptoms, sitting duration, and sitting position were collected using a questionnaire. Sensitivity and specificity was used to describe the characteristics of LSA as a screening test of LBP. RESULTSThe subjects consisted of 66 women (55.5%) and 53 men (44.5 %). Their ages ranged from 20 to 64 years with a median age of 40.0 years. Mean LSA was 37.4 ± 7.3º, while the prevalence of LBP was 75 (63.0%). The optimal cut-off value of LSA for the prediction of LBP was 49.5% (95% CI: 0.385-0.606). The sensitivity, specificity, positive predictive value and negative predictive value of LSA in detecting LBP were 58.7%, 45.5%, 68.8%, and 43.6%. CONCLUSIONSThe radiographic lumbosacral angle has a low yield for the diagnosis of LBP among workers aged 20-70 years. Further studies are needed to confirm our results and to test the application of this measurement.
Sigmoid colon perforation complicating neonatal rectovestibular fistula: A case report Partogi Napitupulu; Nadifa Agil; Revalita Wahab; Nathalia Ningrum
Science Midwifery Vol 14 No 3 (2026): August: Health Sciences and related fields
Publisher : Institute of Computer Science (IOCS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35335/midwifery.v14i3.2426

Abstract

Anorectal malformation (ARM) with rectovestibular fistula may allow small amounts of meconium to pass despite ongoing distal bowel obstruction. We report a three-day-old term female neonate with an imperforate anus, progressive abdominal distension, bilious vomiting, and minimal meconium passage through a rectovestibular fistula. Abdominal radiography showed marked bowel dilatation and pneumoperitoneum. Emergency laparotomy revealed sigmoid colon perforation with diffuse fecal peritonitis. The perforation was repaired, followed by a double-barrel sigmoid colostomy. The infant recovered well and was discharged on postoperative day eight. At three-month follow-up, the wound was completely healed and the colostomy remained healthy and functional. This case illustrates a rare but serious complication of rectovestibular fistula, in which limited meconium passage may coexist with significant bowel obstruction and subsequent perforation. These findings emphasize that thorough perineal inspection, high vigilance for obstruction despite minor meconium passage, and timely surgical intervention are essential to prevent bowel perforation in neonates with anorectal malformations.
STUDI KASUS: OSTEOCHONDROMA SCAPULA DAN TIBIA FIBULA PADA REMAJA USIA 14 TAHUN Tandy Chintya Tanaji; Firdha Leonita; Partogi Napitupulu; Astien Astien; Revalita Wahab; Mulia Rahmansyah; Gupita Nareswari
Jurnal Akta Trimedika Vol. 2 No. 1 (2025): Januari 2025
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v2i1.21717

Abstract

Multiple Hereditary Exostoses (MHE) is an autosomal dominant inherited genetic condition characterized by multiple exostoses (or osteochondromas). Genetic analysis had identified a certain type of mutated Exostosin genes, can potentially cause exostoses. A 14 years old boy referred to our hospital with a chronic hard palpable lump on his left back and right lower limb in the past 10 years, and was gradually increased in size. Laboratory test which consists of complete blood count, urinalysis, and renal function test were normal. A radiographic examination of the related skeleton demonstrated multiple osteochondromas of scapula and tibia fibula. As a consequence of mutations in the Exostosin 1 and Exostosin 2 genes, chondrocytes exhibiting shortened Heparan Sulfate chains are present in this region. In the later stages, these cells develop exostoses. Multiple Hereditary Exostoses may involve different bone locations and could be diagnosed using various medical imaging modalities, however plain radiography x-ray was already sufficient enough to conclude the abnormality. Sessile lesions were much more common than pedunculated in Multiple Hereditary Exostoses, however Sessile lesions bear a higher risk of malignant transformation into chondrosarcoma. Upon early detection, the prognosis for patients who have chondrosarcoma was favorable. Multiple Hereditary Exostoses is a rare bone disorder marked by the development of non-cancerous tumors near the growth plates of bones. This condition can greatly affect an individual's quality of life, resulting in restricted mobility, skeletal abnormalities, ongoing pain, inhibited growth, and the risk of the exostoses becoming malignant.
KARAKTERISTIK ULTRASONOGRAFI TIROID DENGAN CURIGA KEGANASAN DAN KONFIRMASI HISTOPATOLOGINYA Partogi Napitupulu; Elva Gabriella Br Depari; Revalita Wahab; Astien Suzman; Mulya Rahmansyah; Gupita Nareswari
Jurnal Akta Trimedika Vol. 3 No. 1 (2026): Januari 2026
Publisher : Fakultas Kedokteran Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.25105/aktatrimedika.v3i1.24451

Abstract

Nodul tiroid merupakan lesi abnormal di jaringan tiroid dan umumnya bersifat jinak, namun kasus keganasan nodul tiroid tidak jarang ditemukan. Data tahun 2022 karsinoma tiroid merupakan kanker dengan urutan ke-10 terbanyak di Indonesia dengan jumlah 13,761 kasus dan angka mortalitas mencapai 2141 kasus. Nodul tiroid umumnya bersifat asimtomatik, karena itu peran multimodalitas dalam penegakan karsinoma tiroid sangat penting. Ultrasonografi memberikan penilaian morfologi nodul, menilai standar risiko keganasan tiroid. Gambaran morfologi nodul tiroid terdiri dari komposisi, ekogenitas, bentuk, tepi dan kalsifikasi. Pemeriksaan ultrasonografi tidak menggunakan sinar atau radiasi pengion, tetapi menggunakan gelombang frekuensi tinggi sehingga merupakan pemeriksaan yang non-invasi, namun dipengaruhi oleh kemampuan operator. Pemeriksaan penunjang lainya yang dapat digunakan untuk menilai nodul tiroid dengan menggunakan CT-scan dan MRI leher dengan kontras. Pemeriksaan histopatologi menjadi baku emas dalam menentukan jenis nodul tiroid.  Melaporkan lima kasus, dengan diagnosis klinis tumor leher, data kasus didapatkan secara retrospektif, melalui medical record. Terdapat tiga kasus pada pemeriksaan ultrasonografi dengan hasil gambaran Tirads IV dan dua kasus Tirads III. Temuan histopatologi didapatkan dua kasus dengan struma adenomatosa dan tiga kasus karsinoma tiroid. Kesimpulan penilaian morfologi nodul tiroidmengunakan ultrasonografi dengan stratifikasi Tirads dapat menjadi pemeriksaan yang dapat diandalkan dan dapat diulang untuk menentukan kecurigaan lesi maligna atau benigna pada nodul tiroid. Lesi tiroid berkalsifikasi pada temuan ultrasonografi dapat menjadi prediktor malignansi.
Co-Authors Astien Astien Astien Suzman Elva Gabriella Br Depari Firdha Leonita Gupita Nareswari Gupita Nareswari Gupita Nareswari Mulia Rahmansyah Mulia Rahmansyah Mulya Rahmansyah Nadifa Agil Nathalia Ningrum Revalita Wahab Revalita Wahab Revalita Wahab Tandy Chintya Tanaji Tandy Chintya Tanaji