Claim Missing Document
Check
Articles

Found 2 Documents
Search

TUMOR IN HORSESHOE KIDNEYS: A CASE REPORT AND LITERATURE REVIEW Sutojo, Bobby; Bramono, Ikhlas Arief; Harahap, Edward Usfie; Santoso, Rachmat Budi; Treswari, Galuh Ayu; Putri, Rizky Ifandriani; Mahdi , Hardini Intan Setiawati
Indonesian Journal of Urology Vol 31 No 3 (2024)
Publisher : Indonesian Urological Association

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32421/juri.v31i3.896

Abstract

Objective: This study aims to report a renal tumor in a horseshoe kidney successfully treated with an open left nephrectomy. Case(s) Presentation: A 3 years old girl with a lump in the left abdomen and intermittent hematuria was referred to our hospital. Whole abdominal contrast CT scan showed the presence of a left renal mass in a horseshoe kidney that infiltrates the left renal artery and is attached to the spleen. The patient underwent preoperative chemotherapy followed by surgical resection. Discussion: In a horseshoe kidney, renal tumors are uncommon. The limited kidney mobilization and access to the renal hilum and the abnormal and highly variable vasculature make surgical treatment of a tumor in a horseshoe kidney extremely difficult. Conclusion: Open surgery continues to be the treatment of choice for horseshoe kidney tumors due to their anatomical complexity, particularly in cases where the tumor is difficult to eradicate. Keywords: Renal tumor, horseshoe kidney, surgical management.
An Atypical Cardiac Tale: Malignant Pericardial Effusion in Extragonadal Germ Cell Tumor Dachlan, Noorsasiwi; Windy, Jubilette; Romolo, Harvey; Kurniawati, Sri Agustini; Cahyanti, Dian; Treswari, Galuh Ayu; Hadiningrat, Raden Belva Devara
Indonesian Journal of Cancer Vol 20, No 1 (2026): March
Publisher : http://dharmais.co.id/

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33371/ijoc.v20i1.1441

Abstract

Introduction: Despite the clinically silent feature of malignant pericardial effusion, if left untreated, it may lead to a life-threatening complication such as cardiac tamponade. This case report highlights an atypical case of pericardial effusion as a complication of a patient with an extragonadal germ cell tumor.Case Presentation: A 19-year-old male presented with breathlessness that worsened when lying flat and a cough. The patient demonstrated sinus tachycardia and low-voltage QRS in electrocardiography. Initially, the chest radiograph only showed a mediastinal mass and pleural effusion, but transthoracic echocardiography eventually revealed a massive pericardial effusion with mildly reduced ejection fraction (40%). Laboratory tests showed elevated β-HCG and LDH levels. A pericardiectomy was performed on this patient, and the biopsy revealed a mediastinal extragonadal germ cell tumor. The patient’s condition improved after the procedure, and the ejection fraction was normalized (67%).Conclusion: Invasion of the pericardium and the resulting malignant pericardial effusion by EGCT is an atypical phenomenon. The silent and nonspecific clinical manifestation, which also often overlaps with other conditions, may pose a challenge for physicians. Echocardiography has shown a pivotal role in helping physicians achieve early detection and timely intervention for malignant pericardial effusion.