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All Journal Majalah Obstetri dan Ginekologi Indonesian Journal of Obstetrics and Gynecology (Majalah Obstetri dan Ginekologi Indonesia)
Luminto
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Health Professions Medicine & Pharmacology Public Health

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Left hemiparesis due to space-occupying lesion in pregnancy Luminto; Aryasatiani, Ekarini; Panuntun, Mahendro Aji; Hassan, Bobby Wirawan; Sananta, Tania; Neil, Arya Elbert
Majalah Obstetri & Ginekologi Vol. 32 No. 2 (2024): August
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mog.V32I22024.136-142

Abstract

HIGHLIGHTS 1. Present a case report detailing the diagnosis and management of a space-occupying lesion identified late in pregnancy.2. Current studies consistently indicate that the optimal period for tumor removal during pregnancy is the second trimester, balancing maternal and fetal outcomes. This case report contributes to the existing literature by providing a practical reference for managing space-occupying lesions in accordance with the latest evidence.   ABSTRACT Objectives: The objective of this study was to present the findings from cases of space-occupying lesions (SOL) that were diagnosed late in pregnancy. This case report aimed to highlight the importance of considering space-occupying lesions as a differential diagnosis in instances of hemiparesis during pregnancy, thereby raising clinical awareness and improving diagnostic accuracy. Case Report: A female patient aged 30 years 34 weeks pregnant came with complaints of slurred speech since 3 months before entering the hospital accompanied by weakness in the left limbs since 3 months before admission. The patient felt weak and fell in the bathroom 2 times, at the office and at home. The patient had a history of taking aspilet for 1.5 months due to a misdiagnosis as a stroke in a Type B hospital and stopped when she came to the obstetric emergency room at a Type A Hospital for the first time. Cardiothoracograph examination shows a picture of a silent baby. Computed Tomography (CT) Scan examination showed a picture of hydrocephalus. Conclusion: To date, it has not been proven that pregnancy triggers brain tumors. However, increased blood supply to the brain during pregnancy may lead to tumor growth. This is also evident in this case where there is an increase in maternal blood volume and subsequent cerebral blood flow, causing an increase in the size of the SOL. On the other hand, there is no evident that brain tumors directly harm the fetus, though fetal hypoxia may occur indirectly due to maternal respiratory failure.
Incidental Finding of Wandering Spleen Catalya Christina Cantika; Ekarini Aryasatiani; Tania; Ali Reza; Mahendro Aji Panuntun; Luminto
Indonesian Journal of Obstetrics and Gynecology Volume 13. No. 4 October2025
Publisher : Indonesian Socety of Obstetrics and Gynecology

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32771/inajog.v13i4.2241

Abstract

Introduction: Wandering spleen (WS) is a rare case due to inadequate spleen binding ligaments, causing increased spleen hypermobility and displacement of the spleen from the left upper quadrant abdominal location. Case findings can be incidental or symptomatic with acute abdomen due to complications of WS cases. Case Report: A 36-year-old, gravida 3, para 1, abortus 0, at 41-42 gestational age woman presented at our hospital for planned cesarean section indicated for premature rupture of membranes and preeclampsia. Intraoperative findings revealed that the spleen was incidentally in the pelvic cavity, lateral to the uterus. There were no abnormalities of the spleen intraoperatively, and the patient did not show any complaints related to the abnormal location of the spleen. The patient was planned for Splenopexy to maintain the spleen function. Conclusion: WS cases are rare, with varied manifestations from asymptomatic to acute abdomen due to acute complications. This patient was asymptomatic, and the findings of the WS were incidental. The most common complications in WS cases are torsion and splenic infarction, with splenectomy as the main treatment. Asymptomatic patients are advised to undergo Splenopexy to maintain spleen function and reduce the risk of WS complications. Keywords: spleen, ectopic spleen, rare diseases, pregnancy.
Co-Authors Ali Reza Aryasatiani, Ekarini Catalya Christina Cantika Ekarini Aryasatiani Hassan, Bobby Wirawan Mahendro Aji Panuntun Neil, Arya Elbert PANUNTUN, MAHENDRO AJI Sananta, Tania Tania