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IMAGING OF A RARE CASE OF MULLERIAN DUCT ANOMALY IN AN AMENORRHEIC WOMAN: A CASE SERIES Nabilla Hardiyanti, Ginanda; Nurdiana, Farah; Yueniwati, Yuyun
International Journal of Radiology and Imaging Vol. 3 No. 02 (2024): International Journal of Radiology and Imaging
Publisher : Department of Radiology, Medical Faculty, University of Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.ijri.2024.003.02.2

Abstract

Müllerian duct anomalies encompass a range of conditions that can lead to primary amenorrhea, infertility, and complications during pregnancy. Uterus didelphys arise when the Müllerian ducts fail to fuse properly to form a single uterus. In contrast, a septate uterus occurs when the central septum between the ducts fails to resorb. We describe three cases: the first involves a 14-year-old girl experiencing lower abdominal pain and secondary amenorrhea; MRI revealed a completely septate uterus with OHVIRA. The second case is a 27-year-old woman with secondary amenorrhea and primary infertility, who also had a complete septate uterus on MRI. The third case concerns a 17-year-old girl with primary amenorrhea, whose MRI showed uterus didelphys and a single left kidney. Müllerian duct anomalies are present in up to 7% of women, and about one-third of these women also have renal anomalies. Septate uterus is the most common type of Müllerian anomaly, while uterus didelphys is relatively rare. A complete septate uterus with obstructed hemivagina and an associated renal anomaly is particularly uncommon. Advances in diagnostic and surgical methods aim to preserve or enhance reproductive potential. Keywords: Uterus didelphys, septate uterus, OHVIRA
A Case of  HIV and Disseminated Tuberculosis: Unrecognized Co-Infection and the Importance of Early Diagnosis Rosandy, Milanitalia Gadys; Fadli, M Luqman; Nurdiana, Farah; Kamal Hadi, Muchamad
Jurnal Kedokteran Brawijaya Vol. 33 No. 4 (2025)
Publisher : Fakultas Kedokteran Universitas Brawijaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.21776/ub.jkb.2025.033.04.9

Abstract

Tuberculosis (TB) is still the main cause of death in people living with HIV (PLHIV). TB preventive therapy (TPT) and ARVs can reduce morbidity, mortality, and incidence of TB in PLHIV. With the severity of the immunodeficiency, extrapulmonary TB or disseminated TB occurs more often. Disseminated TB occurs due to the hematogenous spread of Mycobacterium tuberculosis, which occurs as a result of progressive primary infection or reactivation of latent TB infection. Disseminated TB can involve many organs such as the lungs, liver, and spleen. Delays in diagnosis often occur due to non-specific clinical manifestations; thus, the diagnosis needs to be supported by radiological and microbiological examination, as well as definite histopathological diagnosis. Treatment is given according to existing therapy guidelines with a more extensive duration and regard to the patient's clinical condition.