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Koerslo, Hamka
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Dentistry Education Health Professions Languange, Linguistic, Communication & Media Medicine & Pharmacology Nursing Public Health Veterinary

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Hygroma Colli ; Sonographic Indication of Chromosomal Abnormality. a Case Report Koerslo, Hamka; Zulmaeta, Zulmaeta
Indonesian Health Journal Vol. 4 No. 3 (2025): Indonesian Health Journal
Publisher : Riviera Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58344/ihj.v4i3.749

Abstract

Hygroma colli is a congenital disorder in the form of cystic enlargement in the cervical region due to impaired development of the lymphatic system. This condition is often an indicator of chromosomal abnormalities, such as Turner syndrome and other aneuploidy. This case report aims to describe the process of identifying hygroma colli in a 17-week-old fetus through ultrasound examination and subsequent treatment. A 26-year-old primigravida woman was referred to the hospital for the discovery of a mass on the fetal neck through ultrasound. Follow-up examination showed the presence of symmetrical, thin, hypochic, unobstructed cystic masses in the lateral posterior region of the fetal neck with abnormalities of the pulmonary organs. Based on the findings, the pregnancy was decided to be terminated. These findings show the importance of prenatal ultrasound for early detection of hygroma colli and potential chromosomal abnormalities so that management can be planned more optimally.
A Simple Protocol for Managing Post-Operative Urinary Retention (POUR): An Experience and Evidence Fakhrizal, Edy; Maryuni, Sri Wahyu; Koerslo, Hamka; Novri, Dhini Aiyulie; Yuda, Dika Putra
Indonesian Journal of Global Health Research Vol 6 No 6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6i6.4021

Abstract

Proposing a simple protocol in the management of urinary retention in postoperative patients that can provide promising results. Methods: We analyzed women who underwent pelvic organ prolapse surgery for 6 years from January 2018 to July 2023. The incidence of postoperative urinary retention was identified and we implemented a simple protocol and assessed its success rate.Result : There were 503 surgeries due to POP incidence in Arifin Achmad General Hospital, Riau Province - Indonesia for 6 years. One hundred sixteen cases (23 %) experienced POUR, with mean first residual urine was about 393 ml (110–1.200 ml). The protocol was applied, and 81 % cases revealed satisfying results. In successful group, the patients were discharged after 4±1 days. There were significant differences in the first residual urine between patients who were successfully treated with the simple protocol (350±227 ml) and patients requiring physiotherapy consultation (576±325 ml), with p = 0.005. Conclusion: Most cases of postoperative urinary retention can be managed using this protocol. So this protocol can be considered to be applied.
"Hygroma Colli" Sonographic Indication of Chromosomal Abnormality: A Case Report Koerslo, Hamka; Zulmaeta, Zulmaeta
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6027

Abstract

This case report aims to highlight the significance of ultrasound imaging in the prenatal diagnosis of hygroma colli, a condition often associated with chromosomal abnormalities, particularly Turner Syndrome (45,XO). A 26-year-old primigravid woman at 17 weeks of gestation was referred for further evaluation of a fetal neck mass detected during routine ultrasound. The sonographic findings revealed a symmetrical, non-septated, hypoechoic cystic mass in the posterolateral region of the fetal neck, along with agenesis of one lung lobe. Based on these findings, pregnancy termination was planned and performed using misoprostol and laminaria insertion. The fetus was delivered with a birth weight of 150 g, a length of 14 cm, and Apgar Score 0/0. Postnatal examination confirmed the presence of hygroma colli, consistent with the ultrasound findings. This case reinforces the importance of early ultrasound screening in identifying fetal anomalies and guiding clinical decisions.
Risk Factors of Anencephaly: A Case Report Koerslo, Hamka; Pisceski, Nicko
Indonesian Journal of Global Health Research Vol 7 No 3 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i3.6028

Abstract

This case report discusses the risk factors of anencephaly, a severe neural tube defect characterized by the absence of brain tissue and the skull. The study highlights the role of maternal obesity and folic acid deficiency as contributing factors. A 22-year-old woman (G3P0A2H0) at 26-27 weeks of gestation was diagnosed with an anencephalic fetus during an ultrasound examination, showing the ‘frog face’ sign. The patient had a history of two spontaneous abortions, a BMI of 30.4, and no folic acid supplementation. Pregnancy termination was planned and conducted using misoprostol, resulting in the delivery of a stillborn male fetus weighing 1500 g, with Apgar Score 0/0. The findings emphasize the importance of early folic acid supplementation and weight management in preventing neural tube defects. Pregnancy termination remains a viable option due to the poor prognosis associated with anencephaly.
Co-Authors Dhini Aiyulie Novri Fakhrizal, Edy Maryuni, Sri Wahyu Pisceski, Nicko Yuda, Dika Putra Zulmaeta, Zulmaeta