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All Journal International Journal of Engineering, Science and Information Technology Jurnal Kedokteran Meditek JCRIM (Journal of Current Research In Multidisciplinary)
Wijaya, Jefri
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Clinical Features of Acute Appendicitis Patients Surgery at Tarakan Regional Hospital in the 2023 Period Wijaya, Jefri
International Journal of Engineering, Science and Information Technology Vol 5, No 2 (2025)
Publisher : Malikussaleh University, Aceh, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52088/ijesty.v5i2.814

Abstract

Appendix inflammation, a tube-like structure at the end of the large intestine is acute appendicitis. Right lower quadrant abdomen pain is the most frequent clinical symptom of this condition and, hence, the most common abdominal emergency. Acute appendicitis is notoriously complicated to diagnose since the patient's pain is the sole definite sign. Appendectomy is the sole option when diagnosing or treating acute appendicitis. The purpose of this research is to identify the symptoms and signs of acute appendicitis in patients who have undergone appendectomy operations at Tarakan Regional Hospital. The most common occurrence of acute appendicitis was in patients aged 12–16 years, as identified by this research. Acute appendicitis is more common in this age bracket compared to adults and children. Another unexpected finding of this study is that females make up the majority of people who experience acute appendicitis. While men would theoretically be more at risk, this study found otherwise in Tarakan Regional Hospital. The findings shed light on the age and gender incidence of acute appendicitis, something that medical professionals need to know. To make a prompt and correct diagnosis, medical professionals must be able to detect this pattern of symptoms. Medical intervention can be more effective with an accurate early diagnosis, which speeds up the recovery process and reduces the likelihood of more severe sequelae.
Ileus Obstruksi Parsial akibat Intususepsi Ileocaecal dan Tumor Colon Ascendens pada Pasien Perempuan Dewasa Wijaya, Jefri
Jurnal Kedokteran Meditek Vol 31 No 3 (2025): MEI
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v31i3.3477

Abstract

Introduction: Intussusception is a rare condition in adults. It can cause ischemic necrosis, perforation, and peritonitis. Objective: This case report highlights the clinical presentation, diagnosis, and management of bowel obstruction due to intussusception in an adult. Case Illustration: A 43-year-old female patient presented with watery stools mixed with blackish blood, abdominal pain, vomiting, and decreased appetite. Abdominal examination revealed mild distension, reduced bowel sounds, generalized tenderness, and a firm, mobile mass (10 × 10 × 5 cm) in the right lower quadrant. Digital rectal examination showed a dilated rectal ampulla, extra luminal protrusion, and blackish blood-stained feces. Imaging studies confirmed a high-level obstruction and ileocecal intussusception with bowel wall edema. The patient was diagnosed with partial bowel obstruction. Discussion: This unusual case involves a localized tumor in the ascending colon acting as a lead point, leading to ischemia and mucosal necrosis. Accurate diagnosis in adults relies on timely imaging examinations. While plain radiography (BNO) may show signs of intestinal obstruction, its sensitivity is limited. Initial management focuses on stabilizing the patient’s condition by using a gastric tube for decompression, providing intravenous fluids for rehydration, administering analgesics and antibiotics, and, if appropriate, performing a barium or air enema to help reposition the affected segment. Prompt management is essential to prevent serious complications. Conclusion: Adult intussusception is rare and requires diagnosis through history, physical examination, and radiologic studies. Management involves initial medical stabilization and surgical intervention.
Extensive Subcutaneous Abscess in a Patient with Diabetes Mellitus: A Case Report Tan, Henny Tannady; Wijaya, Jefri; Dharmawan, Ade; Layanto, Nicolas
Journal of Current Research In Multidisciplinary Vol. 3 No. 1 (2025): JCRIM (Journal of Current Research In Multidisciplinary)
Publisher : Yayasan Gema Bina Nusantara

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Abstract

Abscess is a collection of pus in a tissue, usually caused by bacterial infection. The main symptoms of abscess are local pain, warmth and oedema (if the abscess is located close to the skin layer) or can be accompanied by constitutional symptoms (if the abscess is far from the skin layer or deep). In this case report, we report a case of extensive subcutaneous abscess in a woman with diabetes mellitus complicated by sepsis. The patient came with complaints of enlarged boils in the abdominal area for 2 weeks ago, this complaint was accompanied by other signs and symptoms of infection. The Infectious Diseases Society of America (IDSA) in 2014 classified SSTI into purulent (furuncles, carbuncles, and abscesses) and non-purulent (cellulitis, erysipelas, and necrotizing infections). There are several predisposing factors for skin abscesses, namely skin trauma, oedema caused by impaired lymphatic flow and venous insufficiency, obesity, immunosuppressive conditions (diabetes, HIV), previous infections (tinea, impetigo, varicella) and previous venous actions. Patients with sepsis syndrome or life-threatening infections need immediate surgical intervention and given combination antibiotics.
Co-Authors Ade Dharmawan Henny Tannady Tan Layanto, Nicolas