Claim Missing Document
Check
Articles

Found 8 Documents
Search

Germ Cell Tumors Ovary “Dysgerminoma” with Mayer-Rokitansky-Kuster-Hauser Syndrome Basoeki, Rijanto Agoeng; Nabiila, Alyaa; Narulitia, Adinda; Saputra, Yoga Eko; Olfah, Trimayanti; Nursucahyo, Eko; Anas, Muhammad
MAGNA MEDICA Berkala Ilmiah Kedokteran dan Kesehatan Vol 10, No 2 (2023): August
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.10.2.2023.239-251

Abstract

Background:  Ovarian Germ Cell Tumors originate from primitive germinal cells and can be either malignant or benign. MRKH syndrome is characterized by congenital hypoplasia of the uterus and upper vagina and can occur due to disrupted fusion of the Mullerian ducts. Diagnosis of ovarian tumors in MRKH patients is difficult but can be characterized by abdominal pain and distended.Objective: The aim of this case report is to explain the diagnostic methods and interventions performed in patients with ovarian tumors and MRKH syndrome.Case Presentation: A 25-year-old female came to the hospital with complaints of a lower abdominal lump three months ago. It was followed by severe pain, weight loss, shortness of breath, and yellowish vaginal discharge. Physical examination showed anemia, obesity, and a vagina size of 7cm with a probe. Chest X-ray showed a mass in the mediastinum and pleural effusion, and USG showed suspicion of an ovarian cyst and uterine agenesis.Conclusion: Ovarian tumor with MRKH syndrome is a rare case. Diagnosis was based on the patient’s history, clinical findings, radiologic examination, and confirmed with laparotomy and histopathology. Regular examinations are recommended to prevent and identify genital tract problems and pelvic diseases in women, especially adolescents.
Kelangkaan Pada Komplikasi Multisistem Kehamilan : Studi Case Report pada PPCM, SN, dan RHD Basoeki , Rijanto Agoeng; Akbar , Mochammad Afif Amrullah
JurnalMU: Jurnal Medis Umum Vol 2 No 1 (2025): Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i1.25638

Abstract

Kehamilan dapat memicu komplikasi kardiovaskular dan ginjal, seperti peripartum cardiomyopathy (PPCM), sindrom nefrotik (SN), dan penyakit jantung rematik (RHD), yang meningkatkan risiko bagi ibu dan janin. PPCM terjadi akibat gagal jantung di akhir kehamilan atau pasca persalinan, sedangkan SN ditandai dengan proteinuria dan edema. RHD dapat memperparah kondisi ini, terutama dengan adanya stenosis mitral. Laporan kasus ini bertujuan untuk menggambarkan gambaran klinis serta managemen komplikasi pada kehamilan. Seorang wanita berusia 37 tahun, G2P1, usia kehamilan 33 minggu datang dengan keluhan perut kencang dan sesak nafas. Keluhan disertai demam, lemas, dan bengkak pada tungkai bawah. Pemeriksaan didapatkan tekanan darah tinggi, proteinuria serta ditemukan pembesaran jantung dan mitral stenosis dari hasil ekokardiografi. Pemeriksaan obstetri ditemukan bayi dengan DJJ 117 bpm dan kepala belum memasuki pintu atas panggul. Penanganan kehamilan dengan komplikasi seperti peripartum cardiomyopathy (PPCM), sindrom nefrotik (SN), dan penyakit jantung rematik (RHD) memerlukan pendekatan multidisiplin yang ketat. Pemantauan fungsi kardiovaskular dan ginjal sangat penting untuk mencegah komplikasi lebih lanjut. Kata kunci: Peripartum kardiomiopati, Sindrom Nefrotik, Rheumatic Heart Disease, Mitral Stenosis, komplikasi kehamilan.
Miopia Tinggi pada Kehamilan : Case Report Basoeki , Rijanto Agoeng; Ramadhani , Devi Eka; Tarina, Nadia; Aisyah , Nabilla Nur
JurnalMU: Jurnal Medis Umum Vol 2 No 1 (2025): Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i1.25643

Abstract

Background: High Myopia (HM), defined as a myopic refractive error of ≥6 diopters (D) or an axial length (AL) greater than 26.5 mm, is associated with various typical pathological changes, such as fundus tessellation, conus, macular lesions, as well as peripheral retinal and choroidal lesions. The choroid and retina are thought to be vulnerable to the effects of pregnancy. HM is associated with retinal changes, and patients with HM have a high risk of experiencing retinal detachment. Objective : This case report aims to describe high myopia in pregnancy. Case Presentation : A 23-year- old woman, GIP00000, at 37 weeks of gestation, came to the emergency department of Dr. Soegiri Lamongan General Hospital with complaints of intense abdominal tightness and swollen, painful feet. Her vision appeared blurred. High blood pressure was noted in the third trimester. An obstetric examination showed that the fetal head had not entered the pelvic inlet. Clinical symptoms included blurred vision, with visual acuity results of VOD -8.00 D and VOS -8.00 D. Conclusion : High myopia in pregnancy is a rare case. Diagnosis is based on patient history, clinical symptoms, and supportive examinations. High myopia is not a contraindication for normal delivery. However, high myopia poses a significant risk during pregnancy, which was considered as a basis for a cesarean section to reduce risks in our case. Keywords : Myopia, pregnancy, High Myopia in Pregnancy, retinal detachment.
Case Report: Megasystis Janin pada Kehamilan Gemelli Terkait Kelainan Kongenital dan Outcome Obstetri Agoeng Basoeki, Rijanto; Annisya, Emmy Indri
JurnalMU: Jurnal Medis Umum Vol 2 No 2 (2025): JurnalMU: Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i2.25936

Abstract

Background: Megacystis is a congenital lower urinary tract obstruction (CLUTO) disorder diagnosed via ultrasound, with bladder enlargement detectable from 10 weeks of gestation. Although easily identified through imaging, its management is complex due to varying etiologies. This condition can impact fetal development, necessitating further understanding. Objective: This case report describes the diagnosis of fetal megacystis in a twin pregnancy. Case Presentation: A 27-year-old woman at 8 months of gestation presented to Fatimah Hospital, Lamongan, with abdominal tightness and vaginal bleeding. Obstetric examination revealed a twin pregnancy at 33 weeks, with Fetus I in an oblique lie, low-lying placenta, and sufficient amniotic fluid, while Fetus II was in a cephalic position with suspected intrauterine fetal death (IUFD). Ultrasound confirmed megacystis in Fetus I, leading to an emergency cesarean section. Baby I was born weighing 2100 grams with Apgar scores of 5-6, while Baby II, diagnosed with fetal megacystis, was stillborn at 500 grams. Conclusion: Megacystis, defined as bladder enlargement >7 mm between 1-18 weeks of gestation, poses significant risks to fetal development. Its prognosis depends on bladder size and underlying causes. Twin pregnancies have a higher incidence of congenital abnormalities due to embryogenesis failure. Delivery mode should consider fetal position, heart rate monitoring, and maternal-fetal status.
Intrauterine Fetal Death pada Ibu hamil dengan Diabetes Gestasional dan Superimposed Preeklampsia di Rumah Sakit Ibu dan Anak Fatimah, Lamongan : Case Report Agoeng Basoeki, Rijanto; Kamula Dina, Indah; Finishia Ningtias Adinda, Citra; Jamil, Ahmad Mochtar
JurnalMU: Jurnal Medis Umum Vol 2 No 2 (2025): JurnalMU: Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i2.26278

Abstract

Latar Belakang : Gestational Diabetes Mellitus (GDM) didefinisikan sebagai suatu derajat intoleransi glukosa yang timbul atau pertama kali dikenali pada masa kehamilan yang merupakan penyebab klinis yang paling umum dari kelahiran prematur, gangguan hipertensi pada kehamilan, kelainan cairan ketuban, gawat janin, hambatan pertumbuhan janin, makrosomia, dan Intrauterine Fetal Death (IUFD). Sedangkan superimposed Preeklampsia didefinisikan sebagai memburuknya tekanan darah pada usia kehamilan lebih dari 20 minggu dengan timbulnya proteinuria atau meningkatnya proteinuria dan keterlibatan organ lain sesuai dengan preeklampsia. Tujuan: Laporan kasus ini bertujuan untuk menjelaskan tentang kejadian Gestasional Diabetes dan Superimposed Preeklampsia dengan kejadian Intrauterine Fetal Death (IUFD) dalam kehamilan. Presentasi Kasus : Perempuan usia 35 tahun GIIP10000 UK 28 minggu T/H/IU ke IGD RS Ibu dan Anak Fatimah Lamongan mengeluhkan kenceng kenceng dan keluar darah banyak pervaginam bergumpal warna merah kehitaman serta tidak merasakan gerakan bayi dalam kandungan sejak 2 hari belakangan. Kesimpulan : Gestational Diabetes Mellitus (GDM) adalah kasus yang banyak ditemukan di kalangan masyarakat. Diagnosa ditentukan berdasarkan anamnesis, gejala klinis, dan pemeriksaan penunjang. GDM juga meningkatkan resiko terjadinya resiko superimposed preeklampsia pada ibu dengan hipertensi kronik. Risiko kematian fetal pada wanita hamil dengan GDM dan Superimposed Preeklampsia lebih tinggi daripada risiko pada wanita dengan kehamilan normal.
Sifilis Laten Pada Kehamilan : Case Report Agoeng Basoeki, Rijanto; Nadiatul, Adisty; Amelia, Kamila; Tri Wahyuni, Kartika
JurnalMU: Jurnal Medis Umum Vol 2 No 3 (2025): JurnalMU: Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v2i3.28593

Abstract

Background: Latent syphilis is asymptomatic and only shows reactive serological test results. Syphilis in pregnancy can cause recurrent abortion, neonatal morbidity and mortality. Objective: To report a case of latent syphilis in pregnancy. Case Presentation: A 27-years old woman, GIIIP20002, at 38 weeks of gestation, came to the emergency department at Soegiri Hospital, with reactive syphilis. Currently the patient does not complain of any complaints. The patient was screened for syphilis during the first antenatal visit at the health facility. Dermatological and venereological status were within normal limits. Laboratory test results VDRL/RPR reactive 1:16. TPHA reactive 1:5120. Benzathine penicillin is the main therapy in the treatment of syphilis in pregnant women. Conclusion: Latent Syphilis in pregnancy is the most common congenital infection worldwide and has tremendous consequences for the mother and her developing fetus if left untreated. The diagnosis is based on reactivity Treponemal and nonTreponemal serological test result. Therefore, the choice of caesarean section is the main choice to reduce the risk of transmission to the fetus.
Hubungan Faktor Risiko Jumlah Gravida Terhadap Pre-Eklamsia Pada Ibu Hamil Di Rumah Sakit Muhammadiyah Lamongan Berdasarkan Musim Rofi Armando Febrian; Eko Nur Sucahyo; Muhammad Anas; Rijanto Agoeng Basoeki
JurnalMU: Jurnal Medis Umum Vol 3 No 1 (2026): JurnalMU : Jurnal Medis Umum
Publisher : Universitas Muhammadiyah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jmu.v3i1.32619

Abstract

Latar belakang: Pre-eklamsia merupakan faktor penyebab morbiditas dan mortalitas bagi ibu hamil dan janin di Indonesia. Tujuan: Penelitian ini bertujuan untuk menganalisis hubungan faktor risiko jumlah gravida dengan kejadian pre-eklamsia serta pengaruh musim terhadap pre- eklamsia di Rumah Sakit Muhammadiyah Lamongan. Metode: Penelitian ini menggunakan desain analitik kuantitatif observasional dengan pendekatan cross-sectional yang bersifat retrospektif. Data diambil dari catatan medis ibu hamil dengan pre-eklamsia pada bulan November 2023 sampai Oktober 2024. Sampel terdiri dari 94 kasus yang dipilih melalui teknik purposive sampling. Hasil: Preeklamsia sering terjadi pada primigravida selama musim hujan dan multigravida musim kemarau. Analisis korelasi Spearman, tidak terdapat hubungan yang berarti antara jumlah gravida dengan pre-eklamsia, baik pada musim hujan (p=0,140) maupun pada musim kemarau (p=0,811). Namun, ditemukan hubungan yang signifikan antara usia dengan jumlah kehamilan, pada musim hujan (r=0,394; p=0,007), dan hampir signifikan pada musim kemarau (r=0,280; p=0,052), menunjukkan bahwa jumlah kehamilan cenderung meningkat seiring dengan bertambahnya usia ibu. Kesimpulan: jumlah gravida dan musim tidak memiliki hubungan yang signifikan dengan kejadian pre-eklamsia. Pre-eklamsia adalah kondisi yang melibatkan banyak faktor, seperti usia, riwayat hipertensi, status nutrisi dan faktor lingkungan. Maka pemeriksaan menyeluruh dan pemantauan kehamilan secara teratur sangat berarti dalam upaya mencegah komplikasi kehamilan.
Failed Trial of Normal Delivery in Uterus Didelphys Rijanto Agoeng Basoeki; Rifka Florensia; Muhammad Anas
MAGNA MEDIKA Berkala Ilmiah Kedokteran dan Kesehatan Vol 13, No 1 (2026): FEBRUARY
Publisher : Universitas Muhammadiyah Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26714/magnamed.13.1.2026.%p

Abstract

Background: Uterus didelphys is one of the rarest anomalies from Mullery duct fusion failure. Generally, the condition is asymptomatic or can be manifest clinically as dyspareunia and/or menstrual pain, making early diagnosis challenging. Although this condition can affect fertility and risk of complications in pregnancy, in practice, the diagnosis is infrequent with the minimum awareness about the conditions.Objective: This case report aims to outline the diagnostic methods and intervention actions carried out in a patient who diagnosed uterus didelphys after failed normal delivery.Case Presentation: This paper presents a case of a 21-year-old woman who came with a complaint of tightness in the womb in two days before entering the hospital. The results of the anamnesis and physical examination show the needed of Cito LSCS surgery. During Cito LSCS, a uterus, an ovary, and a fallopian tube were found as a pair, with a fetus in the right uterus weighing 2100 g. Rehydration, antibiotic, analgetic, and laxative was given post-operative. After 3 days, patient was discharged.Conclusion: Examinations and new diagnostic methods need to be developed to identify the presence of uterus didelphys and to prevent its potential complications.