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Fathurrahman, Yusmaidi
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Education Medicine & Pharmacology Neuroscience Public Health

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Karsinoma Kolon Sigmoid dengan Metastasis Hepar: Analisis Klinis, Diagnostik, dan Penatalaksanaan Khalishah, Iffatunnada; Fathurrahman, Yusmaidi; Pestalozi, George
Medula Vol 16 No 1 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i1.1739

Abstract

Colorectal cancer is one of the most common cancers affecting the colon or rectum, with prevalence continuing to increase. In Indonesia, this cancer is ranked fourth with more than 34,000 new cases in 2020. The main risk factors for colorectal cancer include a diet high in fat and low in fiber, age over 50 years, and a family history of colorectal cancer. Symptoms often involve changes in bowel patterns, blood in the stool, abdominal pain, and unexplained weight loss. In more advanced cases, intestinal obstruction or metastasis to other organs, including the liver, may occur. This article reviews a case of a 57-year-old female patient who came with complaints of difficulty defecating accompanied by blood in the stool, abdominal pain, and weight loss. Based on the results of physical examination, laboratory, and other supporting examinations such as colonoscopy and histopathology, colorectal cancer with liver metastases was diagnosed. Treatment is carried out with fluid therapy, symptomatic treatment, and Hartmann procedure surgery to remove the sigmoid colon mass. A patient's prognosis is influenced by the stage of the cancer, with advanced stages having a poor prognosis. This research aims to increase knowledge about colorectal cancer and emphasize the importance of early detection and a multidisciplinary approach to treating colorectal cancer.
Prolaps Rekti Komplit pada Pasien dengan Kecurigaan Benign Prostatic Hyperplasia: Laporan Kasus Fatinah Zhohiroh, Jannah; Fathurrahman, Yusmaidi
Medula Vol 16 No 3 (2026): Medula
Publisher : CV. Jasa Sukses Abadi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.53089/medula.v16i3.1909

Abstract

Rectal prolapse is a condition characterized by the protrusion of the full thickness of the rectal wall through the anus due to weakness of the pelvic floor supporting structures, which is chronic and progressive in nature. Repeated increases in intra-abdominal pressure, such as in chronic constipation and lower urinary tract disorders, play a role in its pathogenesis. We report a case of a 55-year-old male presenting with a protruding anal mass that could not be manually reduced for 8 hours prior to admission, with a history of progressively worsening prolapse over approximately ±10 years. Complaint accompanied by chronic constipation, with hard, infrequent bowel movements and habitual excessive straining during defecation and lower urinary tract symptoms suggestive of benign prostatic hyperplasia (BPH). Physical examination revealed a cylindrical prolapsed mass with a central orifice, characteristic of complete rectal prolapse. No signs of acute complications or significant systemic abnormalities were found on supporting investigations. The patient underwent surgical management with suture rectopexy as the definitive treatment combined with the Thiersch procedure. This combined approach was selected due to the long-standing, large prolapse and the suspected sphincter weakness, aiming to provide anatomical stabilization along with additional mechanical support to reduce the risk of recurrence. Postoperatively, the patient showed clinical improvement without complications. This case highlights the importance of identifying factors that increase intra-abdominal pressure and considering combined surgical approaches in managing complete rectal prolapse to achieve optimal clinical outcomes.
Co-Authors Fatinah Zhohiroh, Jannah George Pestalozi Khalishah, Iffatunnada