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Syahputra, Eddy Ahmad
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Health Professions Medicine & Pharmacology Nursing

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Management of a 5-Year-Old Patient with Pancreatic Serous Cystadenoma: A Rare Case Report Harahap, Dedi Rahmad; Ismar, Ismar; Wahid, Tubagus Odih Rhomdani; Satria, Dedy; Arnadi, Arnadi; Zulfikar, Welly; Syahputra, Eddy Ahmad; Valentino, Andrea; Maulanisa, Sinta Chaira
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54891

Abstract

Introduction: Pancreatic serous cystadenoma is a benign primary pancreatic cystic neoplasm that typically presents asymptomatically. It is rare in the pediatric population and often poses diagnostic challenges. Case Report: A 5-year-old girl presented to the emergency department at Arifin Achmad Hospital with severe pain in the left upper quadrant of the abdomen, which had persisted for 5 days. Clinical examination revealed swelling and erythema in the epigastric region. Imaging studies identified cystic lesions in the pancreas. The patient underwent a pancreatectomy, and the pathological examination confirmed the diagnosis of pancreatic serous cystadenoma. Conclusion: Diagnosing pancreatic masses requires a comprehensive evaluation, with radiological imaging being crucial for accurate diagnosis and treatment planning. For lesions located in the caudal region of the pancreas, distal pancreatectomy is the recommended surgical approach.
Mortalitas Perforasi Ulkus Duodenum Berdasarkan Lokasi Segmen Duodenum: Suatu Tinjauan Sistematis Arnif, Iqbal; Syahputra, Eddy Ahmad; Habib, Moh
Jurnal Ners Vol. 10 No. 2 (2026): APRIL 2026
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/jn.v10i2.54849

Abstract

Latar Belakang: Perforasi ulkus duodenum merupakan kegawatdaruratan bedah dengan mortalitas yang masih signifikan. Secara teoritis, perbedaan anatomi antara pars duodenum dapat memengaruhi luaran klinis, namun bukti ilmiah yang mendukung hal tersebut masih terbatas. Tujuan: Menilai luaran klinis, khususnya mortalitas, pada pasien dengan perforasi ulkus duodenum berdasarkan lokasi segmen duodenum melalui tinjauan sistematis. Metode: Tinjauan sistematis ini disusun mengikuti pedoman PRISMA 2020. Pencarian literatur dilakukan pada PubMed, Scopus, dan Google Scholar tanpa pembatasan tahun. Studi observasional yang melaporkan luaran pasien perforasi ulkus duodenum disertakan. Data disintesis secara naratif tanpa meta-analisis. Hasil: Lima studi memenuhi kriteria inklusi. Mayoritas perforasi terjadi pada pars I duodenum. Mortalitas yang dilaporkan berkisar antara 4% hingga 38,2%. Hanya satu studi yang melaporkan mortalitas berdasarkan segmen duodenum dan menunjukkan tidak terdapat perbedaan bermakna antara pars I dan pars II. Faktor klinis yang paling konsisten berhubungan dengan mortalitas adalah keterlambatan presentasi, syok preoperatif, sepsis, dan kegagalan organ. Kesimpulan: Mortalitas perforasi ulkus duodenum lebih dipengaruhi oleh faktor klinis sistemik dibandingkan lokasi segmen duodenum. Diperlukan penelitian prospektif multicenter dengan pelaporan luaran berbasis segmen duodenum. Kata kunci: perforasi ulkus duodenum, pars duodenum, mortalitas, tinjauan sistematis
Co-Authors Arnadi Arnadi, Arnadi Arnif, Iqbal Harahap, Dedi Rahmad Ismar, Ismar Maulanisa, Sinta C. Moh Habib, Moh Satria, Dedy TB Odih Rhomdani Wahid Valentino, Andrea Zulfikar, Welly