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All Journal E-Jurnal Medika Udayana Jurnal Ilmiah Kedokteran Wijaya Kusuma Paediatrica Indonesiana Jurnal Profesi Medika: Jurnal Kedokteran dan Kesehatan Media Ilmu Kesehatan ISM (Intisari Sains Medis) : Jurnal Kedokteran
Nyoman Srie Laksminingsih
Divisi Abdomen (Urogenital Dan Gastrointestinal), Departemen/KSM Radiologi, Fakultas Kedokteran Universitas Udayana-RSUP Sanglah Denpasar, Bali-Indonesia
Biochemistry, Genetics & Molecular Biology Health Professions Medicine & Pharmacology Nursing Public Health

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GAMBARAN RADIOLOGIS PADA OCCULT PNEUMOTHORAKS Putu Aditha Satya Putra; Nyoman Srie Laksminingsih
E-Jurnal Medika Udayana vol 2 no1 (2013):e-jurnal medika udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (353.356 KB)

Abstract

Pneumothorax is a recognized cause of death in chest wall trauma. Radiological examination is the key factor to establish the existence of a pneumothorax. Occult pneumothorax is pneumothorax that undiagnosed clinically and with thoracic x-ray, but it can be tolerated while other more urgent trauma. Occult pneumothorax can be detected by CT (Computed tomography). Occult pneumothorax may progress to tension pneumothorax in certain circumstances. Missing in diagnosed pneumothorax will cause death. This literature will discuss radiological examination for diagnosing, early detection, and management of occult pneumothorax. If thoracic x-ray examination did not reveal the occult pneumothorax, it can be dangerous if existence of pneumothorax was not known. In this case, the examination of thoracic CT-Scan is gold standard for determining the presence of occult pneumothorax and can provide appropriate care.
Neurocysticercosis M Arimbawa; I Komang Kari; N S Laksminingsih
Paediatrica Indonesiana Vol 44 No 4 (2004): July 2004
Publisher : Indonesian Pediatric Society

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (600.766 KB) | DOI: 10.14238/pi44.4.2004.165-70

Abstract

In this paper we report a case of NCC in an 11-year old Balinese boy.
Hubungan volume, lokasi, dan kepadatan batu ureter dengan derajat hidronefrosis Yan William Sulaiman; Putu Patriawan; Nyoman Srie Laksminingsih
MEDIA ILMU KESEHATAN Vol 10 No 3 (2021): Media Ilmu Kesehatan
Publisher : Universitas Jenderal Achmad Yani Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30989/mik.v10i3.635

Abstract

Background: Ureteral stones are common cases. Ureteral stones may have different degrees of hydronephrosis. CT stonography is now accepted as the gold standard for detecting the presence of stones in the urinary tract and can evaluate the characteristics of the stoneObjective: This study aims to determine the relationship between volume, location, and density of ureteral stones with the degree of hydronephrosis.Methods: A total of 98 samples (80 males, 18 females) CT scan images of ureteral stone were analyzed for bivariate and multivariate analysis of volume, location, density based on MSD (Mean Stone Density) and SHI (Stone Heterogeneity Index) of ureteral stones with the degree of hydronephrosis.Results: There was a statistically significant positive correlation of ureteral stone volume with the degree of hydronephrosis (r= 0.543, p<0.001). While other variables were not significant, the location of ureteral stones (p = 0.341), and density of ureteral stones based on MSD (p= 0.206), SHI (p= 0.934).Conclusion: From The Characteristics of ureteral stones studied, only volume of ureteral stones has a correlation with the degree of hydronephrosis.
Gas-Containing Kidney Stones: A Case Report Putu Herry Juniada; Ni Nyoman Srie Laksminingsih; I Made Dwijaputra Ayusta
Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan Vol 15, No 2 (2021): Jurnal Profesi Medika : Jurnal Kedokteran dan Kesehatan
Publisher : Fakultas Kedokteran UPN Veteran Jakarta Kerja Sama KNPT

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33533/jpm.v15i2.3095

Abstract

Gas-containing kidney stones are rare cases. The available literature about gas in the kidneys, usually only discusses and distinguishes between two things, namely emphysematous pyelonephritis and emphysematous pyelitis, after getting rid of recent upper urinary tract instrumentation and the presence of fistula with the gastrointestinal tract. To date, there have been only 11 cases of gas-containing kidney stones. We report the 12th case of gas-containing kidney stones (the first from the field of radiology), which is a 69-year-old female with bilateral flank pain, no fever, and no history of other diseases. Physical examination revealed bilateral costovertebral angle tenderness. The plain abdominal radiograph showed a staghorn stone in the right kidney. The non-enhanced CT abdomen showed gas-containing staghorn stones in the right kidney accompanied by hydronephrosis. The patient underwent percutaneous nephrolithotomy. Kidney stone analysis showed oxalate, phosphate, ammonium, calcium, and uric acid components. The etiology and relationship of gas-containing kidney stones with other gas entities in the kidney is still unclear, making it difficult to determine their clinical significance. Radiological examination, especially CT scan, plays a very important role in determining the entity of gas in the kidney. 
HUBUNGAN ANTARA SKOR KELAINAN ANATOMI SINUS PARANASAL DAN KAVUM NASI DENGAN SINUSITIS PARANASAL MENURUT GAMBARAN CT-SCAN SINUS PARANASAL PADA PASIEN DENGAN KLINIS SINUSITIS Dessy Maria; Made Widhi Asih; Ni Nyoman Margiani; I Gede Raka Widiana; Putu Patriawan; Nyoman Srie Laksminingsih
E-Jurnal Medika Udayana Vol 11 No 5 (2022): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24843/MU.2022.V11.i5.P10

Abstract

Sinusitis adalah proses peradangan dari satu atau lebih pada membran mukosa sinus paranasal. Penyebab utama terjadinya sinusitis adalah gangguan drainase dan patensi kompleks ostiomeatal (KOM). Variasi anatomi hidung dan sinus paranasalis menjadi faktor predisposisi terhadap kejadian sinusitis. Tujuan penelitian adalah menilai hubungan antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis paranasal menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis. Penelitian ini dirancang sebagai penelitian observasional analitik dengan pendekatan cross sectional retrospektif pada pasien dengan klinis sinusitis di RSUP Sanglah Denpasar pada tahun 2020-2021. Sampel penelitian berjumlah 60 orang dengan usia di atas 21 tahun yang diambil secara consecutive sampling dari rekam medis yang memenuhi kriteria inklusi. Analisis sinusitis dan skor kelainan anatomi sinus paranasal dan kavum nasi masing-masing dilakukan oleh seorang Radiolog Konsultan dilanjutkan dengan analisis data. Dari hasil uji beda proporsi antara kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis maupun antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis didapatkan tidak ada hubungan dengan nilai p>0,05. Pada hasil uji korelasi multivariat antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis setelah dikontrol dengan umur, jenis kelamin dan riwayat alergi secara statistik tampak tidak berhubungan dengan nilai p yang didapat semuanya >0,05. Tidak tampak korelasi antara skor kelainan anatomi sinus paranasal dan kavum nasi dengan sinusitis menurut gambaran CT-scan sinus paranasal pada pasien dengan klinis sinusitis dengan nilai p 0,105. Masih diperlukan perbaikan metode penelitian lebih lanjut dengan desain penelitian analitik menggunakan rancangan prospektif.
Pencitraan pada pankreolithiasis dengan pankreatitis kronis: laporan kasus Indira Prawita Martini; Nyoman Srie Laksminingsih; Elysanti Dwi Martadiani
Intisari Sains Medis Vol. 11 No. 3 (2020): (Available online: 1 December 2020)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (2468.04 KB) | DOI: 10.15562/ism.v11i3.815

Abstract

Background: Pancreolithiasis or pancreatic calculus is a rare case. Men suffer more than women with a ratio of 2-3:1 and have an incidence of 1-8:100.000. Pancretolithiasis itself is a sequela of chronic pancreatitis. Accompanied by non-specific complaints, epigastric abdominal pain that radiates to the back to the left shoulder and nausea, vomiting which causes weight loss and malnutrition. Radiological examination can help the clinician in. establish a diagnosis where the laboratory results are also not specific enough to diagnose chronic pancreatitis. The aim of this report is to determine the radiological features of pancreolithiasis accompanied by chronic pancreatitis.Case: A 54-year-old woman with complaints of pain in the epigastric region for approximately 3 months, accompanied by nausea and vomiting, especially after eating which resulted in weight loss of approximately 10 kilograms. In laboratory tests, an increase in total cholesterol, LDH and hyperkalemia was found. There is no increase in amylase and lipase and hepatic function. On plain abdominal radiograph, ultrasound and CT scan, it is found that there is a stone image accompanied by imaging of chronic pancreatitis.Conclusion: Pancreatic calculus is a rare condition. More common in male gender, patients with pancreolithiasis have non-specific discharge. Alcohol use is said to be the biggest factor in pancreolithiasis. On plain abdominal radiograph, ultrasound and CT scan can reveal the presence of stones in the pancreas and the presence or absence of involvement of the pancreatic parenchyma.
Kimura's disease: a neoplasm mimicking, a rare benign form of chronic inflammatory disorder Harley Septian; Made Widhi Asih; Nyoman Srie Laksminingsih; Anak Agung Ayu Ngurah Susraini
Intisari Sains Medis Vol. 12 No. 1 (2021): (Available online : 1 April 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (1030.355 KB) | DOI: 10.15562/ism.v12i1.961

Abstract

Background: Kimura's Disease (KD) is a benign, rare form of chronic inflammatory disease of unknown origin, almost exclusively found in Asian males in their second to fourth decades of life. This rare condition is mostly present as soft tissue mass consists of multiple painless solitary subcutaneous nodules mostly localized in the head and neck region, with coexisting lymph node enlargement and eosinophilia. This case study aims to describe Kimura's Disease (KD) characteristics and give an insight into the role of Computed Tomography (CT) scan in identifying KD and its imaging characteristics.Case Presentation: We reported a case of an Asian man with a history of 18 years left-sided painless facial mass, gradually increase in size with no history of hoarseness, epistaxis, previous facial mass or malignancy, and familial malignancy. CT scan findings showed an inhomogeneous contrast enhancement soft tissue mass located on the left parotid-submandibular region with multiple neck lymphadenopathy and left parotid gland involvement. Eosinophilia was found persistently in the laboratory outcomes, and this mass had been confirmed with histological findings consistent with KD features.Conclusion: Recognizing the characteristics of KD and the imaging findings on Ultrasound and CT-scan as accessible and first-line diagnostic tools, might help in facilitating the diagnosis, making a decision and sparing the patient from unnecessary and harmful procedures. 
Gambaran neurogenic bladder pada pemeriksaan voiding cystourethrography: serial kasus Kadek Ieke Sugeng Kurniawan; Nyoman Srie Laksminingsih; Firman Parulian Sitanggang
Intisari Sains Medis Vol. 12 No. 3 (2021): (Available online: 1 December 2021)
Publisher : DiscoverSys Inc.

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (668.238 KB) | DOI: 10.15562/ism.v12i3.1144

Abstract

Latar Belakang: Neurogenic bladder (kandung kemih neurogenik) adalah suatu kelainan pada kandung kemih yang disebabkan karena terdapat kerusakan maupun penyakit yang menyerang sistem saraf pada daerah inervasi saluran kemih bagian bawah. Neurogenic bladder merupakan suatu proses yang kompleks di mana diperlukan suatu proses anamnesis, pemeriksaan fisik dan pemeriksaan penunjang yang seksama dalam menentukan diagnosis penyakit tersebut. Voiding Cystouretrography (VCUG) merupakan salah satu pemeriksaan radiologi yang memiliki peran penting dalam menegakan diagnosis neurogenic bladder serta penentuan terapi dan pencegahan komplikasi lebih lanjut. Serial kasus ini akan membahas tiga kasus neurogenic bladder berdasarkan pemeriksaan voiding cystourethrography serta beberapa etiologi dan komplikasi yang dapat menyertainya.Kasus: Pasien pertama yaitu wanita usia 13 tahun dengan klinis neurogenic bladder dan vesicoureteric reflux (VUR). Pada pemeriksaan VCUG didapatkan neurogenic bladder tipe UMN dengan gambaran cystitis kronis, vesicoureteric reflux (VUR) kiri grade V, parsial obstruksi pada ureter kiri 1/3 distal setinggi UVJ, spina bifida pada corpus vertebra L4, dan sacralisasi pada L5. Pasien kedua adalah laki-laki usia 7 bulan dengan manifestasi klinis infeksi saluran kemih. Hasil pemeriksaan VCUG didapatkan gambaran neurogenic bladder tipe UMN dengan posterior urethral valve disertai dengan cystitis dan divertikulosis. Pasien ketiga merupakan laki-laki usia 34 tahun dengan gambaran klinis striktur uretra. Pada pemeriksaan VCUG didapatkan striktur total urethra pars membranacea, neurogenic bladder tipe UMN dengan cystitis dan divertikel dinding posterior buli serta vesicolithiasis multipel.Simpulan: Pemerikasan VCUG memegang peranan penting dalam mendiagnosis neurogenic bladderbeserta beberapa etiologi dan komplikasi yang dapat menyertainya, sehingga penatalaksanaan pasien optimal dan prognosis pasien menjadi lebih baik.Background: Neurogenic bladder is a bladder disorder caused by any damage or disease that attacks the nervous system in the lower urinary tract. Neurogenic bladder is a complex process that requires thorough history taking, physical examination, and supporting radiology examination in determining the diagnosis of the disease. The voiding cystourethrography (VCUG) is radiological imaging that has an essential role in establishing the diagnosis of the neurogenic bladder. It also helps in determining therapy and preventing further complications. This case series aims to elaborate on three neurogenic bladder patients focusing on voiding cystourethrography and the etiology and complications concerning the disease.Cases: The first patient was a 13-year-old girl with clinical neurogenic bladder and vesicoureteral reflux (VUR). The radiograph from VCUG examination revealed UMN type neurogenic bladder with chronic cystitis, left vesicoureteral reflux (VUR) grade V, partial obstruction in the left 1/3 distal ureter at UVJ level, spina bifida in the L4 vertebral body, and sacralization at L5. The second patient was a 7-month-old boy with clinical manifestations of urinary tract infection. The results of the VCUG examination found a neurogenic bladder of the UMN type with a posterior urethral valve accompanied by cystitis and diverticulosis. The third patient was a 34-year-old man with clinical features of urethral stricture. On VCUG examination, total stricture of the urethra pars membranacea, neurogenic bladder UMN type with cystitis and posterior bladder wall diverticula, and multiple vesicolithiasis were found.Conclusion: VCUG examination plays an important role in diagnosing neurogenic bladder and several etiologies and complications that can accompany it. In addition, optimal patient management and better prognosis can be achieved.
HUBUNGAN ANTARA HIPERTENSI DENGAN KEJADIAN COVID-19 YANG BERGEJALA DI RSUP SANGLAH TAHUN 2020 Velisia Putri Natalie; Daniel Setiawan Lay; Firman Parulian Sitanggang; Nyoman Srie Laksminingsih; Elysanti Dwi Martadiani
E-Jurnal Medika Udayana Vol 12 No 2 (2023): E-Jurnal Medika Udayana
Publisher : Universitas Udayana

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Abstract

Adanya penyakit penyerta diketahui meningkatkan kerentanan pasien untuk tertular COVID-19 dan mempengaruhi tingkat keparahan seseorang yang telah terinfeksi Sars-CoV-2. Hipertensi merupakan salah satu penyakit kronis yang sudah ada sebelumnya yang dianggap meningkatkan risiko infeksi dan keparahan infeksi, karena prevalensinya pada pasien COVID-19 di Indonesia. Dua ratus dua puluh empat (224) pasien dengan gambaran radiografi pneumonia di RSUP Sanglah dari Maret 2020 sampai Desember 2020 memenuhi kriteria inklusi penelitian. Informasi tambahan yang dikumpulkan meliputi usia, jenis kelamin, tes RT-PCR COVID-19, dan riwayat hipertensi, dan semua data dianalisis menggunakan regresi linier. Dari 224 subjek, 189 (84,4%) pasien terkonfirmasi positif COVID-19 melalui tes RT-PCR. Proporsi pasien COVID-19 pria dan wanita serupa. Ditemukan proporsi lansia atau lansia tertinggi di antara seluruh pasien COVID-19 (86 pasien, 45,5%). Riwayat hipertensi ditemukan pada dua pertiga dari seluruh pasien COVID-19 (64 pasien, 33,8%), dan secara signifikan mempengaruhi pasien COVID-19 yang bergejala (p=0,013). Usia, jenis kelamin, dan hipertensi secara bersamaan memengaruhi COVID-19 (sig=.000). Pada saat penelitian ini dilakukan, sebagian besar pasien pneumonia secara radiografik disebabkan oleh infeksi Sars-CoV-2. Penelitian ini juga menemukan korelasi yang signifikan antara riwayat hipertensi dengan gejala COVID-19. Usia dan jenis kelamin tidak memiliki peran dalam menentukan kerentanan dan tingkat keparahan COVID-19. Diperlukan penelitian lebih lanjut untuk menggambarkan penyakit kronis lainnya sebagai komorbiditas pada infeksi COVID-19 mengenai besarnya dalam menyebabkan perbedaan kerentanan dan keparahan pada pasien COVID-19.
Case Report: Gastric Wall Thickening: Radiological Diagnostic Challenges in Gastric Malignancy Putu Ayu Winda Wirastuti Giri; Nyoman Srie Laksminingsih; Firman Parulian Sitanggang; I Gusti Ayu Sri Mahendra Dewi; I Wayan Juli Sumadi; Luh Putu Iin Indrayani Maker
Jurnal Ilmiah Kedokteran Wijaya Kusuma Vol 10, No 1 (2021): MARET 2021
Publisher : Universitas Wijaya Kusuma Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (470.819 KB) | DOI: 10.30742/jikw.v10i1.983

Abstract

Gastric abnormalities show nonspecific gastrointestinal symptoms and similarly radiological findings. Intra and extra luminal gastric wall thickening are the most common finding in benign and malignant pathologic process. This aim of this case report was to describe several characteristics such as the location and size of the lesion, involvement of the gastric wall and surrounding structures, calcifications, and contrast enhancement pattern which can assist in radiological diagnosis. Several cases at our institution have similar gastrointestinal complaints, however, there were different lesions characteristic found in contrast enhanced abdominal CT scan. The first case 72-years-old man experienced hematemesis with radiologic finding diffuse gastric mucosal thickening as well as homogenous contrast enhancement but without calcification.  The second case 37-years-old man complaint dizziness and melena with radiologic finding large tumor more than 10 cm in size, amorph calcification and heterogenous contrast enhancement. The last 60-years-old man case experienced melena and hematemesis, from abdominal CT scan showed irregular gastric mucosal thickening with heterogenous contrast enhancement and fat stranding around the lesion, without calcification. Methods used in these cases were contrast-enhanced abdominal CT scan, esophagogastroduodenoscopy (EGD), and biopsy in order to determine the diagnosis. Contrast-enhanced abdominal CT scan plays a vital role in describing the lesion characteristics which affects the determination of treatment options and future prognosis.
Co-Authors Anak Agung Ayu Ngurah Susraini Daniel Setiawan Lay Dessy Maria Elysanti Dwi Martadiani Firman Parulian Sitanggang Firman Parulian Sitanggang Firman Parulian Sitanggang Harley Septian I Gde Raka Widiana I Gusti Ayu Sri Mahendra Dewi I Komang Kari I Made Dwijaputra Ayusta I Wayan Juli Sumadi Indira Prawita Martini Kadek Ieke Sugeng Kurniawan Luh Putu Iin Indrayani Maker M Arimbawa Made Widhi Asih Ni Nyoman Margiani Patriawan, Putu Putu Aditha Satya Putra Putu Ayu Winda Wirastuti Giri Putu Herry Juniada Velisia Putri Natalie Yan William Sulaiman