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All Journal Medicina E-Jurnal Medika Udayana ISM (Intisari Sains Medis) : Jurnal Kedokteran Indonesian Journal of Perinatology Journal Research of Social Science, Economics, and Management
Evert Solomon Pangkahila
Department Of Obstetrics And Gynecology, Division Of Maternal-Fetal Medicine,Udayana University Hospital-Bali
Biochemistry, Genetics & Molecular Biology Environmental Science Health Professions Medicine & Pharmacology Nursing

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Journal : Indonesian Journal of Perinatology

 1 
Congenital vulvar teratoma: a case report I Nyoman Hariyasa Sanjaya; Ryan Saktika Mulyana; Evert Solomon Pangkahila; Hartanto Hartanto
Indonesian Journal of Perinatology Vol. 1 No. 1 (2020): Available Online: 1 December 2020
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (462.441 KB) | DOI: 10.51559/inajperinatol.v1i1.2

Abstract

Introduction: Teratoma is an embryonal neoplasm consisted of 3 germinal layers. Teratoma usually arises along the line of embryonic cleft and sinus closure formed by the fusion of skin during the embryonic development. In this case report, we present a case of fetal Teratoma on the vulval region, a very rare variant of the disease. Case: A 28-year-old woman came for a routine check-up for her first pregnancy at her 26th weeks of gestational age. On ultrasound examination, a mass was found around the fetal vulva. There was no mass or malformations on other body parts. Placenta and the amount of amniotic fluid were normal. History of congenital anomaly in the family was denied. The patient then gave birth to a female baby at 38 weeks of gestational age without any complication. The baby was healthy, 2650 gram in weight, 50 cm in length, with good APGAR Score (8-10). On the baby left labia, there was a mass measured 5 cm x 4 cm x 3 cm, with slight discoloration. We recommend an early tumor excision to prevent unnecessary complication such as malignant transformation. Although at the time of writing, the patient still waiting for the schedule to remove the tumor due to a non-medical factor. Conclusion: Congenital Teratoma in the vulvar region was a very rare event. First-line therapy is early tumor excision and usually carries an excellent prognosis.
Management of polyhydramnios pregnancy without risk factors: a case report I Nyoman Hariyasa Sanjaya; Ryan Saktika Mulyana; Evert Solomon Pangkahila; Denni Prasetyo
Indonesian Journal of Perinatology Vol. 1 No. 1 (2020): Available Online: 1 December 2020
Publisher : The Indonesian Society of Perinatology, South Jakarta, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (443.349 KB) | DOI: 10.51559/inajperinatol.v1i1.3

Abstract

Introduction: Polyhydramnios is a condition in which the amount of amniotic fluid increases more than 2 litres. The causes of polyhydramnios are multifactorial, and most are idiopathic. Here we report challenging management of polyhydramnios case without apparent risk factors. Case: A 30-year-old woman G2P1001, 27-28 weeks of gestational age referred due to our tertiary health care center due to polyhydramnios. The patient chief complaint was progressively enlarged abdomen since a month ago. Her previous pregnancy, medical history and family history were unremarkable. The obstetric examination reflects the size of uterus equivalent to 36 weeks of gestational age. The fetomaternal ultrasound reveals a life, single fetus with normal heart rate and fetal movement, estimated fetal weight about 1057 grams, placenta corpus posterior grade I, Maximum Vertical Pocket 22.83 cm, no major congenital abnormalities were visible and bladder appears filled. Laboratory tests revealed blood glucose levels 90 mg/dl, Hb-A1c 5.2%, Ureum 27.30 mg/dl, Creatinine 3.39 mg/dl, and numerous leukocytes on urine sediment. Amnioreduction and fetal pulmonary maturation were conducted by Dexamethason protocol. Amnioreduction yield 1500 ml of clear, yellowish amniotic fluid. Regarding abnormality in renal function, diagnosis of Acute on Chronic Kidney Disease (ACKD were established by Internal medicine department, and the patients were given a series of ceftriaxone injection. The patient was planned for indomethacin therapy; however, Indomethacin was not available in Bali. Conclusion: Careful search for causes both from the maternal factor and fetal abnormalities can help to determine the prognosis of pregnancy. Ideally, amnioreduction, coupled with indomethacin therapy, are needed to reduce amniotic fluid, and serial monitoring of the amniotic fluid volume is required to prevent preterm labor.
Co-Authors Agrifa Eko Albert Sembiring Daniel H. Susanto Denni Prasetyo Endang Sri Widiyanti Hartanto Hartanto I Gde Sastra Winata I Ketut Surya Negara I Ketut Suwiyoga I Nyoman Gede Budiana I Nyoman Hariyasa Sanjaya Ida Bagus Gde Fajar Manuaba Ida Bagus Putra Adnyana Ni Kadek Mulyantari Nyoman Gede Dikawijaya Satriawan Putu Doster Mahayasa Rey Jauwerissa Ryan S. Mulyana Ryan Saktika Mulyana Tjokorda Gde Agung Suwardewa