Psoriasis is a chronic, immune-mediated skin disorder that affects 1-3% of the population. It is believed to be caused by a combination of genetic and environmental factors such as trauma, infections, psychological stress, and certain medications. This disease has a strong genetic component and can persist for a lifetime, with repeated exacerbations and remissions that can have a significant impact on a person's emotional and physical well-being
{"title":"Erythrodermic Psoriasis: A Case Report","authors":"Peter Nugraha Soekmadji, Angelica Agnesia Rening, Aulia Okti Wulandari, Bherline Novita Wijaya, Destiya Ulfah Riany","doi":"10.58376/mcu.v2i1.32","DOIUrl":"https://doi.org/10.58376/mcu.v2i1.32","url":null,"abstract":"Psoriasis is a chronic, immune-mediated skin disorder that affects 1-3% of the population. It is believed to be caused by a combination of genetic and environmental factors such as trauma, infections, psychological stress, and certain medications. This disease has a strong genetic component and can persist for a lifetime, with repeated exacerbations and remissions that can have a significant impact on a person's emotional and physical well-being","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124744977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cellulitis is deep dermal and subcutaneous tissue infections. Cellulitis typically manifests as a warm, erythematous area that is poorly defined, edematous, and tender to palpation. Cellulitis may act as a trigger for the diagnosis of diabetes mellitus, and occult diabetes may be a significant actor in the development of cellulitis.
{"title":"Cellulitis With Ulcer on Diabetes Mellitus : A Case Report","authors":"Yeppy Arief Nurzaman, Patrico Rillah Setiawan, Maxzillion Sky Kasnadi, Stefanie Sumartono, Apriani Lam, Syifa Navisah, Nadya Ariella","doi":"10.58376/mcu.v2i1.23","DOIUrl":"https://doi.org/10.58376/mcu.v2i1.23","url":null,"abstract":"Cellulitis is deep dermal and subcutaneous tissue infections. Cellulitis typically manifests as a warm, erythematous area that is poorly defined, edematous, and tender to palpation. Cellulitis may act as a trigger for the diagnosis of diabetes mellitus, and occult diabetes may be a significant actor in the development of cellulitis.","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123767287","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Iqlima Sekar P, Evredy, Naura Shalsabila M, Lia Deska Debora, Ray Sebastian S, Orianne Keisha, Annisa Firdausi, Muhammad Fajar, Keisha Adifa, Mathias Rusli, Wawan Kustiawan
Varicocele is a condition with abnormality in growth and dilatation of veins that drains blood from the testicle, the scrotal venous pampiniform plexus. Although commonly painless, varicocele is the most prevalent cause that resulted in low count of sperm, poor sperm morphology, abnormal analysis of semen, and reduced sperm motility.
{"title":"Varicocele: a Case Report","authors":"Iqlima Sekar P, Evredy, Naura Shalsabila M, Lia Deska Debora, Ray Sebastian S, Orianne Keisha, Annisa Firdausi, Muhammad Fajar, Keisha Adifa, Mathias Rusli, Wawan Kustiawan","doi":"10.58376/mcu.v2i1.25","DOIUrl":"https://doi.org/10.58376/mcu.v2i1.25","url":null,"abstract":"Varicocele is a condition with abnormality in growth and dilatation of veins that drains blood from the testicle, the scrotal venous pampiniform plexus. Although commonly painless, varicocele is the most prevalent cause that resulted in low count of sperm, poor sperm morphology, abnormal analysis of semen, and reduced sperm motility.","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134117151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Umbilical hernia is a disease process that still common in adults after inguinal hernia. An increased of intra-abdominal pressure causes hernia content to protrude through the weakness abdominal part. Umbilical hernia can be symptomatic and must be treated immediately to prevent complicati
{"title":"Umbilical Hernia In Adult: A Case Report","authors":"Yeppy Arief Nurzaman, Patrico Rillah Setiawan, Muhamad Rafdhi, Ririn Angelin Limbong, Fransiska Ayu Septiani Pratama Putri, Daniel Riskiandi","doi":"10.58376/mcu.v2i1.24","DOIUrl":"https://doi.org/10.58376/mcu.v2i1.24","url":null,"abstract":"Umbilical hernia is a disease process that still common in adults after inguinal hernia. An increased of intra-abdominal pressure causes hernia content to protrude through the weakness abdominal part. Umbilical hernia can be symptomatic and must be treated immediately to prevent complicati","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116681404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cardiomyopathy that appears around the end of pregnancy or in the first few weeks after delivery is known as peripartum cardiomyopathy (PPCM). The pathogenesis of PPCM is unknown, however a number of factors, including viral myocarditis, an atypical resistance to pregnancy, an odd reaction to the increased hemodynamic weight of pregnancy, hormone interactions, ill health, aggravation, and apoptosis, are thought to contribute to this illness.
{"title":"Peri Partum Cardiomyopathy: A Case Report","authors":"Aloysius Suryawan, Theresia Monica Rahardjo, Fabianus Ferdian Damario, Alicka Octorevia Witjaksono, Angela Mulyana Sugiaman, Kellen Clementine, Nafisya Dhira Bella, Winda Permata Sari, Yoshua Adhi Nicholaus, Yovita Hamdani, I Made Putra Rena","doi":"10.58376/mcu.v2i1.33","DOIUrl":"https://doi.org/10.58376/mcu.v2i1.33","url":null,"abstract":"Cardiomyopathy that appears around the end of pregnancy or in the first few weeks after delivery is known as peripartum cardiomyopathy (PPCM). The pathogenesis of PPCM is unknown, however a number of factors, including viral myocarditis, an atypical resistance to pregnancy, an odd reaction to the increased hemodynamic weight of pregnancy, hormone interactions, ill health, aggravation, and apoptosis, are thought to contribute to this illness.","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115041827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph Christian Tjahjadi, Annisa Shania Setiawan, Grace Chillia Surya Dharma, Irma Devi Mulyati, Budi Anugrah, Nada Adhityas Dwiputri, Paula Tama Siagian, Mathias Rusli, W. Kustiawan
Diabetic foot ulcer is one of the complications of patients who have diabetes mellitus which is not well controlled. It is resulted from poor glycemic control, underlying neuropathy, peripheral vascular disease, and poor foot care. It could lead to osteomyelitis of the foot and amputation of lower extremities. Detailed history taking should be done in order to get a holistic view of disease progression and risk factors. Clinical presentations such as the presence of callus, loss of hair, muscle atrophy, ulcer, paresthesia, hypo- or hyperesthesia, anhydrosis could be present. Ulcers are most common in the weight-bearing areas such as plantar metatarsal head, heel, tips of hammer toes, and other prominent areas. Radiological investigations including plain x-rays should be done in order to look for any underlying osteomyelitis, the presence of air in the subcutaneous tissue, any signs of underlying fractures, and presence of a foreign body. In this case study, we presented X-ray finding of a diabetic foot ulcer case that complicated with fracture and osteomyelitis.
{"title":"Diabetic Foot Ulcer Complicated with Fracture and Osteomyelitis: X-ray Findings","authors":"Joseph Christian Tjahjadi, Annisa Shania Setiawan, Grace Chillia Surya Dharma, Irma Devi Mulyati, Budi Anugrah, Nada Adhityas Dwiputri, Paula Tama Siagian, Mathias Rusli, W. Kustiawan","doi":"10.58376/mcu.v1i1.16","DOIUrl":"https://doi.org/10.58376/mcu.v1i1.16","url":null,"abstract":"Diabetic foot ulcer is one of the complications of patients who have diabetes mellitus which is not well controlled. It is resulted from poor glycemic control, underlying neuropathy, peripheral vascular disease, and poor foot care. It could lead to osteomyelitis of the foot and amputation of lower extremities. Detailed history taking should be done in order to get a holistic view of disease progression and risk factors. Clinical presentations such as the presence of callus, loss of hair, muscle atrophy, ulcer, paresthesia, hypo- or hyperesthesia, anhydrosis could be present. Ulcers are most common in the weight-bearing areas such as plantar metatarsal head, heel, tips of hammer toes, and other prominent areas. Radiological investigations including plain x-rays should be done in order to look for any underlying osteomyelitis, the presence of air in the subcutaneous tissue, any signs of underlying fractures, and presence of a foreign body. In this case study, we presented X-ray finding of a diabetic foot ulcer case that complicated with fracture and osteomyelitis.","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133844023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background Hypokalemia is the most frequent electrolyte disorder encountered in clinical practice. It caused by inadequate potassium intake or excessive renal or gastrointestinal potassium loss. Hypokalemia may associate with muscle weakness. Hypocalcemia can result from disorders of vitamin D metabolism and action, hypoparathyroidism, resistance to parathyroid hormone (PTH), or other conditions such as nutritional deficiency. Numbness and tingling sensation may occur on hypocalcemia. Case presentation A 36-year-old woman came with complaints of weakness of upper and lower limbs three days before admission. At first, the weakness felt suddenly on the left arm and left foot after waking up in the morning, making her not being able to walk. Patient felt tingling sensation on her face, upper limbs, and lower limbs. Her hands felt stiff as well as her mouth. Patient had a decreasing serum level (3 mEq/l) and decreasing total calcium level (4,8 mg/dL). Conclusion In young adult patients with limbs weakness, it is necessary to consider electrolyte imbalance, such as hypokalemia and hypocalcemia. Hypokalemia can be caused by decreased potassium intake, excessive vomiting, drug consumption, kidney disease, and endocrine disease. To diagnose hypokalemia, it is necessary to carry out further examinations such as basic biochemical laboratories (magnesium, calcium, phosphorus), blood gas analysis, TSHs, urine analysis (urine calcium, potassium excretion in 24-hour urine collection), drug screening.
{"title":"Paralysis Due to Hypokalemia and Hypocalcemia: A Case Report","authors":"Ivanna Sarahfebi, Anastasia Nadya, Anisya Lisna, P. Anjali, Theresia Monica Rahardjo, Valentine Natasya Moenardi","doi":"10.58376/mcu.v1i1.11","DOIUrl":"https://doi.org/10.58376/mcu.v1i1.11","url":null,"abstract":"Background \u0000Hypokalemia is the most frequent electrolyte disorder encountered in clinical practice. It caused by inadequate potassium intake or excessive renal or gastrointestinal potassium loss. Hypokalemia may associate with muscle weakness. Hypocalcemia can result from disorders of vitamin D metabolism and action, hypoparathyroidism, resistance to parathyroid hormone (PTH), or other conditions such as nutritional deficiency. Numbness and tingling sensation may occur on hypocalcemia. \u0000Case presentation \u0000A 36-year-old woman came with complaints of weakness of upper and lower limbs three days before admission. At first, the weakness felt suddenly on the left arm and left foot after waking up in the morning, making her not being able to walk. Patient felt tingling sensation on her face, upper limbs, and lower limbs. Her hands felt stiff as well as her mouth. Patient had a decreasing serum level (3 mEq/l) and decreasing total calcium level (4,8 mg/dL). \u0000Conclusion \u0000In young adult patients with limbs weakness, it is necessary to consider electrolyte imbalance, such as hypokalemia and hypocalcemia. Hypokalemia can be caused by decreased potassium intake, excessive vomiting, drug consumption, kidney disease, and endocrine disease. To diagnose hypokalemia, it is necessary to carry out further examinations such as basic biochemical laboratories (magnesium, calcium, phosphorus), blood gas analysis, TSHs, urine analysis (urine calcium, potassium excretion in 24-hour urine collection), drug screening. \u0000 ","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123020812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Indra Hapdijaya, Ecclesia Tessalina, Elisabeth Mariska Natasha Herdiana, Janice Natalia, G. D. Brata, Hendrik Andrianto, Catharine Welanai Jemarut, Livia Devina, Aloysius Suryawan
Background Placental abruption is a common complication of preeclampsia. It is an obstetric emergency which occurs when the placenta partially or completely separates from the uterine wall. The diagnosis is usually made clinically or objectively. It is relatively rare but put a serious risk for both the fetus and the mother. Case presentation We reported a case of a 32-year-old multigravida patient at 35-36 weeks gestation presented with moderate vaginal bleeding and lower abdominal pain. Her obstetric history included one premature vaginal delivery. Her blood pressure started to rise in the second trimester of pregnancy. The examination revealed that her blood pressure was 190/120 mmHg, she had pitting edema on her extremities and tender uterine fundus. The fetal heart rate was bradycardia at 100 beats per minute. Placental abruption and fetal distress were diagnosed. An emergency cesarean section was performed. Intraoperatively, the uterus showed intramural bleeding and was livid, with the beginning of Couvelaire-uterus. The uterus was left in situ. Conclusion As a conclusion, placental abruption interrupts the vital function of the placentae which leads to fetal hypoxia and even fetal death. It is an obstetric emergency that requires immediate intervention to save the fetus and reduce the risk of complications in the mother.
{"title":"Placental Abruption as a Complication of Preeclampsia that Causes Fetal Distress","authors":"Indra Hapdijaya, Ecclesia Tessalina, Elisabeth Mariska Natasha Herdiana, Janice Natalia, G. D. Brata, Hendrik Andrianto, Catharine Welanai Jemarut, Livia Devina, Aloysius Suryawan","doi":"10.58376/mcu.v1i1.12","DOIUrl":"https://doi.org/10.58376/mcu.v1i1.12","url":null,"abstract":"Background \u0000Placental abruption is a common complication of preeclampsia. It is an obstetric emergency which occurs when the placenta partially or completely separates from the uterine wall. The diagnosis is usually made clinically or objectively. It is relatively rare but put a serious risk for both the fetus and the mother. \u0000Case presentation \u0000We reported a case of a 32-year-old multigravida patient at 35-36 weeks gestation presented with moderate vaginal bleeding and lower abdominal pain. Her obstetric history included one premature vaginal delivery. Her blood pressure started to rise in the second trimester of pregnancy. The examination revealed that her blood pressure was 190/120 mmHg, she had pitting edema on her extremities and tender uterine fundus. The fetal heart rate was bradycardia at 100 beats per minute. Placental abruption and fetal distress were diagnosed. An emergency cesarean section was performed. Intraoperatively, the uterus showed intramural bleeding and was livid, with the beginning of Couvelaire-uterus. The uterus was left in situ. \u0000Conclusion \u0000As a conclusion, placental abruption interrupts the vital function of the placentae which leads to fetal hypoxia and even fetal death. It is an obstetric emergency that requires immediate intervention to save the fetus and reduce the risk of complications in the mother.","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127695688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrieta Berliana Marzani, Angelica Rosa Septiana Hartono, C. Monalisa, Cindy Thalia Putri, Jessica Natasya Caesaria, Kevin Axel Laurent Susanto, Novinka Iriane, Sheila Meriyani, Zarahnaya Putri Dwicahyani, Mathias Rusli, W. Kustiawan
Hyaline membrane disease (HMD) is commonly found in preterm infants. This disease occurs as the result of surfactant deficiency due to prematurity. Surfactant deficiency results in increased alveolar surface tension, with resistance to inflation and alveolar collapse at the end of expiration. As a result, the alveoli are injured due to shear stresses on the alveolar walls. The injury could be seen in chest x-ray, as the most common radiological modality to help differentiate diagnosis. Plain chest x-ray findings of HMD are low lung volumes, diffuse, bilateral and symmetrical granular opacities, bell-shaped thorax, and air bronchograms. This case study showed chest x-ray finding of preterm newborn that diagnosed with respiratory distress syndrome clinically.
{"title":"Hyaline Membrane Disease in Preterm Newborn","authors":"Andrieta Berliana Marzani, Angelica Rosa Septiana Hartono, C. Monalisa, Cindy Thalia Putri, Jessica Natasya Caesaria, Kevin Axel Laurent Susanto, Novinka Iriane, Sheila Meriyani, Zarahnaya Putri Dwicahyani, Mathias Rusli, W. Kustiawan","doi":"10.58376/mcu.v1i1.14","DOIUrl":"https://doi.org/10.58376/mcu.v1i1.14","url":null,"abstract":"Hyaline membrane disease (HMD) is commonly found in preterm infants. This disease occurs as the result of surfactant deficiency due to prematurity. Surfactant deficiency results in increased alveolar surface tension, with resistance to inflation and alveolar collapse at the end of expiration. As a result, the alveoli are injured due to shear stresses on the alveolar walls. The injury could be seen in chest x-ray, as the most common radiological modality to help differentiate diagnosis. Plain chest x-ray findings of HMD are low lung volumes, diffuse, bilateral and symmetrical granular opacities, bell-shaped thorax, and air bronchograms. This case study showed chest x-ray finding of preterm newborn that diagnosed with respiratory distress syndrome clinically.","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115046155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Novinka Iriane, Andrieta Berliana Marzani, Angelica Rosa Septiana Hartono, C. Monalisa, Cindy Thalia Putri, Jessica Natasya, Kevin Axel, Zarahnaya Putri, Sheila Meriyani, Rizna Tyrani Rumanti, Theresia Monica Rahardjo, Aloysius Suryawan
Background Twin-to-twin transfusion syndrome (TTTS) is a condition that can occur as a complication of a monochorionic twin pregnancy that may develop at any stage of pregnancy and most cases are diagnosed in the second trimester of pregnancy. The syndrome is a placental vascular anomaly that can affect the two fetoplacental circulations which can result in hypotony, hypovolemia, anemia, and oliguria being developed in the donor, whereas the recipient fetus is at risk of hypertrophy, hypertension, hypervolemia, polycythemia, and polyhydramnios. Case presentation A 32-year-old multigravida woman (Gravida 5 Para 4 Abortion 0) with a gestational age of 26 weeks came to the Obstetrics and Gynecology Clinic of Unggul Karsa Medika Hospital with the results of the first ultrasound at 24 weeks of gestation which revealed monochorionic diamniotic intrauterine twins and anterior placenta with grade I maturity. Twin A Maturity of 23 weeks 2 days with a fetal weight of 578 grams, oligohydramnios, fetal kidney, and bladder are not visible, whereas Twin B Maturity of 26 weeks 6 days with a fetal weight of 1205 grams, polyhydramnios with a single 12 cm deepest pocket and normal fetal kidney with bladder distention. The diagnosis of twin-to-twin transfusion syndrome was made with twin A as donor twins and twin B as recipient twins. Conclusion TTTS can be diagnosed with routine prenatal ultrasound and can be deferred into 4 stages based on ultrasound and doppler results. There are multiple options for management including expectant management, amnioreduction, intentional septostomy, fetoscopic laser photocoagulation, selective reduction, and voluntary pregnancy termination.
{"title":"What Should We Know About Twin to Twin Transfusion Syndrome: A Case Report","authors":"Novinka Iriane, Andrieta Berliana Marzani, Angelica Rosa Septiana Hartono, C. Monalisa, Cindy Thalia Putri, Jessica Natasya, Kevin Axel, Zarahnaya Putri, Sheila Meriyani, Rizna Tyrani Rumanti, Theresia Monica Rahardjo, Aloysius Suryawan","doi":"10.58376/mcu.v1i1.6","DOIUrl":"https://doi.org/10.58376/mcu.v1i1.6","url":null,"abstract":"Background \u0000Twin-to-twin transfusion syndrome (TTTS) is a condition that can occur as a complication of a monochorionic twin pregnancy that may develop at any stage of pregnancy and most cases are diagnosed in the second trimester of pregnancy. The syndrome is a placental vascular anomaly that can affect the two fetoplacental circulations which can result in hypotony, hypovolemia, anemia, and oliguria being developed in the donor, whereas the recipient fetus is at risk of hypertrophy, hypertension, hypervolemia, polycythemia, and polyhydramnios. \u0000Case presentation \u0000A 32-year-old multigravida woman (Gravida 5 Para 4 Abortion 0) with a gestational age of 26 weeks came to the Obstetrics and Gynecology Clinic of Unggul Karsa Medika Hospital with the results of the first ultrasound at 24 weeks of gestation which revealed monochorionic diamniotic intrauterine twins and anterior placenta with grade I maturity. Twin A Maturity of 23 weeks 2 days with a fetal weight of 578 grams, oligohydramnios, fetal kidney, and bladder are not visible, whereas Twin B Maturity of 26 weeks 6 days with a fetal weight of 1205 grams, polyhydramnios with a single 12 cm deepest pocket and normal fetal kidney with bladder distention. The diagnosis of twin-to-twin transfusion syndrome was made with twin A as donor twins and twin B as recipient twins. \u0000Conclusion \u0000TTTS can be diagnosed with routine prenatal ultrasound and can be deferred into 4 stages based on ultrasound and doppler results. There are multiple options for management including expectant management, amnioreduction, intentional septostomy, fetoscopic laser photocoagulation, selective reduction, and voluntary pregnancy termination.","PeriodicalId":406002,"journal":{"name":"Medical Clinical Update","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114020382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：