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Case Report of A Neonate with Congenital Superior Lumbar Hernia 新生儿先天性上腰椎疝1例报告

JBN Jurnal Bedah Nasional Pub Date : 2018-09-16 DOI: 10.24843/JBN.2018.V02.I02.P03

Stephanus Haryanto Hokardi, Neil Angelo S. Sael

{"title":"Case Report of A Neonate with Congenital Superior Lumbar Hernia","authors":"Stephanus Haryanto Hokardi, Neil Angelo S. Sael","doi":"10.24843/JBN.2018.V02.I02.P03","DOIUrl":"https://doi.org/10.24843/JBN.2018.V02.I02.P03","url":null,"abstract":"Background: congenital lumbar hernias are rare. It constitutes to 20% of all lumbar hernias which is less than 1.5% of all the abdominal wall hernias. There are no more than 50 cases reported in literature till date. We report a case of congenital lumbar hernia in a preterm female neonate located on the superior lumbar triangle. Case: a preterm female neonate was born, presented with a mass at the right lumbar area with a size of 8x8 cm, round, movable with bluish discoloration, well delineated border, no visible veins, increases in size when the patient cries, and reduces easily. Ultrasonography revealed a right posterolateral abdominal mass measuring 4.2x2.88x1.59 cm. CT scan revealed right posterolateral mid-abdominal wall hernia with protrusion and no intestinal obstruction. The patient underwent exploratory laparotomy, where hernia defect was about 2 cm in diameter in the right posterior abdominal wall, pararenal area, and just below the 12th rib. The ascending colon and parts of the ileum were adherent inside the hernia defect at the right lumbar area. Primary closure of the hernia defect was done by suturing the psoas major and the transversus abdominis and internal oblique muscles. The postoperative, patient had good bowel movement, no abdominal distention or vomiting. Feeding was then started and well tolerated. After two weeks follow-up, there were no signs or symptoms of intestinal obstruction such as nausea and vomiting. Patient is being fed regularly and passes bowel movement almost 2-3 times a day. Conclusion: appropriate diagnosis of the extent of the defect through the advent of CT scan and early detection of other congenital anomalies should be routine in these cases. Open surgery with primary repair is almost always done but we can consider laparoscopic approach in the future with uncomplicated lumbar hernias.","PeriodicalId":52988,"journal":{"name":"JBN Jurnal Bedah Nasional","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.24843/JBN.2018.V02.I02.P03","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42628438","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}

引用次数: 0

Goiter Multinodul dengan Pelebaran ke Retrosternal: Laporan Kasus 可扩展到后台的多节点Goiter：病例报告

JBN Jurnal Bedah Nasional Pub Date : 2018-09-16 DOI: 10.24843/jbn.2018.v02.i02.p05

Gede Budhi Setiawan

引用次数: 0

Bilateral Giant Fibroadenoma of The Breast: A Case Report 双侧巨大乳腺纤维腺瘤1例报告

JBN Jurnal Bedah Nasional Pub Date : 2018-09-16 DOI: 10.24843/JBN.2018.V02.I02.P04

J. S. Christian, P. Adiputra, I. S. Christian

{"title":"Bilateral Giant Fibroadenoma of The Breast: A Case Report","authors":"J. S. Christian, P. Adiputra, I. S. Christian","doi":"10.24843/JBN.2018.V02.I02.P04","DOIUrl":"https://doi.org/10.24843/JBN.2018.V02.I02.P04","url":null,"abstract":"Background: fibroadenoma of the breast is one of the ANDI (Aberration of the Normal Development and Involution of the Breast) groups. Benign breast disorders are common in females younger than 30 years, but such masses are not common in juvenile or pre-menarche age groups. The exact pathological diagnosis can be investigated after surgery. For treatment, surgical procedures are needed to remove the lump. Case: a 30-year-old girl visited the outpatient clinic with psychological distress due to the presence of lumps in her both breasts. The lumps have been growing bigger and bigger in the last 3 years. On the physical examination both breasts are huge. FNAB showed the interpretation of atypical ductal hyperplasia and excisional biopsy examination confirmed the presence of bilateral giant fibroadenoma of breast. In this patient, the treatment was carried out in two-staged surgery due to her initial rejection to undergo total breast lumps and tissue removal. Several lumps still remained in the right breast which was indicated for the second surgery. The following surgery was done to remove all of the lumps and breast tissue with reduction breast surgery. Conclusion: conducting breast surgery on the young girl or un-married is not easy as many physical and psychology problems should be considered. Therefore, conducting breast surgery, in this case, should be performed wisely as the recurrence of the lumps was still possible.","PeriodicalId":52988,"journal":{"name":"JBN Jurnal Bedah Nasional","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.24843/JBN.2018.V02.I02.P04","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42484362","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}

引用次数: 1

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