Muscle hematomas are rare complications in dengue hemorrhagic fever (DHF). We report a case of 58-year-old-female admitted with who developed spontaneous rectus sheath hematoma complicating DHF. She presented progressive thrombocytopenia platelet count reaching 13000/μL at its lowest point. There was evidence plasma leakage and persistent cough during the course illness. During recovery phase, she reported severe abdominal pain right sheath, which confirmed by computed-tomography scan serial...

Abstract The loess distribution along a transect from Louisville to eastern Pike County, Kentucky was studied. parameters used determine the extent and depth of were particle size analyses, titanium content of—and relative amounts feldspar in—the coarse, medium, fine silt fractions. best criterion expression data on percent clay‐free basis. It determined that mantle extends about 148 km (92 miles) eastward Ohio River. Beyond this distance either too thin be recognized due mixing with...

Other SectionsAbstractIntroductionStem Cell TherapyBone Marrow Mononuclear Cells (BMMNC)Peripheral Blood (PBMNC)Potential Mechanism of BMMNC and PBMNC in PADClinical Trials Stem Therapy for PAD Diabetes PatientsPitfalls DiabetesConclusionsAcknowledgmentsPotential Conflict InterestReference

Renal cell carcinoma (RCC) is the most common malignancy of kidney. It not commonly form tumor thrombus in ureter or renal pelvis. A 29-year-old woman presented with asymptomatic gross hematuria. Contrast CT study revealed a suspected to be Transitional Cell Carcinoma (TCC). However, was found pelvis and ureter. We performed Nephroureterectomy, bladder cuff excision, lymph node dissection, diagnosed histopathologically as RCC. report very rare case thrombus-like mimicking transitional

Bleeding esophageal varices (EV) have the highest mortality rate from all complications of liver cirrhosis (LC). Several Doppler ultrasound (DUS) studies been done on splenic or portal vein (PV) to evaluate hemodynamic vein. Our study focused finding a better index using ratio two parameters correlated with EV, flow volume (SFV), and PV velocity. In this study, 28 patients LC were evaluated DUS compare SFV velocity/speed (Sv/Ps) other measured EV degree. Afterward, receiver operating...

The diagnosing of central obesity requires ethnic-specific cut-offs waist circumference (WC) and body mass index (BMI). This study aims to develop formulas predict visceral adipose tissue (VAT) area based on WC BMI determine the cut-off points in Indonesia. We conducted a cross-sectional among 32 middle-aged Indonesian men. VAT was measured using an abdominal CT scan, whereas were assessed through anthropometric measurements. Linear regression analysis performed define BMI. Next, optimal...

Rhabdomyosarcoma of the prostate is rarely found in adults compared to rhabdomyosarcoma other body regions. In early stage tumor, symptoms are similar genitourinary problems, such as dysuria, urinary retention, lower abdominal pain and enlargement. This condition often leads misdiagnosis treatment delay because tumor's rapid growth. Asides from histopathological examination, imaging had an important role determining diagnosis. MRI very useful more preferred than modalities

Insulinoma is a rare endocrine tumor that causes hypoglycemia, with incidence of only 1–4 cases per 1 million population. Various clinical manifestations hypoglycemia may resemble neurological, psychiatric and cardiac problems, which result in diagnosis delay. In this case, we reported 30-year-old woman experiencing deterioration consciousness history repeated seizures, despite normal EEG, brain CT MRI. Multiphase contrast-enhanced abdominal showed hypovascular nodule, not typical for...

Kanker kolorektal masih merupakan salah satu masalah kesehatan di dunia. Beberapa studi terdahulu melaporkan adanya hubungan antara pemanjangan waktu terapi dengan penurunan kontrol lokal, namun studi-studi tersebut dilakukan pada kasus-kasus keganasan organ lain. Untuk mengetahui profil pasien kanker rektum Departemen Radioterapi RS Cipto Mangunkusumo dan faktor-faktor yang mempengaruhi keberhasilan terapi, maka penelitian ini. Penelitian bersifat retrospektif deskriptif analitik, terhadap...

Primary tubal cancer is very rare, most are diagnosed intra and post operatively. Histopathology vital in determining the origin. Here we present a case of fallopian tube with clinical presentation mimicking endometrial origin.A 74-year old patient came complaints intermittent post-menopausal bleeding pelvic pain. The had several investigations using Ultrasonography, Hysteroscopy-guided biopsy, Magnetic Resonance Imaging. Pre-operative diagnosis was based on histopathology biopsy during...

Leiomyomas are benign fibromuscular tumors that arise from smooth muscle cells. Paraurethral leiomyoma accounts for 5% of all paraurethral masses and occurs in 1 1000 women. We reported a case 43-year-old female presented with palpable mass at the vaginal introitus lower urinary tract symptoms. Patient had no pregnancy sexual history before. A pelvic MRI demonstrated 1.6 x 1.7 × 2.0 cm within anterior part paraurethra. The excision was done via transvaginal approach successful. final...

Hepatocellular carcinoma (HCC) is the fifth most prevalent and second highest cause of death among cancer. The treatment large solitary nodule HCC still challenging. Transarterial chemoembolization (TACE) liver resection are two modalities therapy in management. However, recurrence rate from each relatively high. We report a case 46-year-old man diagnosed with HCC, who was treated drug eluting bead TACE (DEB-TACE) prior to resection. Studies about this combination limited showed various results.

Hepatocellular carcinoma (HCC) is the fourth leading cause of cancer-related deaths in world, with hepatitis B and C as its main causes. HCC can have fat metamorphosis which leads to a better prognosis, though this more commonly found lesions smaller than 3 cm diameter, usually contains intravoxel fat. In case series, we present three cases macroscopic examined using CT scan MRI. Macroscopic seen hypodense mass attenuation −10 −100 HU, or MRI fat-saturation technique. Intravoxel be on...

Tuberculosis is an endemic disease in certain parts of the world. This typically presents lungs, but it may also appear within abdomen, such as pancreas. There can be challenges diagnosing isolated pancreatic tuberculosis mimic other diseases radiologically. We present a 33-year-old female with intermittent abdominal pain and weight loss. Chest x-rays showed normal findings while noncontrast computed tomography (CT) solid cystic mass pancreas spleen. Contrast-enhanced CT inhomogeneous body...

Background: Pancreaticoduodenectomy (PD) is associated with major morbidity and mortality especially in low volume centers. A centralized model not suitable for Indonesia, due to its geographical characteristics the underlying structure of health funding. As an alternative, outreach program was developed delivered by a dedicated hepatopancreatobiliary (HPB) team. The aim this study describe outcomes such approach. Methods: retrospective all patients undergoing or total pancreatectomy single...

The liver is the most commonly injured organ in blunt abdominal trauma, and trauma leading cause of death injuries. Liver associated with high morbidity mortality, hence thediagnosis clinical assessment hepatic play an important role management trauma. Although it only suitable for patients stable hemodynamic status, computed tomography(CT scan) gold standard evaluating because can acquire quality images quickly. For these patients, nonsurgical or endovascular intervention has become...

Ovarian tumours are the second most common cause of death from gynaecological cancer. There three types ovarian cancer based on histopathological examination: benign, borderline, and malignant. However, it is difficult to distinguish borderline malignant tumours. Several studies used apparent diffusion coefficient value tumour types, with various results. This preliminary report focused more use minimal ADC (mADC) solid component, differentiate tumours.In 21 cases tumours, which 11 were...

<strong>Background and Purpose</strong>: Neoadjuvant chemoradiation (CRT) is the mainstay treatment for locally advanced rectal carcinoma. However, response varied due to many factors, including tissue hypoxia. Osteopontin (OPN) an emerging endogen hypoxic marker with significant correlation towards tumor pO2, also a more accurate chronic compared carbonic anhydrase IX (CAIX), glucose transporter 1 (GLUT1), lactate dehydrogenase A (LDHA); but as far we know there no research that...

<p>This study was performed to determine the correlation between aldehyde dehydrogenase-1A1 (ALDH1A1) level and tumor shrinkage after chemoradiation in locally advanced rectal cancer. This is a retrospective of 14 cancer patients with long course neoadjuvant chemoradiation. ALDH1A1 measured using ELISA from paraffin embedded tissue. Tumor computed tomography (CT) scan or magnetic resonance imaging (MRI) based on Response Evaluation Criteria Solid v1.1 (RECIST v1.1). The mean 9.014 ±...

Bladder exstrophy is a rare congenital anomaly while, bladder adenocarcinoma mucinous type of cancer, with aggressive behavior and inadequate response to radiation chemotherapy. In extremely cases, untreated could transform into adenocarcinoma.