Publications by authors named "Aditya Utomo"

BACKGROUND Catamenial pneumothorax (CP) is the most common manifestation of thoracic endometriosis syndrome, typically managed with hormonal therapy to suppress ovarian function and prevent recurrence. However, this approach conflicts with pregnancy planning, creating a therapeutic dilemma. While previous reports have discussed CP management, limited evidence exists on long-term strategies that balance disease control with fertility preservation.

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Purpose: Endometriosis, a chronic estrogen-dependent condition characterized by the implantation of tissue beyond the uterine cavity, impacts 10% of women of reproductive age. Endometriosis manifests through menstrual discomfort, chronic pelvic pain, dyspareunia, and cyclical digestive issues. It is additionally linked to infertility.

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BACKGROUND A pseudo-gestational sac (pseudo sac), or intracavitary fluid, occurs in up to 10% of ectopic tubal pregnancies and can mimic an intrauterine gestational sac, posing a diagnostic challenge. Distinguishing a pseudo sac from a true gestational sac or an ovarian cyst is critical to avoid misdiagnosis. This report describes the case of a 28-year-old woman presenting at 6 weeks of pregnancy with hydrosalpinx, hemosalpinx, and a pseudo sac due to tubal ectopic pregnancy.

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Uterine fibroids, or myomas, are benign tumors affecting about 68.6% of women, with Indonesia's Hasan Sadikin Hospital reporting a prevalence between 2.4% and 12.

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Introduction: Urinary tract infections are prevalent among pregnant women and can lead to serious maternal and neonatal complications. Hypertensive disorders of pregnancy, a leading cause of maternal morbidity, may be associated with urinary tract infections. This study investigates whether bacteriuria detected via routine urinalysis, a standard screening in Indonesia, contributes to hypertension risk during pregnancy, aiming to enhance clinical management and screening protocols.

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BACKGROUND Vulvar melanoma during pregnancy is exceptionally rare. Hormonal and immunological changes in pregnancy have raised concerns about the potential for accelerated melanoma progression and poorer maternal outcomes. This case report describes an unusual presentation of vulvar melanoma in a pregnant patient, which rapidly progressed despite previous treatments, but resulted in a favorable fetal outcome.

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BACKGROUND Urinary tract infections (UTIs) are common during pregnancy and can negatively impact maternal and neonatal health. Hypertension in pregnancy is a leading cause of maternal morbidity. UTIs can contribute to hypertension development through mechanisms like inflammation, leading to endothelial dysfunction and impaired placental development.

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BACKGROUND Obesity is described as excessive fat accumulation. Almost 47% of pregnant women gain more weight than recommended. The prevalence of obesity doubled from 2007 to 2018 (10.

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Uterine inversion is characterized by the folding of the fundus into the uterine cavity. While infrequent, it ranks among the most serious complications of childbirth, posing a significant risk of mortality primarily due to hemorrhage and shock. Retained placenta after vaginal delivery is diagnosed when placenta does not spontaneously deliver within 18-60 min.

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