PENCITRAAN SKINTIGRAFI PADA TRAKTUS URINARIUS

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TRAUMA GINJAL

Renal trauma in children is more common than in adults. Clinically in pediatric patients with renal trauma do not always describe the degreeof trauma. Radiological examination, especially abdominal CT-scan with contrast, can help evaluate the damage to the kidneys so that it candetermine the degree of trauma.

PERANAN RADIOLOGI PADA KASUS TUMOR WILMS’

Wilms’ tumor is the most frequent renal malignancy in childhood with the highest incidence per year, approximately 7,8 cases per 1.000.000in children under 15 years-old and frequently occurred in 2-5 years of age (highest incidences in 3 years-old). There are many differential diagnosis of intra-abdominal tumors and the correct differential diagnosis are detrimental to the prescribed treatments for the patients.Medical imaging along with pathology reports is a precise way to determine the appropriate diagnosis and treatment. Imaging gives information about tumor extension and distant metastasis, especially useful for indicating pre-operative chemotherapy.

PEMERIKSAAN RADIOLOGIS URETEROPELVIC JUNCTION OBSTRUCTION PADA ANAK

Ureteropelvic junction obstruction ( UPJO ) is the most common cause of hydronephrosis in children. Hydronephrosis caused by prolongedUPJO will damaged the kidneys. Early detection needed to avoid the complication. In fact, there are cases which is discovered in older child.Therefore it is necessary to carry out appropriate diagnostic steps and support the management of patients. Radiological examination usingvarious modalities can help diagnose UPJO.

YOLK SAC TUMOR OVARIUM

Yolk sac tumor called endodermal sinus tumor, is a rare and very malignant germ cell tumor. The second largest ovarian germ cell tumor after dysgerminoma, with an incidence of 1% of ovarian malignancies. Tumors usually appear as fast-growing masses in young women. The radiological imaging of this tumor is seen as a large dense cystic mass with heterogeneous enhancement, a component of dilated intratumoralblood vessels accompanied by an intralesional hemorrhagic focus. The best radiological modality is CT scan or MRI. CT imaging useful for distinguishing yolk sac tumors from other ovarian tumors. In this article was reported a case of ovarial york sac tumor in 7 years old girl. USGand CT scan examination showed solid with cystic mass in the pelvic cavity. Histologically was malignant germ cell as york sac tumor.

PEMERIKSAAN STATIC FLUID MAGNETIC RESONANCE UROGRAPHY PADA ANAK DENGAN DUGAAN OBSTRUKSI TRAKTUS URINARIUS

Background : Static fluid Magnetic Resonance Urography (MRU) treats the urinary tract as a static column of fluid, using one of a variety of T2-weighted sequences that exploit the long T2 relaxation time of urine. It does not require the excretion of contrast material and is therefore useful for demonstrating the collecting system and ureter of an obstructed urinary tract. Static fluid MRU provides good morphology visualization and multiplanar three-dimensional reconstruction capability. Aim of study : To display the excellence of static fluid MRU in visualization of dilatated urinary tract segments in pediatric cases with suspectedurinary obstruction. Methods : Nine pediatric patients with suspected obstructive uropathy (as suggested by ultrasound) were included in this case study. The examinations were performed with 1.5T MR scanners using static fluid T2-weighted MRU sequence. Ultrasound examinations were done forall patients. Voiding cystourethrogram was done for 3 patients. Results : Eight studied patients had dilated collecting systems. Static fluid MRU can provide detailed structural assessment of dilatatedcollecting systems. It was superior to ultrasound in evaluation of obstructive double collecting system, ureteral ectopia, ureteral obstructionand massive hydroureteronephrosis.

URETEROCELE DENGAN DUPLIKASI URETER KOMPLIT

Ureterocele is a congenital distal ureter dilatation abnormality that formed like sac located intravesical or ectopic outside the normal anatomy location. The exact etiology of ureterocele is not yet known certainty, presumably due to the obstruction of the ureteral orificium during embryogenesis. There are 80% ureterocele associated with urinarius duplicating system. Radiological examination has an important role in the evaluation and diagnosis of ureterocele. We reported a case of 2 year 7 monthold girl admitted to the hospital with complaints of pain during urination experienced since 2 months ago. Routine urine examination showed leukocytes +++ / 500 cells / uL, blood: ++ / 80 cells / uL and bacteria (+). Ultrasound and CT scan examination showed the presence of intravesical cystic lesions which related to the left ureter. On BNO-IVP examination showed dilatation of left renal pelvicalyceal system that located inferiorly with drooping lily sign appearance, suspicion diagnosis of a bipelvic biureter. Hydronephrosis and hydroureter in lower moety and non function in upper moety. This finding was confirmed by the surgery result that the presence of two ureteric distal, ectopic ureterocele located on the urethral sphincter and another intravesical position.

SONOGRAFI SUPERFISIAL KEPALA PADA TRAUMA LAHIR DI RSI ARAFAH JAMBI 2018

Methods: Descriptive observations with cross-sectional designs on patients who were superficial ultrasound heads due to trauma were bornin the Radiology department of Arafah Hospital, Jambi in 2018 by characterizing neonates with superficial sonography with birth trauma in 2018 at the Arafah Hospital Jambi. There were twenty-two neonates with head birth trauma with superficial head sonography examinationand found extracranial bleeding in the form of succedaneum caput, subgaleal hematoma, cephal hematoma. and assess the possibility ofintracranial bleeding and fracture. Results: Presentation of male subjects (64%), women (36%). Fetal presentation on birth canal, head (91%), buttocks (4%). Head with fingers(5%). Percentage of infant weight, normal (95.45%,) macrosomia (4.45%) Presentation Types of head bleeding: caput succedaneum (15.6%),subgaleal hematoma (33.3%), cephal hematoma (33.3%), intracranial hemorrhage (6.7%), diastase fracture (11.1%) Percentage of type oflabor: Vaginal (18.2%), vaginal by induction (18.2%), vacuum extraction (40.9%) Sectio cesaria : (22.7%). Percentage parity is primipara (88%),Multipara (12%) Conclusion: Head trauma cannot be avoided. In this study cephal hematoma and subgaleal hematoma were the most birth trauma (each one33.3%). Bleeding can accur all layers of the scalp. Vacuum extraction was the highest type of labor (40.9%) followed by secsio caesaria andvaginal delivery. The use of vacuum extraction increases the incidence of birth trauma. Most sex is male;

PNEUMOTORAKS SPONTAN BILATERAL PADA PENYAKIT KISTA PARU

Diffuse Cystic Lung Disease (CLD) is rare and its etiology is unclear. This disease is more progressive if occurs in children. The frequent complications are pneumonia and pneumothorax. The management and prognosis of CLD is varied and difficult to predict. We report a caseof CLD in a child who had pneumonia and spontaneous pneumothorax. Although clinically improved after treatment and subsequentlytreated as outpatient, but bilateral pneumothorax is still present and chest tube is still inserted.

Pencitraan Radiologis Uterus Didelphys

Uterus didelphys is a congenital disorder in which there is a failure of merging of the Müllerian duct, during formation of uterine, cervix, and vagina at 6-11 weeks of gestation, which belongs to type III müllerian duct abnormalities, where there is unconnected duplication of the uterus, cervix and vagina. Incidence of uterine didelphys in 2012 is estimated 1: 3000 women. Müllerian duct abnormalities can be observed by imaging such as Ultrasonography (USG), Magnetic Resonance Imaging (MRI) and hysterosalpingography (HSG). The HSG can show the müllerian duct abnormalities, but cannot distinguish the type of the müllerian duct abnormalities themselves, whereas those on USG and MRI are shown to be able to see antomic in more detail