41-year-old man with an abdominal mass

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41-year-old Man With an Abdominal Mass DEPARTMENT OF SURGERY REGION GENERAL HOSPITAL ARJAWINANGUN CIREBON FACULTY OF MEDICINE YARSI UNIVERSITY Case Report and Review of the Literature

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Page 1: 41-Year-old Man With an Abdominal Mass

41-year-old Man With an Abdominal Mass

DEPARTMENT OF SURGERYREGION GENERAL HOSPITAL

ARJAWINANGUN CIREBONFACULTY OF MEDICINE YARSI UNIVERSITY

Case Report and Review of the Literature

Page 2: 41-Year-old Man With an Abdominal Mass
Page 3: 41-Year-old Man With an Abdominal Mass

Alamjan Nematilaev was the surviving host of a fetus in fetu. In 2003, aged 7, in Kazakhstan

In June 1999, the case of Sanju Bhagat a man from Nagpur, India attracted attention for the length of time (36 years)

In September 2009, one year old Kang Mengru from China was "pregnant" with her own twin

In September 2011, a 41-year-old man in Arjawinangun Public Hospital - Cirebon, Indonesia named Disan was diagnosed with a tumor in his abdomen. An operation was done at October 4, 2011 which revealed the suspected tumor to actually be a fetus.

Page 4: 41-Year-old Man With an Abdominal Mass

PATIENT IDENTITY

Name : Mr. DAges : 41 year oldSex : MaleReligion : IslamAddress : Pegagan LorCheck-in : 27 September 2011

Page 5: 41-Year-old Man With an Abdominal Mass

Resume

Ax : •Chief Complaint: 41-year-old man with an

abdominal massHistory:•Painful•Increase in size•Breathless•Family history of multiple births

Page 6: 41-Year-old Man With an Abdominal Mass

Physical Examination:Vital Sign :

BP : 110/80 mmHg

P : 88 x/ minute

RR : 24 x/ minute

T : 37 ° C

Local ConditionAbdomen region:I : Abdominal contour is convex, not flat.P : A mass in Left Upper Quadrant, mobile, size 11 x 3 cm.P : Unusual dullness in Left Upper Quadrant.A : Bowel sounds is normal, no bruits.

Page 7: 41-Year-old Man With an Abdominal Mass

USG

Page 8: 41-Year-old Man With an Abdominal Mass

Workup

• Imaging StudiesUSG :1.Susp. Intra-abdominal

soft tissue mass extra luminaire.

2.Not visible abnormalities in the liver, VF, spleen, renal and urinary vesicles.Suggestion: Abdominal CT scan with contrast

•Laboratory FindingsBlood tests – NUrine test – N Liver function tests – NRenal function tests – N

Page 9: 41-Year-old Man With an Abdominal Mass

Dx :• Intra Abdominal TumorDDx :•Teratoma•Dermoid cystPost Op Dx:•Fetus in Fetu

Treatment & Management:•LaparatomyPrognosis•Quo ad vitam : ad bonam•Quo ad Funtionam: ad

bonam•Quo ad Sanationam: ad

bonam

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Page 14: 41-Year-old Man With an Abdominal Mass

謝謝Baca Lebih Lengkap di :•http://herryyudha.blogspot.com•https://herrysetyayudha.wordpress.com•http://en.wikipedia.org/wiki/Fetus_in_fetu

Video:•http://www.youtube.com/watch?v=WXvPH3G_Wn8&lc=85djNa3TNUC38gGmG-U4CrF_uZ_uLXL4-myMzyBkue0&feature=inbox