W FADHLINA W ADNAN

@usm.my

OBSTETRICS & GYNAECOLOGY
SCHOOL OF MEDICAL SCIENCES, UNIVERSITI SAINS MALAYSIA

W FADHLINA W ADNAN


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https://researchid.co/wfadhlina

EDUCATION

NATIONAL UNIVERSITY OF IRELAND GALWAY
UNIVERSITI SAINS MALAYSIA

RESEARCH INTERESTS

OBSTETRICS & GYNAECOLOGY
GYNAECOLOGY ONCOLOGY
13

Scopus Publications

94

Scholar Citations

4

Scholar h-index

2

Scholar i10-index

Scopus Publications

  • Spontaneous abdominal wall endometriosis: A case report
    Mohd Pazudin Ismail, Erinna Mohamad Zon, W Fadhlina W Adnan, Nasibah Mohamad, Nur Asma Sapiai, et al.
    Malaysian Family Physician, 2025
    Abdominal wall endometriosis (AWE) is a rare type of endometriosis, with an incidence ranging from 0.1% to 0.4%. It requires a high index of suspicion to avoid delays in diagnosis and treatment. This case is rather special because AWE occurred without a history of abdominal surgery or pelvic endometriosis. Herein, we report the case of a 48-year-old para-3 woman with localised cyclical abdominal pain associated with abdominal distension. On assessment during menstruation, there were localised tenderness at the right suprapubic area and a non-tender suprapubic mass corresponding to a 14-week-sized gravid uterus. An ultrasound revealed the presence of a heterogeneous hypoechoic lesion at the subcutaneous layer of the right suprapubic region sized 1.8×3.2×4.4 cm with poor demarcation. There were also multiple uterine fibroids varying in size and location. She underwent exploratory laparotomy, total abdominal hysterectomy with bilateral salpingo-oophorectomy and abdominal wall mass resection. Intraoperatively, the right abdominal wall mass measuring 6x5 cm and involving the subcutaneous layer was found to adhere to the rectus sheath with some chocolate-stained areas without connection to the peritoneal cavity. Additionally, multiple uterine fibroids were noted. There was no pelvic endometriosis, and the other pelvic organs were normal. The histopathological diagnosis of the abdominal wall mass was endometriosis. AWE should be one of the differential diagnoses even in the absence of previous surgery when encountering a patient with an abdominal wall mass especially when it is related to the menstrual cycle.
  • A dark umbilical nodule in a postmenopausal woman: What is your diagnosis?
    Nur Hidayah Mohd Fauzi, Nik Ahmad Zuky Nik Lah, S. Hamzah, W Fadhlina W Adnan, Adibah Ibrahim, et al.
    Malaysian Family Physician, 2025
    Sister Mary Joseph's nodule is a rare but significant clinical sign that often indicates advanced intraabdominal malignancy. It presents as a palpable umbilical nodule and may be the first indication of an occult primary cancer. In this article, we discuss the case of a 58-year-old postmenopausal woman who presented to a primary care clinic with a darkened umbilical lesion and progressive abdominal symptoms. She wps ultimately diagnosed with metastatic endometrial carcinoma. This uncommon presentation highlights the importance of a comprehensive approach to umbilical lesions in the primary care setting. Recognising this subtle sign in primary care can lead to expedited investigations and timely intervention.
  • Clinical and histopathological evaluation of patients with endometrial cancer in a University Hospital: Seven-year experience
    Malaysian Journal of Pathology, 2024
  • Large placental chorioangioma with maternal and perinatal morbidity
    W. Fadhlina W. Adnan, Engku Husna Engku Ismail, Atikah Su Azmi, Anani Aila Mat Zin, Alexandra Maria Elisabeth
    European Journal of Obstetrics and Gynecology and Reproductive Biology, 2024
  • Randomised Trial on Intravenous Paracetamol versus Intramuscular Nalbuphine as Obstetrics Analgesia in First Stage of Labour
    Siti Athiqah Rosli
    Thai Journal of Obstetrics and Gynaecology, 2022
  • Invasive mole in post-menopausal woman
    Mohd Pazudin Ismail, Erinna Mohamad Zon, W Fadhlina Adnan
    Visual Journal of Emergency Medicine, 2022
  • A 30-year-old dermoid cyst
    Erinna Mohamad Zon, W Fadhlina W Adnan, Kaamini Planisamy, Nik Mohamad Zaki Nik Mahmood
    Bangladesh Journal of Medical Science, 2022
    Mature cystic teratoma (MCT) is the most common tumour of the ovary and includes at least two well-differentiated germ cell layers. The incidence is higher in reproductive age group and rarely among postmenopausal age women. It is benign condition however associated with multiple complication such as torsion, ruptured and chemical peritonitis. As it is rare among postmenopausal age group, it can be presented as chronic ovarian mass with expected complication and possibility of malignant transformation. Thorough assessment with adjunct of radiological imaging may assist in diagnosis and further management. Radiological imaging modalities were sensitive and sensitive in diagnosis of MCT however there were low specificity in detection of complication. Management of MCT in postmenopausal women mandate thorough evaluation considering the risk of malignant transformation and associated complications. Bangladesh Journal of Medical Science Vol. 21 No. 04 October’22 Page : 918-921
  • Lactobacilli reduce recurrences of vaginal candidiasis in pregnant women: a randomized, double-blind, placebo-controlled study
    X.‐Y. Ang, F.‐Y.‐L. Chung, B.‐K. Lee, S.N.A. Azhar, S. Sany, N.S. Roslan, N. Ahmad, S.M. Yusof, N. Abdullah, N.N. Nik Ab Rahman, N. Abdul Wahid, Z.Z. Deris, C.‐E. Oon, W.F. Wan Adnan, M.‐T. Liong
    Journal of Applied Microbiology, 2022
    The aim of this study was to investigate the effects of lactobacilli strains in preventing the recurrences of vaginal candidiasis (VC) in 78 pregnant women with VC (lactobacilli, n = 39; placebo, n = 39) and the potential benefits on quality of life.
  • Probiotics Reduce Vaginal Candidiasis in Pregnant Women via Modulating Abundance of Candida and Lactobacillus in Vaginal and Cervicovaginal Regions
    Xin Ang, Uma Mageswaran, Yi Chung, Boon Lee, Siti Azhar, Nurhanis Roslan, Ili Saufian, Nor Mustaffa, Ermadina Kalam, Aini Ibrahim, Normala Abdul Wahid, Zakuan Deris, Chern-Ein Oon, Wan Adnan, Salina Sany, Min-Tze Liong
    Microorganisms, 2022
    We previously reported on the effects of a lactobacilli probiotic (SynForU-HerCare; two capsules/day of 9.5 log CFU/capsule) in improving symptoms of vaginal irritation, discharge and burning in pregnant women with vaginal candidiasis upon administration for 8 weeks, accompanied by improved emotional and social quality of life parameters. Thus, the present study aimed to analyse vaginal microbiota and inflammatory changes in hope to better understand the improved clinical symptoms as observed previously. Patients in the probiotic group showed a decreased abundance of Candida glabrata after 8 weeks (p = 0.009) in the lower vaginal region, while patients in the placebo group did not show any changes over time. In the higher vaginal and cervicovaginal regions, patients in the placebo group showed a decreased abundance of Candida albicans only within 4 weeks (p < 0.05) but no changes in abundance of C. glabrata over time, while patients in the probiotic group showed a continuous decreased abundance of C. albicans and C. glabrata over 8 weeks (p < 0.05). Patients in the placebo group also had a decreased abundance of Lactobacillus crispatus over 4 weeks (p = 0.023) in the lower vaginal region and a decreased abundance of L. jensenii over 8 weeks in the cervicovaginal region (p = 0.001). Meanwhile, patients in the probiotic group had an increased abundance of L. crispatus in the lower vaginal region after 8 weeks (p = 0.012) and Lactobacillus jensenii over 4 weeks in the cervicovaginal region (p < 0.001). Inflammation may have occurred in both low and high vaginal regions, predominantly observed by the increased concentration of pro-inflammatory cytokine TNF-alpha in patients from the placebo group (p < 0.05), while the administration of probiotics has shortened the period of inflammation as observed from the reduced need for anti-inflammatory cytokine IL-4 and IL-10 over time (p < 0.05). Taken together, our present new data further support previous findings that probiotic SynForU-HerCare had a beneficial effect against vaginal candidiasis in pregnant women via modulation of the vaginal microbiota and microenvironment.
  • A rare cause of acute urinary retention in adolescents: A case of imperforate hymen
    Erinna Mohamad Zon, Nik Rafiza Afendi, Nurul Bazilah Mansor, W Fadhlina W Adnan
    Malaysian Family Physician, 2021
    Imperforate hymen is a genital outflow abnormality that can occur in females. It can present with various symptoms and is associated with short- and long-term complications that may affect patients’ quality of life. Acute urinary retention in adolescents is a rare occurrence. We report a case of delayed diagnosis of imperforate hymen involving multiple visits to the clinic for urinary symptoms and the subsequent development of acute urinary retention. Awareness of this rare presentation is essential since delayed diagnosis is associated with hydronephrosis, endometriosis and infertility in later life.
  • Uterine torsion in patient with major placenta previa
    Wan Fadhlina Wan Adnan, Faridah Shamsudin, Erinna Mohamad Zon
    European Journal of Obstetrics and Gynecology and Reproductive Biology, 2021
  • Maternal outcomes following second stage caesarean section in a tertiary hospital in Malaysia: A 6-year retrospective review
    Nurul Nafizah Mohd Rashid, Nik Mohamed Zaki Nik Mahmood, Mohd Pazudin Ismail, Adibah Ibrahim, W Fadhlina W Adnan, Erinna Mohamad Zon
    Polish Annals of Medicine, 2021
  • Gestational trophoblastic disease: A ten-year review
    Mohd Pazudin Ismail, , Dharmaraja Narayanan, Nik Mohamed Zaki Nik Mahmood, Wan Fadhlina Wan Adnan, Erinna Mohamad Zon, , , , and
    Current Gynecologic Oncology, 2019

RECENT SCHOLAR PUBLICATIONS

  • A dark umbilical nodule in a postmenopausal woman: What is your diagnosis?
    NHM Fauzi, NAZN Lah, SM Hamzah, WFW Adnan, A Ibrahim, ...
    Malaysian Family Physician: the Official Journal of the Academy of Family … , 2025
    2025
  • Spontaneous abdominal wall endometriosis: A case report
    MP Ismail, EM Zon, WFW Adnan, N Mohamad, NA Sapiai, SET Shariff
    Malaysian Family Physician: the Official Journal of the Academy of Family … , 2025
    2025
    Citations: 2
  • Clinical and histopathological evaluation of patients with endometrial cancer in a University Hospital: Seven-year experience
    SNM Zaim, SNM Nafi, N Zawawi, WFW Adnan
    The Malaysian Journal of Pathology 46 (3), 413-421 , 2024
    2024
    Citations: 3
  • Large placental chorioangioma with maternal and perinatal morbidity
    WFW Adnan, EHE Ismail, AS Azmi, AAM Zin, AM Elisabeth
    European Journal of Obstetrics & Gynecology and Reproductive Biology 300 … , 2024
    2024
    Citations: 2
  • Breast milk from healthy women has higher anti- Candida properties than women with vaginal infections during pregnancy
    AA Nisaa, CE Oon, S Sreenivasan, V Balakrishnan, JJ Tan, CSJ Teh, ...
    Food Science and Biotechnology 32 (4), 471-480 , 2023
    2023
    Citations: 4
  • Huge mature cystic teratoma with compression and obstructive outcome
    WFW Adnan, MP Ismail, EM Zon, NMZN Mahmood, MS Othman, ...
    Journal of Clinical Gynecology and Obstetrics 11 (4), 113-116 , 2023
    2023
    Citations: 1
  • A 10-year review of obstetrics anal sphincter injury at a tertiary teaching hospital in the east coast of Peninsular Malaysia
    AA Ismail, A Ibrahim, MP Ismail, NAZ Nik Lah, SR Johan Noor, ...
    Journal of Clinical and Health Sciences (JCHS) 8 (1), 43-51 , 2023
    2023
  • Randomised Trial on Intravenous Paracetamol versus Intramuscular Nalbuphine as Obstetrics Analgesia in First Stage of Labour
    SA Rosli, WFW Adnan, SNS Ibrahim, NMZN Mahmood, MS Othman, ...
    Thai Journal of Obstetrics and Gynaecology, 432-441 , 2022
    2022
    Citations: 6
  • Invasive mole in post-menopausal woman
    MP Ismail, EM Zon, WF Adnan
    Visual Journal of Emergency Medicine 29, 101538 , 2022
    2022
  • A 30-year-old dermoid cyst
    EM Zon, WFW Adnan, K Planisamy, NMZN Mahmood
    Bangladesh Journal of Medical Science 21 (4), 918-921 , 2022
    2022
  • Lactobacilli reduce recurrences of vaginal candidiasis in pregnant women: a randomized, double‐blind, placebo‐controlled study
    XY Ang, FYL Chung, BK Lee, SNA Azhar, S Sany, NS Roslan, N Ahmad, ...
    Journal of applied microbiology 132 (4), 3168-3180 , 2022
    2022
    Citations: 36
  • Probiotics Reduce Vaginal Candidiasis in Pregnant Women via Modulating Abundance of Candida and Lactobacillus in Vaginal and Cervicovaginal Regions
    XY Ang, UM Mageswaran, YLF Chung, BK Lee, SNA Azhar, NS Roslan, ...
    Microorganisms 10 (2), 285 , 2022
    2022
    Citations: 26
  • First-trimester miscarriage in the background of endometrial carcinoma
    WFW Adnan, NMZN Mahmood, MP Ismail, EM Zon, MS Othman, ...
    Cancer Treatment and Research Communications 33, 100660 , 2022
    2022
    Citations: 3
  • A rare cause of acute urinary retention in adolescents: A case of imperforate hymen
    EM Zon, NR Afendi, NB Mansor, WFW Adnan
    Malaysian Family Physician: the Official Journal of the Academy of Family … , 2021
    2021
    Citations: 3
  • Uterine torsion in patient with major placenta previa
    WFW Adnan, F Shamsudin, EM Zon
    European Journal of Obstetrics & Gynecology and Reproductive Biology 258 … , 2021
    2021
    Citations: 4
  • Maternal outcomes following second stage caesarean section in a tertiary hospital in Malaysia: a 6-year retrospective review
    NNM Rashid, NMZN Mahmood, MP Ismail, A Ibrahim, WFW Adnan, ...
    Polish Annals of Medicine , 2021
    2021
    Citations: 2
  • Gestational trophoblastic disease: a ten-year review.
    MP Ismail, D Narayanan, NMZN Mahmood, WFW Adnan, EM Zon
    Current Gynecologic Oncology 17 (3) , 2019
    2019
    Citations: 2
  • A 3 Year Analysis of the Outcome of Various Types of Management for Unexplained Infertility in Hospital USM (2010-2013)
    WFW Adnan
    Universiti Sains Malaysia , 2014
    2014
  • University Sains Malaysia Medical Alumni Society (PADU) National Scientific Meeting: 4TH October 2003, Hotel Renaissance Kota Bharu, Kelantan Malaysia
    ZAM Hussin, R Ja’afar, Z Ismail
    The Malaysian Journal of Medical Sciences: MJMS 11 (1), 109 , 2004
    2004
  • 1st Asean Conference on Medical Sciences18th–21th May 2001Held at the Renaissance Hotel Kota Bharu, Kelantan, Malaysia.
    A Ressang, R Bajaj, A Halim, M Isa, A Samsudin, S Najihah, ...
    The Malaysian Journal of Medical Sciences: MJMS 8 (2), 52-122 , 2001
    2001

MOST CITED SCHOLAR PUBLICATIONS

  • Lactobacilli reduce recurrences of vaginal candidiasis in pregnant women: a randomized, double‐blind, placebo‐controlled study
    XY Ang, FYL Chung, BK Lee, SNA Azhar, S Sany, NS Roslan, N Ahmad, ...
    Journal of applied microbiology 132 (4), 3168-3180 , 2022
    2022
    Citations: 36
  • Probiotics Reduce Vaginal Candidiasis in Pregnant Women via Modulating Abundance of Candida and Lactobacillus in Vaginal and Cervicovaginal Regions
    XY Ang, UM Mageswaran, YLF Chung, BK Lee, SNA Azhar, NS Roslan, ...
    Microorganisms 10 (2), 285 , 2022
    2022
    Citations: 26
  • Randomised Trial on Intravenous Paracetamol versus Intramuscular Nalbuphine as Obstetrics Analgesia in First Stage of Labour
    SA Rosli, WFW Adnan, SNS Ibrahim, NMZN Mahmood, MS Othman, ...
    Thai Journal of Obstetrics and Gynaecology, 432-441 , 2022
    2022
    Citations: 6
  • Breast milk from healthy women has higher anti- Candida properties than women with vaginal infections during pregnancy
    AA Nisaa, CE Oon, S Sreenivasan, V Balakrishnan, JJ Tan, CSJ Teh, ...
    Food Science and Biotechnology 32 (4), 471-480 , 2023
    2023
    Citations: 4
  • Uterine torsion in patient with major placenta previa
    WFW Adnan, F Shamsudin, EM Zon
    European Journal of Obstetrics & Gynecology and Reproductive Biology 258 … , 2021
    2021
    Citations: 4
  • Clinical and histopathological evaluation of patients with endometrial cancer in a University Hospital: Seven-year experience
    SNM Zaim, SNM Nafi, N Zawawi, WFW Adnan
    The Malaysian Journal of Pathology 46 (3), 413-421 , 2024
    2024
    Citations: 3
  • First-trimester miscarriage in the background of endometrial carcinoma
    WFW Adnan, NMZN Mahmood, MP Ismail, EM Zon, MS Othman, ...
    Cancer Treatment and Research Communications 33, 100660 , 2022
    2022
    Citations: 3
  • A rare cause of acute urinary retention in adolescents: A case of imperforate hymen
    EM Zon, NR Afendi, NB Mansor, WFW Adnan
    Malaysian Family Physician: the Official Journal of the Academy of Family … , 2021
    2021
    Citations: 3
  • Spontaneous abdominal wall endometriosis: A case report
    MP Ismail, EM Zon, WFW Adnan, N Mohamad, NA Sapiai, SET Shariff
    Malaysian Family Physician: the Official Journal of the Academy of Family … , 2025
    2025
    Citations: 2
  • Large placental chorioangioma with maternal and perinatal morbidity
    WFW Adnan, EHE Ismail, AS Azmi, AAM Zin, AM Elisabeth
    European Journal of Obstetrics & Gynecology and Reproductive Biology 300 … , 2024
    2024
    Citations: 2
  • Maternal outcomes following second stage caesarean section in a tertiary hospital in Malaysia: a 6-year retrospective review
    NNM Rashid, NMZN Mahmood, MP Ismail, A Ibrahim, WFW Adnan, ...
    Polish Annals of Medicine , 2021
    2021
    Citations: 2
  • Gestational trophoblastic disease: a ten-year review.
    MP Ismail, D Narayanan, NMZN Mahmood, WFW Adnan, EM Zon
    Current Gynecologic Oncology 17 (3) , 2019
    2019
    Citations: 2
  • Huge mature cystic teratoma with compression and obstructive outcome
    WFW Adnan, MP Ismail, EM Zon, NMZN Mahmood, MS Othman, ...
    Journal of Clinical Gynecology and Obstetrics 11 (4), 113-116 , 2023
    2023
    Citations: 1
  • A dark umbilical nodule in a postmenopausal woman: What is your diagnosis?
    NHM Fauzi, NAZN Lah, SM Hamzah, WFW Adnan, A Ibrahim, ...
    Malaysian Family Physician: the Official Journal of the Academy of Family … , 2025
    2025
  • A 10-year review of obstetrics anal sphincter injury at a tertiary teaching hospital in the east coast of Peninsular Malaysia
    AA Ismail, A Ibrahim, MP Ismail, NAZ Nik Lah, SR Johan Noor, ...
    Journal of Clinical and Health Sciences (JCHS) 8 (1), 43-51 , 2023
    2023
  • Invasive mole in post-menopausal woman
    MP Ismail, EM Zon, WF Adnan
    Visual Journal of Emergency Medicine 29, 101538 , 2022
    2022
  • A 30-year-old dermoid cyst
    EM Zon, WFW Adnan, K Planisamy, NMZN Mahmood
    Bangladesh Journal of Medical Science 21 (4), 918-921 , 2022
    2022
  • A 3 Year Analysis of the Outcome of Various Types of Management for Unexplained Infertility in Hospital USM (2010-2013)
    WFW Adnan
    Universiti Sains Malaysia , 2014
    2014
  • University Sains Malaysia Medical Alumni Society (PADU) National Scientific Meeting: 4TH October 2003, Hotel Renaissance Kota Bharu, Kelantan Malaysia
    ZAM Hussin, R Ja’afar, Z Ismail
    The Malaysian Journal of Medical Sciences: MJMS 11 (1), 109 , 2004
    2004
  • 1st Asean Conference on Medical Sciences18th–21th May 2001Held at the Renaissance Hotel Kota Bharu, Kelantan, Malaysia.
    A Ressang, R Bajaj, A Halim, M Isa, A Samsudin, S Najihah, ...
    The Malaysian Journal of Medical Sciences: MJMS 8 (2), 52-122 , 2001
    2001