{"created":"2023-06-20T15:48:14.005709+00:00","id":2752,"links":{},"metadata":{"_buckets":{"deposit":"39cf1e27-bc5d-4686-a399-b795ee01fe40"},"_deposit":{"created_by":4,"id":"2752","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2752"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00002752","sets":["1:12:57"]},"author_link":["8102","8103","8104","8105","8106","8107"],"control_number":"2752","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"23","bibliographicPageStart":"18","bibliographicVolumeNumber":"4","bibliographic_titles":[{"bibliographic_title":"静岡産科婦人科学会雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Journal of the Shizuoka Society of Obstetrics and Gynecology","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"子宮留膿症は閉経後に多いが、穿孔する頻度は稀である。穿孔しても婦人科的症状に乏しく、診断は困難である。今回、造影CTにより、子宮留膿症穿孔の診断ができた2症例を経験した。\n症例1：81歳、突然の下腹部痛と嘔吐で受診した。腹膜刺激症状と血液検査で炎症反応の上昇を認めた。造影CTで、子宮の腫大、子宮腔内の液体貯留、矢状断像・環状断像で子宮壁の途絶を認め、子宮留膿症穿孔と診断した。緊急開腹手術を行い、単純子宮全摘術と腹腔内洗浄ドレナージを施行した。\n症例2：94歳、突然の下腹部痛で受診した。腹膜刺激症状と血液検査で炎症反応の上昇を認めた。造影CTで子宮の腫大、子宮腔内のガス像、子宮壁の途絶を認め、子宮留膿症穿孔と診断した。緊急開腹手術を行い、単純子宮全摘術、両側付属器切除術、腹腔内洗浄ドレナージを施行した。 結論：子宮留膿症穿孔の診断に、矢状断像・環状断像を含めた造影CTによる子宮壁の途絶所見が有用と考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"静岡産科婦人科学会","subitem_publisher_language":"ja"}]},"item_3_relation_27":{"attribute_name":"医中誌論文ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2016008704","subitem_relation_type_select":"ICHUSHI"}}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2187-1914","subitem_source_identifier_type":"EISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"勝又, 佳菜","creatorNameLang":"ja"},{"creatorName":"KATSUMATA, Kana","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8102","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"望月, 亜矢子","creatorNameLang":"ja"},{"creatorName":"MOCHIZUKI, Ayako","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8103","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"城向, 賢","creatorNameLang":"ja"},{"creatorName":"JOKO, Ken","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8104","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"安立, 匡志","creatorNameLang":"ja"},{"creatorName":"ADACHI, Masashi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8105","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"平井, 強","creatorNameLang":"ja"},{"creatorName":"HIRAI, Tsuyoshi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8106","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"徳永, 直樹","creatorNameLang":"ja"},{"creatorName":"TOKUNAGA, Naoki","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"8107","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-08-27"}],"displaytype":"detail","filename":"jsog_4_1_4.pdf","filesize":[{"value":"1.8 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