{"created":"2023-06-20T15:48:14.005709+00:00","id":2752,"links":{},"metadata":{"_buckets":{"deposit":"9bbf5850-cce6-4ea4-9657-9ba3650f5d07"},"_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"],"item_3_alternative_title_1":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Spontaneous perforation of pyometra diagnosed by enhanced computed tomography : a report of two cases","subitem_alternative_title_language":"en"}]},"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"}]}]},"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。 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。 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_source_id_19":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"21871914","subitem_source_identifier_type":"ISSN"}]},"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_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"勝又, 佳菜","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"望月, 亜矢子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"城向, 賢","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安立, 匡志","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平井, 強","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"徳永, 直樹","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"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 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_4_1_4.pdf","url":"https://hama-med.repo.nii.ac.jp/record/2752/files/jsog_4_1_4.pdf"},"version_id":"55089ded-57fe-4018-ae01-75d8c074cb1c"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"pyometra","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"perforation","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"computed tomography","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"造影CT検査が診断に有用であった子宮留膿症穿孔の2症例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"造影CT検査が診断に有用であった子宮留膿症穿孔の2症例","subitem_title_language":"ja"}]},"item_type_id":"3","owner":"4","path":["57"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2015-10-06"},"publish_date":"2015-10-06","publish_status":"0","recid":"2752","relation_version_is_last":true,"title":["造影CT検査が診断に有用であった子宮留膿症穿孔の2症例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T07:04:29.498993+00:00"}