{"created":"2023-06-20T15:48:51.047917+00:00","id":3379,"links":{},"metadata":{"_buckets":{"deposit":"42110995-c060-4ec0-9cf7-0062da0d15b0"},"_deposit":{"created_by":4,"id":"3379","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3379"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003379","sets":["1:12:68"]},"author_link":["9895","9896","9897","9898","9899","9900","9901","9902","9903","9904","9905"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"60","bibliographicPageStart":"52","bibliographicVolumeNumber":"8","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":"子宮仮性動脈瘤は、頻度は稀であるが破綻した場合には大量出血をきたし致死的となる重篤な疾患である。近年、治療として子宮動脈塞栓術の有効性が報告されている。今回我々は、帝王切開術後の子宮仮性動脈瘤破裂に対し2度の子宮動脈塞栓術で止血しえた症例を経験した。症例は29歳、1妊0産、妊娠36週6日に一絨毛膜二羊膜性双胎、陣痛発来の診断で帝王切開術を施行され、術後16日目に凝血塊を伴う性器出血を認め来院した。超音波検査で子宮体下部に左子宮動脈から連続する21×15mm大の腫瘤状の異常血流と、造影CT検査で同部位からの血管外漏出像を認め、子宮仮性動脈瘤破裂と診断した。ゼラチンスポンジによる子宮動脈塞栓術を施行したが、塞栓術後17日目に再出血し、ゼラチンスポンジと金属コイルを併用した再塞栓術を施行して止血した。一時的塞栓物質\nで塞栓不可能な症例において永久塞栓物質の併用による塞栓術は治療の選択肢となりうる。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Uterine artery pseudoaneurysm (UAP) is rare, once it ruptured, it would cause life-threatening hemorrhage. In recent years, efficacy of uterine artery embolism (UAE) as a treatment has been reported. We experienced a case where bleeding due to rupture of UAP after cesarean section could be stopped by UAE two times. The patient was a 29-year-old woman, primigravida, and diagnosed as monochorionic diamniotic twins at the 9th gestationl week. Labor occurred at 36 weeks and 6 days of gestation, and a cesarean section was performed for twin pregnancy. On the 16th day after cesarean section, she visited our hospital due to massive bleeding. An intrauterine low-echoic mass (21×15mm) with swirling blood flow, from the left uterine artery on lower uterine segment was observed by ultrasound examination, and an extravasation of the same site was observed by contrast enhanced CT, UAP was diagnosed. UAE using a gelatin sponge alone was performed, but bleeding occurred again on the 17th day after embolization. Bleeding could be stopped by performing re-embolization using both gelatin sponge and metallic coils. In cases where embolization cannot be performed using a temporary embolic agent, embolization using a permanent embolic agent can be a choice of treatment.","subitem_description_language":"en","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":"正岡, 駿","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田中, 里美","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊藤, 早紀","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"助川, 幸","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西澤, しほり","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"村瀬, 佳子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"植木, 典和","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"矢田, 昌太郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金田, 容秀","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"田中, 利隆","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三橋, 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":"2019-03-26"}],"displaytype":"detail","filename":"jsog_8_1_52.pdf","filesize":[{"value":"606.4 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_8_1_52","url":"https://hama-med.repo.nii.ac.jp/record/3379/files/jsog_8_1_52.pdf"},"version_id":"6aaa9cab-c45b-4afc-af3e-b82428c5b4e8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"uterine artery pseudoaneurysm","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"uterine artery embolization","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"metallic coil","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":"帝王切開後に形成された子宮仮性動脈瘤の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"帝王切開後に形成された子宮仮性動脈瘤の1例","subitem_title_language":"ja"},{"subitem_title":"A case of uterine artery pseudoaneurysm after cesarean section","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["68"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-03-26"},"publish_date":"2019-03-26","publish_status":"0","recid":"3379","relation_version_is_last":true,"title":["帝王切開後に形成された子宮仮性動脈瘤の1例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T06:55:47.394492+00:00"}