{"created":"2023-06-20T15:48:51.241728+00:00","id":3383,"links":{},"metadata":{"_buckets":{"deposit":"c7c8e591-54a0-4f30-aca6-ba0af17c8f23"},"_deposit":{"created_by":4,"id":"3383","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3383"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003383","sets":["1:12:68"]},"author_link":["9932","9933","9934","9935","9936","9937","9938","9939"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"94","bibliographicPageStart":"87","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":"急性腹症となった卵管水腫を3例経験した。症例1：39歳、1妊1産（経腟分娩1回）。付属器腫瘍捻転あるいは卵管留血腫による急性腹症を疑い手術したところ右卵管単独の捻転が判明した。卵巣は正常所見であった。クラミジア感染による卵管水腫の捻転と考えられた。症例2：37歳、3妊3産（帝王切開3回、卵管結紮あり）。付属器捻転を疑い手術したところ、卵管結紮による著明な卵管水腫が判明した。卵巣は正常所見であった。症例3：14歳、0妊（初経12歳、性交歴なし）急性虫垂炎の保存的加療後、不定期に右下腹痛を繰り返していた。magnetic resonance imaging (MRI) で右卵管血腫を認め、その6ヶ月後には卵管水腫となっていた。非急性期に手術を施行したところ著明な右卵管水腫と正常な両側卵巣を認めた。本症例では卵管水腫のリスク因子を認めなかった。他の2症例と比較して異なる原因で発症したことが考えられた。卵管水腫はいくつかの病因が考えられるが、いずれの卵管水腫も急性腹症を発症する可能性がある。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"We experienced three cases of acute abdomen caused by hydrosalpinx.Case 1: A 39-year-old female (gravida 1, para 1) was admitted with complaints of acute onset right lower abdominal pain. Magnetic resonance imaging (MRI) demonstrated a right hematosalpinx, and surgery revealed right fallopian tube torsion. The bilateral ovaries were normal, and the left fallopian tube was characterized by diffuse hydrosalpinx. We presumed that the twisting of the hydrosalpinx was caused by a chlamydia infection.Case 2: A 37-year-old female (gravida 3, para 3), with an operative history of three cesarean sections and a tubal ligation, was admitted with acute onset right lower abdominal pain. Ultrasonography revealed a right adnexal cyst, and an emergent laparotomy was performed following a diagnosis of adnexal torsion. Surgery revealed a remarkable focal hydrosalpinx without torsion. The bilateral ovaries were normal, and the left fallopian tube was focally dilated due to ligation.Case 3: A 14-year-old female (gravida 0, menarche at 12 years of age, not sexually active) presented with right lower abdominal pain after conservative treatment for appendicitis. MRI initially demonstrated a right hematosalpinx, but it changed to a hydrosalpinx after 6 months. The patient reported repeated episodes of intermittent pain, and we performed a laparoscopy for treatment and inspection of the hydrosalpinx. Surgery revealed a remarkable focal hydrosalpinx without torsion. The bilateral ovaries and left fallopian tube appeared normal. In this case, the patient possessed no obvious risk factors. We presumed the etiology by comparison with the other two cases.Although several causes of hydrosalpinx have been discussed, it can cause acute abdominal pain.","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":"田中, 綾子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中山, 毅","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"野澤, 昭典","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"斎藤, 朋子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"深瀬, 正人","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"門, 智史","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"辻井, 篤","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"内藤, 成美","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_87.pdf","filesize":[{"value":"594.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_8_1_87","url":"https://hama-med.repo.nii.ac.jp/record/3383/files/jsog_8_1_87.pdf"},"version_id":"d9193f51-7467-4503-a80e-c1f4beae6175"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"hydrosalpinx","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"focal hydrosalpinx","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"isolated fallopian tube torsion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"acute abdomen","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":"急性腹症となった卵管水腫の3例：異なる原因と卵管捻転","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"急性腹症となった卵管水腫の3例：異なる原因と卵管捻転","subitem_title_language":"ja"},{"subitem_title":"3 cases of acute abdomen caused by hydrosalpinx: different causes and isolated fallopian tube torsion","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":"3383","relation_version_is_last":true,"title":["急性腹症となった卵管水腫の3例：異なる原因と卵管捻転"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T06:55:58.389143+00:00"}