{"created":"2023-06-20T15:49:22.564582+00:00","id":3965,"links":{},"metadata":{"_buckets":{"deposit":"993afae4-ba6a-48d2-88f8-077a58fc0d04"},"_deposit":{"created_by":4,"id":"3965","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3965"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003965","sets":["1:12:80"]},"author_link":["12115","12116","12117","12118"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-03-18","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"25","bibliographicPageStart":"20","bibliographicVolumeNumber":"11","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":"巨大卵巣嚢腫のフォロー中にS状結腸捻転をきたした一例を経験したため報告する。\n症例は86歳、19×18×12cm大の巨大卵巣嚢腫にて当科フォロー中、腹痛をきたし受診。当初は卵巣嚢腫の破裂が疑われ、腹腔鏡下付属器切除術を予定したが、CT精査にてS状結腸捻転と診断された。内視鏡的整復を行ったが、腸穿孔が見つかったため外科と合同で開腹により付属器切除、S状結腸切除、人工肛門増設術を行った。術中所見では黒く変色し拡張したS状結腸と、巨大な漿液性卵巣嚢腫を認めた。双方を切除し手術は終了した。\n卵巣嚢腫は圧排や癒着により腸閉塞をきたす他、茎捻転時にS状結腸を巻き込むことでS状結腸捻転を引き起こした報告はあるが、本症例のように巨大卵巣嚢腫の存在のみで外的要因なくS状結腸捻転が発生した症例は珍しい。\n巨大卵巣嚢腫を有する患者の腹痛に関しては、手術の前に破裂以外の鑑別診断につき、慎重な検討が必要となると思われた。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"We report a case of sigmoid colon volvulus diagnosed in an 86-year-old patient while followed up for a large ovarian serous cystadenoma that was 19×18×12 cm in size when she visited our department with severe stomachache. Initially, we suspected a rupture of cyst and laparoscopic salpingo-oophorectomy was scheduled. However, CT examination revealed a sigmoid colon volvulus. Subsequently, we performed laparotomic salpingo-oophorectomy, sigmoid colon resection, and colostomy in cooperation with our Department of Surgery. We found a blackened and dilated sigmoid colon and a large ovarian cyst, which were subsequently resected. Ovarian cysts can cause intestinal obstruction by compression and adhesion and can also lead to sigmoid colon volvulus by carrying the sigmoid colon with torsion of the ovarian cyst. Our findings are rare in that a large ovarian cyst caused the sigmoid colon volvulus and no external factors were involved. Therefore, when elderly patients with large ovarian cysts report abdominal pain, differential diagnosis other than rupture must be considered before moving on to surgery.","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":"林, 龍馬","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"鎌田, 麻由美","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"橋本, 正広","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岩崎, 真也","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":"2022-03-23"}],"displaytype":"detail","filename":"jsog_11_1_20.pdf","filesize":[{"value":"674.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_11_1_20","url":"https://hama-med.repo.nii.ac.jp/record/3965/files/jsog_11_1_20.pdf"},"version_id":"cf71088c-6275-44a4-a449-02655238876e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"卵巣漿液性嚢胞腺腫","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腸捻転","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"高齢者","subitem_subject_language":"ja","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":"フォローアップ中にS状結腸捻転をきたした巨大卵巣漿液性嚢胞腺腫の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"フォローアップ中にS状結腸捻転をきたした巨大卵巣漿液性嚢胞腺腫の1例","subitem_title_language":"ja"},{"subitem_title":"A case of large ovarian serous cystadenoma with sigmoid colon volvulus","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["80"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-03-23"},"publish_date":"2022-03-23","publish_status":"0","recid":"3965","relation_version_is_last":true,"title":["フォローアップ中にS状結腸捻転をきたした巨大卵巣漿液性嚢胞腺腫の1例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T07:00:05.337212+00:00"}