{"created":"2023-06-20T15:49:22.970775+00:00","id":3971,"links":{},"metadata":{"_buckets":{"deposit":"3f33aa3d-5c18-4d79-9176-4e588f45f641"},"_deposit":{"created_by":4,"id":"3971","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"3971"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:00003971","sets":["1:12:80"]},"author_link":["12164","12165","12166","12167","12168"],"item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-03-18","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"70","bibliographicPageStart":"65","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":"今回、閉経前に筋腫を伴う腫大子宮の捻転を卵巣嚢腫茎捻転と共に発症した一例を経験した。症例は47歳、0妊0産。腰背部痛を主訴に当院に救急搬送された。造影CTおよび単純MRIで筋腫を伴う腫大子宮の頸部が渦巻き状を呈していた。それとは別に6cm大の造影効果不良な卵巣腫瘍も認めた。子宮捻転ないし卵巣嚢腫茎捻転を疑い、緊急試験開腹術を施行した。子宮は成人頭大に腫大し、頸部を軸に540度捻転していた。右付属器も捻転して暗赤色に変性していた。腹式単純子宮全摘術、両側付属器摘出術を施行した。病理診断は多発子宮筋腫と両側卵巣の成熟奇形腫であった。術後9日目に退院した。筋腫を伴う腫大子宮捻転は閉経後に発症することが多いが、閉経前での発症もあり得る。診断の遅れは重篤化を引き起こす可能性がある。筋腫を伴う腫大子宮を認める急性腹症では、卵巣嚢腫を認める場合でも、子宮捻転は念頭に置くべき疾患と考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"We report a case of torsion of the enlarged uterus with leiomyomas in a premenopausal woman associated with ovarian cyst torsion. A 47-year-old nulli-gravid woman was admitted with lower back pain in emergency. Contrast enhanced CT and plain MRI images showed a whorled structure in the cervix of an enlarged uterus with leiomyomas. There was also a poorly enhancing ovarian tumor measuring 6cm. An emergency laparotomy was performed in the preoperative diagnosis of uterine torsion or ovarian cyst torsion. The uterus was enlarged to the size of adult head, twisted 540 degrees around the axis of the cervix. The right ovary was also twisted. A total abdominal hysterectomy with bilateral salpingo-oopherectomy was performed. The hystopathological diagnosis was multiple leiomyomas and the mature cystic teratoma in both ovaries. The patient was discharged on post-operative day nine. Torsion of an enlarged uterus with leiomyomas is common in postmenopausal women but it can also occur in premenopausal women. Delay in diagnosis can cause severe consequences. Uterine torsion should be considered in the case of acute abdomen with enlarged uterus with leiomyomas, even if she is accompanied by ovarian cyst.","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":"丸山, 享子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"幸村, 康弘","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"平林, 慧","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"戎野, 志織","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金森, 隆志","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_65.pdf","filesize":[{"value":"641.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jsog_11_1_65","url":"https://hama-med.repo.nii.ac.jp/record/3971/files/jsog_11_1_65.pdf"},"version_id":"1b79a603-d3bf-4280-b919-359718721f5d"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Uterine torsion","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Leiomyoma","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Ovarian cyst","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"CT","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"MRI","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":"閉経前に筋腫を伴う腫大子宮の捻転を卵巣嚢腫茎捻転と共に発症した一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"閉経前に筋腫を伴う腫大子宮の捻転を卵巣嚢腫茎捻転と共に発症した一例","subitem_title_language":"ja"},{"subitem_title":"Premenopausal torsion of an enlarged uterus with leiomyomas associated with ovarian cyst torsion: A case report","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":"3971","relation_version_is_last":true,"title":["閉経前に筋腫を伴う腫大子宮の捻転を卵巣嚢腫茎捻転と共に発症した一例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2023-08-01T07:00:22.418376+00:00"}