{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1050282676640989184.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"HDL","@value":"http://hdl.handle.net/10271/2890"}},{"identifier":{"@type":"URI","@value":"https://hama-med.repo.nii.ac.jp/records/2752"}},{"identifier":{"@type":"NAID","@value":"120005657031"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2016008704"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"ja","@value":"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"},{"@language":"en","@value":"Spontaneous perforation of pyometra diagnosed by enhanced computed tomography : a report of two cases"}],"dc:language":"ja","description":[{"type":"Abstract","notation":[{"@language":"ja","@value":"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。\n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。\n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。"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1070001201661921288","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000364481215"}],"foaf:name":[{"@language":"ja","@value":"勝又, 佳菜"},{"@language":"en","@value":"KATSUMATA, Kana"}]},{"@id":"https://cir.nii.ac.jp/crid/1070282676640989186","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000398021112"}],"foaf:name":[{"@language":"ja","@value":"望月, 亜矢子"},{"@language":"en","@value":"MOCHIZUKI, Ayako"}]},{"@id":"https://cir.nii.ac.jp/crid/1070282676640989184","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000398021113"}],"foaf:name":[{"@language":"ja","@value":"城向, 賢"},{"@language":"en","@value":"JOKO, Ken"}]},{"@id":"https://cir.nii.ac.jp/crid/1070282676640989187","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000398021114"}],"foaf:name":[{"@language":"ja","@value":"安立, 匡志"},{"@language":"en","@value":"ADACHI, Masashi"}]},{"@id":"https://cir.nii.ac.jp/crid/1070282676640989188","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000398021115"}],"foaf:name":[{"@language":"ja","@value":"平井, 強"},{"@language":"en","@value":"HIRAI, Tsuyoshi"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658389519364","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20283369"},{"@type":"NRID","@value":"1000020283369"},{"@type":"NRID","@value":"9000364757435"},{"@type":"NRID","@value":"9000364755467"},{"@type":"NRID","@value":"9000364311573"},{"@type":"NRID","@value":"9000364755605"},{"@type":"NRID","@value":"9000364757851"},{"@type":"NRID","@value":"9000364756692"},{"@type":"NRID","@value":"9000364756073"},{"@type":"NRID","@value":"9000364757717"},{"@type":"NRID","@value":"9000364755366"},{"@type":"NRID","@value":"9000364238872"},{"@type":"NRID","@value":"9000398021116"},{"@type":"NRID","@value":"9000364758778"},{"@type":"NRID","@value":"9000364275587"},{"@type":"NRID","@value":"9000364237774"},{"@type":"NRID","@value":"9000365042144"},{"@type":"NRID","@value":"9000364118895"},{"@type":"NRID","@value":"9000364229230"},{"@type":"NRID","@value":"9000365041658"},{"@type":"NRID","@value":"9000364754697"},{"@type":"NRID","@value":"9000364202812"},{"@type":"NRID","@value":"9000364202682"},{"@type":"NRID","@value":"9000365042238"},{"@type":"NRID","@value":"9000364758111"},{"@type":"NRID","@value":"9000364240863"},{"@type":"NRID","@value":"9000364196705"},{"@type":"NRID","@value":"9000364221209"},{"@type":"NRID","@value":"9000398021492"},{"@type":"NRID","@value":"9000364755979"},{"@type":"NRID","@value":"9000364754690"},{"@type":"NRID","@value":"9000004392736"},{"@type":"NRID","@value":"9000398261840"},{"@type":"NRID","@value":"9000364754856"},{"@type":"NRID","@value":"9000364207904"},{"@type":"NRID","@value":"9000364082979"},{"@type":"NRID","@value":"9000364183211"},{"@type":"NRID","@value":"9000364756134"}],"foaf:name":[{"@language":"ja","@value":"徳永, 直樹"},{"@language":"en","@value":"TOKUNAGA, Naoki"}]}],"publication":{"publicationIdentifier":[{"@type":"EISSN","@value":"21871914"}],"prism:publicationName":[{"@language":"ja","@value":"静岡産科婦人科学会雑誌"},{"@language":"en","@value":"Journal of the Shizuoka Society of Obstetrics and Gynecology"}],"dc:publisher":[{"@value":"静岡産科婦人科学会"}],"prism:publicationDate":"2015-10","prism:volume":"4","prism:number":"1","prism:startingPage":"18","prism:endingPage":"23"},"dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://hama-med.repo.nii.ac.jp/records/2752"},{"@id":"http://hdl.handle.net/10271/2890"},{"@id":"https://search.jamas.or.jp/link/ui/2016008704"}],"foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=pyometra","dc:title":"pyometra"},{"@id":"https://cir.nii.ac.jp/all?q=perforation","dc:title":"perforation"},{"@id":"https://cir.nii.ac.jp/all?q=computed%20tomography","dc:title":"computed tomography"}],"dcterms:subject":[{"subjectScheme":"Other","notation":[{"@language":"en","@value":"pyometra"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"perforation"}]},{"subjectScheme":"Other","notation":[{"@language":"en","@value":"computed tomography"}]}],"dataSourceIdentifier":[{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:01391:0002804516"},{"@type":"CIA","@value":"120005657031"}]}