{"created":"2024-07-30T02:28:08.689560+00:00","id":2000481,"links":{},"metadata":{"_buckets":{"deposit":"f0402d53-2ca8-4eac-b267-6207b163f0d8"},"_deposit":{"created_by":50,"id":"2000481","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000481"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000481","sets":["2:1720746067615:1722231024588"]},"author_link":["4326","4325","4282","2684","2759","4324"],"control_number":"2000481","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"32","bibliographicPageStart":"29","bibliographicVolumeNumber":"18","bibliographic_titles":[{"bibliographic_title":"香川産科婦人科雑誌","bibliographic_titleLang":"ja"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"急性虫垂炎合併妊娠の2症例を経験したので報告する。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"症例1:35歳、0経妊0経産。妊娠28週4日。右下腹部痛を認め受診。血液検査ではWBC18000/μl、CRP3.2ｍｇ/dlであり、超音波検査では虫垂の特定は困難であった。翌日血液検査でWBC17100/μl、CRP8.2ｍｇ/dlと増悪を認めたため、急性虫垂炎の疑いで手術施行した。虫垂は膿瘍を伴っており、穿孔していた。症例2:32歳、2経妊0経産。妊娠28週4日、右下腹部痛を認め受診。血液検査上WBC12300/μl、CRP0.12mg/dlと炎症反応上昇は軽度であり、超音波検査で虫垂の描出できなかった。腹部CT施行したが、虫垂の腫大ははっきりせず、MRIにより急性虫垂炎と診断し、手術施行した。術中所見では虫垂は穿孔していた。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"今回の2例ともに診察にて虫垂炎を疑ったが、超音波検査では虫垂の特定は困難であった。妊娠中の虫垂炎は虫垂が偏位しているため超音波での診断は困難な場合も多く、そのような場合には躊躇なくCTもしくはMRIを施行し、診断をつけて手術を行う必要があると考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"症例報告","subitem_heading_language":"ja"},{"subitem_heading_banner_headline":"[Case 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