{"created":"2024-08-23T05:02:07.969131+00:00","id":2000540,"links":{},"metadata":{"_buckets":{"deposit":"56eda0b8-c377-4545-b8d1-f776c61064ab"},"_deposit":{"created_by":50,"id":"2000540","owner":"50","owners":[50],"pid":{"revision_id":0,"type":"depid","value":"2000540"},"status":"published"},"_oai":{"id":"oai:kagawa-u.repo.nii.ac.jp:02000540","sets":["2:1720746067615:1722583165741"]},"author_link":["4297","4363","4364","4336","4282","2684","4366","4365","2759"],"control_number":"2000540","item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-09-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"33","bibliographicPageStart":"29","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"香川産科婦人科雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kagawa journal of obstetrics and gynecology : official journal of the Kagawa Society of 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Gynecology","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"腹腔内遊離体は、諸臓器から遊離した状態で腹腔内に存在する組織である。今回我々は分娩入院時に初めて確認され、経腟分娩後に腹腔鏡下で摘出した腹腔内遊離体の一例を経験したため、文献的考察を含めて報告する。症例は27歳、妊娠27週に近医より周産期管理目的に当院紹介受診となった。妊娠経過は順調で、前医および当院健診中に骨盤内腫瘍は認めなかった。妊娠40週で陣痛発来にて受診、入院時の内診および経腟超音波検査でダグラス窩に可動性良好な辺縁高輝度の5cm大の腫瘤を認めたが、分娩進行に伴い児頭は腫瘤を越えて下降し、同日経腟分娩となった。退院前および産後1ヵ月健診の超音波検査で、ダグラス窩に同様の腫瘤を認めた。卵巣嚢腫あるいは漿膜下子宮筋腫を疑いMRI検査を施行し、右付属器領域にT1、T2強調画像ともに内部が不均一な低信号で、周囲にリング状の低信号域を呈する境界明瞭な腫瘤を認めた。また、左卵巣は正常に描出されたが、右卵巣は確認できなかった。CT検査を追加し、同様に右付属器領域に内部に不均一な石灰化がある子宮との連続性の乏しい辺縁平滑な腫瘤を認め、辺縁に石灰化の殻を伴っていることから腹腔内遊離体を強く疑う所見であったが、他疾患を完全に否定できなかったため、確定診断目的で腹腔鏡手術を施行した。手術では膀胱子宮窩左側に周囲との連続性をめない5cm大の卵形腫瘤を認め、病理検査で成熟奇形腫を核とする腹腔内遊離体と診断した。腹腔内遊離体は稀な疾患であり、偶発的に経験される場合は示指頭大までの大きさであることが多いが、本症例の様に腫瘍径が大きい場合にも鑑別疾患の一つとして念頭に置く必要があると考える。","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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