{"created":"2023-06-19T10:30:04.508756+00:00","id":2166,"links":{},"metadata":{"_buckets":{"deposit":"86fab0ab-955d-4c6c-b2c1-d8bab3f5b8f3"},"_deposit":{"created_by":31,"id":"2166","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2166"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002166","sets":["1709617079800:35:686"]},"author_link":["109617","109618","109619","109620","109621","109622","109623","109624","109625","109626"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"26","bibliographicPageStart":"19","bibliographicVolumeNumber":"45","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J201945019","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"http://igakkai.kms-igakkai.com/wp/wp-content/uploads/2019/KMJ-J201945019.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_relation_35":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2020200371","subitem_relation_type_select":"ICHUSHI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学婦人科腫瘍学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学婦人科腫瘍学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学病理学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学産婦人科学1"},{"subitem_text_value":"川崎医科大学婦人科腫瘍学"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Department of Gynecologic Oncology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gynecologic Oncology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Pathology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Obstetrics and Gynecology1, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Gynecologic Oncology, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　A 63-year-old woman, who was a former healthcare professional, visited a nearby clinic for headache and a fever of 38℃ that had lasted for a month. Ascites was observed, and ascitic fluid examination showed high hyaluronan and CA125 levels, suggesting cancerous peritonitis. She was referred to the internal medicine department at our institution. Although the primary site was not identified, imaging findings suggested cancerous peritonitis. Cytology showed class II features, with the possibility of ovarian cancer, peritoneal cancer, or malignant mesothelioma. She was referred to our department for laparoscopic examination, which showed epithelioid cell granulomas, suggesting an infectious disease, which could include tuberculosis. History taking revealed close contact with a tuberculosis-shedding patient at work 3 year ago. Although the smear, culture, and polymerase chain reaction tests were negative, on laparoscopic reexamination, tuberculosis was diagnosed because of elevated adenosine deaminase in the ascitic fluid. She was transferred to a tuberculosis specialty hospital;antituberculosis therapy was started, and the symptoms quickly resolved. We experienced a very rare case of tuberculous peritonitis, diagnosed laparoscopically. Ascites from an unknown cause requires close examination for not only cancerous peritonitis but also infectious peritonitis．"}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　症例は63歳女性．元医療従事者であった．１ヵ月続く腹痛と38度の発熱で近医を受診し，腹水貯留を認め，腹水検査でヒアルロン酸とCA125が高値であったことから癌性腹膜炎を疑われ当院内科に紹介された．画像検査より癌性腹膜炎を疑われたが，原発は同定できなかった．細胞診はclassII であったが，卵巣癌，腹膜癌，悪性中脾腫を疑われたことから，腹腔鏡検査目的に当科紹介となった．腹腔鏡検査で黄白色粒状の病変を認め，病理組織検査にて類上皮細胞性肉芽腫を認め，結核等の感染症が疑われた．病歴聴取にて３年前の職務中に結核排菌患者に濃厚接触歴あり，腹腔鏡再検査にて，塗抹，培養，PCR 陰性であったが，腹水中ADA 高値より結核と診断し結核専門病院に転院した．抗結核薬開始され速やかに症状は軽快した．結核性腹膜炎は非常に稀な疾患であるが，腹腔鏡検査で診断に至った症例を経験した．原因不明腹水を認めた場合，癌性腹膜炎のみならず感染性腹膜炎の可能性も念頭に置き早期から同時に精査する必要がある．"}]},"item_10001_version_type_20":{"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":"鈴木, 聡一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐野, 力哉","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"西村, 広健","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"下屋, 浩一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"塩田, 充","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SUZUKI, Soichiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SANO, Rikiya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nishimura, HIROTAKE","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIMOYA, Koichiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SHIOTA, Mitsuru","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-04-01"}],"displaytype":"detail","filename":"KMJ-J201945019.pdf","filesize":[{"value":"6.4 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2166/files/KMJ-J201945019.pdf"},"version_id":"28e03b27-aa16-414d-aed0-3fbe3dacc6fa"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"腹腔鏡検査","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"結核性腹膜炎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"原因不明腹水","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"アデノシンデアミナーゼ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"CA125","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"癌性腹膜炎","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Laparoscopic examination","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Peritoneal tuberculosis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Unkown ascites","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Adenosine deaminase","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"CA125","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Cancer peritonitis","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":"腹腔鏡検査にて確定診断に至った結核性腹膜炎の一例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹腔鏡検査にて確定診断に至った結核性腹膜炎の一例","subitem_title_language":"ja"},{"subitem_title":"A case of tuberculous peritonitis leading to diagnosis by laparoscopic examination","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"31","path":["686"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2020-04-01"},"publish_date":"2020-04-01","publish_status":"0","recid":"2166","relation_version_is_last":true,"title":["腹腔鏡検査にて確定診断に至った結核性腹膜炎の一例"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:10:52.648332+00:00"}