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外鼠径ヘルニアに成人Nuck 管水腫を合併した1例
http://hdl.handle.net/10232/00030368
http://hdl.handle.net/10232/00030368b8b1ff9d-ab42-4051-8d33-e333158a19bd
名前 / ファイル | ライセンス | アクション |
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AN00040104_69_p9-15 (928.2 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2018-12-10 | |||||
タイトル | ||||||
タイトル | 外鼠径ヘルニアに成人Nuck 管水腫を合併した1例 | |||||
タイトル | ||||||
タイトル言語 | en | |||||
タイトル | AN ADULT CASE OF INDIRECT INGUINAL HERNIA ACCOMPANIED BY A HYDROCELE OF THE CANAL OF NUCK | |||||
タイトルよみ | ||||||
タイトルよみ | ガイソケイ ヘルニア ニ セイジン Nuck カンスイシュ オ ガッペイシタ イチレイ | |||||
著者 |
山﨑, 洋一
× 山﨑, 洋一× 實, 操二× 小川, 信× 保, 清和× 前田, 哲× 夏越, 祥次 |
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著者よみ | ||||||
姓名 | ヤマサキ, ヨウイチ | |||||
著者よみ | ||||||
姓名 | サネ, ソウジ | |||||
著者よみ | ||||||
姓名 | オガワ, シン | |||||
著者よみ | ||||||
姓名 | タモツ, キヨカズ | |||||
著者よみ | ||||||
姓名 | マエダ, サトル | |||||
著者よみ | ||||||
姓名 | ナツゴエ, ショウジ | |||||
別言語の著者 | ||||||
姓名 | YAMASAKI, Yoichi | |||||
別言語の著者 | ||||||
姓名 | SANE, Soji | |||||
別言語の著者 | ||||||
姓名 | OGAWA, Shin | |||||
別言語の著者 | ||||||
姓名 | TAMOTSU, Kiyokazu | |||||
別言語の著者 | ||||||
姓名 | MAEDA, Satoru | |||||
別言語の著者 | ||||||
姓名 | NATSUGOE, Shoji | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Nuck管水腫 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 鼠径ヘルニア | |||||
キーワード | ||||||
主題言語 | en | |||||
主題Scheme | Other | |||||
主題 | hydrocele of the canal of Nuck | |||||
キーワード | ||||||
主題言語 | en | |||||
主題Scheme | Other | |||||
主題 | inguinal hernia | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | 症例は37歳,女性.数年前より間欠的な左鼠径部の膨隆を自覚.自分で用手還納可能であり放置していた. 1 週間前より左鼠径部の膨隆が持続するようになり近医を受診したところ,左鼠径ヘルニア嵌頓を疑われ当院紹介となった.画像検査より,左鼠径部に 3 cm大の嚢胞性腫瘤を認め,Nuck管水腫と診断し待機的に手術を施行した.腫瘤は外鼠径輪より遠位側の鼠径管外に位置し,子宮円索に隣接し存在していた.術前の問診より鼠径ヘルニアの合併が疑われたことから,鼠径管を開放すると,内鼠径輪より脱出するヘルニア囊を認めた.子宮円索,ヘルニア囊と共にNuck管水腫を切除し,メッシュを用いて後壁補強を行った.成人発症のNuck管水腫は稀な疾患とされ, 3 分の 1 の症例に鼠径ヘルニアを合併するとの報告もあり,症例に応じて水腫摘出に加えて後壁の補強を行う必要があると思われた. | |||||
要約(Abstract) | ||||||
内容記述タイプ | Other | |||||
内容記述 | A 37-year-old female had become aware of an intermittent swelling in the left inguinal region since several years ago. As she was able to reposition the lesion, she chose to simply observe it. However, she subsequently visited a local doctor because the swelling had persisted for a week. She was suspected of having an incarcerated hernia and consulted our hospital. Ultrasonography and computed tomography revealed a 3cm cystic mass in the left inguinal region. We diagnosed the mass as a hydrocele of the canal of Nuck and performed elective surgery. The mass was located on the anal side of the external inguinal region and had adhered to the round ligament of the uterus. A coexisting indirect hernia was suspected based on the patient’s history; therefore, we opened the inguinal canal and found a hernia sac protruding from the internal ring. After resecting the hydrocele, the round ligament of the uterus and the hernia sac, the internal ring was repaired with mesh. Adult cases of Nuck’s hydrocele are rare, and one third of such cases involve a coexisting inguinal hernia. In some cases, it is necessary to repair the internal ring in addition to resecting the hydrocele. | |||||
収録雑誌名 |
鹿児島大学医学雑誌 en : Medical journal of Kagoshima University 巻 69, p. 9-15, 発行日 2017-12 |
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作成日 | ||||||
日付 | 2017-09 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
ISSN | 03685063 | |||||
NII書誌ID(雑誌) | ||||||
収録物識別子タイプ | NCID | |||||
NC ID | AN00040104 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
NDC | ||||||
主題Scheme | NDC | |||||
主題 | 495 | |||||
公開者・出版者 | ||||||
出版者 | 鹿児島大学 | |||||
公開者よみ | ||||||
公開者よみ | カゴシマ ダイガク | |||||
公開者別名 | ||||||
公開者別名 | Kagoshima University |