{"created":"2024-12-06T10:38:52.635206+00:00","id":2002261,"links":{},"metadata":{"_buckets":{"deposit":"e78abcbc-bc6f-483c-939e-62d75e2f450c"},"_deposit":{"created_by":8,"id":"2002261","owners":[8],"pid":{"revision_id":0,"type":"depid","value":"2002261"},"status":"published"},"_oai":{"id":"oai:fmu.repo.nii.ac.jp:02002261","sets":["1732778801467:1733287270801:1733477183832:1733477188501"]},"author_link":[],"item_1617186331708":{"attribute_name":"Title","attribute_value_mlt":[{"subitem_title":"偽性腎不全を呈した膀胱破裂の1例","subitem_title_language":"ja"}]},"item_1617186385884":{"attribute_name":"Alternative Title","attribute_value_mlt":[{"subitem_alternative_title":"A case of bladder rupture presented as pseudo-renal failure","subitem_alternative_title_language":"en"}]},"item_1617186419668":{"attribute_name":"Creator","attribute_type":"creator","attribute_value_mlt":[{"creatorAlternatives":[{"creatorAlternative":"Hiruta, Mahori","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"蛭田, まほり","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Sekino, Hirofumi","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"関野, 啓史","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Isogami, Hirotaka","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"磯上, 弘貴","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Matsuoka, Kanako","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"松岡, 香菜子","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Furukawa, Shigenori","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"古川, 茂宣","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Akaihata, Hidenori","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"赤井畑, 秀則","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Soeda, Shu","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"添田, 周","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Ishii, Shirou","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"石井, 士朗","creatorNameLang":"ja"}]},{"creatorAlternatives":[{"creatorAlternative":"Ito, Hiroshi","creatorAlternativeLang":"en"}],"creatorNames":[{"creatorName":"伊藤, 浩","creatorNameLang":"ja"}]}]},"item_1617186499011":{"attribute_name":"Rights","attribute_value_mlt":[{"subitem_rights":"© 2024 福島医学会","subitem_rights_language":"ja"}]},"item_1617186609386":{"attribute_name":"Subject","attribute_value_mlt":[{"subitem_subject":"膀胱破裂","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"偽性腎不全","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"腹水貯留","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"シスタチンC","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"bladder rupture","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"pseudo-renal failure","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ascites","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cystatin C","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_1617186626617":{"attribute_name":"Description","attribute_value_mlt":[{"subitem_description":"膀胱破裂では尿が腹膜から再吸収されることで，血清BUN，クレアチニン値の上昇がみられる“偽性腎不全（pseudo-renal failure）”を伴う。今回，偽性腎不全を呈した膀胱破裂の症例を経験したので報告する。症例は80歳女性，卵巣癌手術の既往があり，軽度の下腹部痛と腹部膨満感を主訴に前医を受診したところ単純CT検査で腹水貯留を認めた。入院時に血清BUN，クレアチニン値の上昇を認めたが，尿道留置カテーテル挿入後に速やかに血清BUN，クレアチニン値の改善を認めた。造影CT検査では腹水貯留以外に特異的な所見に乏しく，術前に診断することができなかったが，術中所見から膀胱破裂と診断された。血清BUN，クレアチニン値の急激な上昇を伴った原因不明の腹水貯留を認めた場合，偽性腎不全を伴う膀胱破裂の可能性がある。膀胱破裂の診断には造影検査が有用だが，他にもシスタチンCによる腎機能の再評価や，診断的治療として尿道留置カテーテルの挿入が有用である。","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Bladder rupture is associated with “pseudo-renal failure,” in which the urine is reabsorbed from the peritoneum, resulting in increased serum blood urea nitrogen (BUN) and creatinine levels. We report a case of ruptured bladder with pseudo-renal failure. An 80-year-old woman with a history of ovarian cancer surgery visited her previous physician with complaints of mild lower abdominal pain and abdominal distention. On admission, serum BUN and creatinine levels were elevated, but they improved promptly after insertion of an indwelling urethral catheter. Contrast-enhanced computed tomography (CT) scan did not reveal any specific findings other than ascites effusion, so the diagnosis of bladder rupture could not be made preoperatively. Unexplained ascites effusion and unexplained elevation of serum BUN and creatinine levels may indicate a ruptured bladder with pseudo-renal insufficiency. Contrast-enhanced examination is useful for the diagnosis of bladder rupture, but reevaluation of renal function with cystatin C and insertion of an indwelling urethral catheter as diagnostic treatment may also be useful.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_1617186643794":{"attribute_name":"Publisher","attribute_value_mlt":[{"subitem_publisher":"福島医学会","subitem_publisher_language":"ja"}]},"item_1617186702042":{"attribute_name":"Language","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_1617186920753":{"attribute_name":"Source Identifier","attribute_value_mlt":[{"subitem_source_identifier":"0016-2582","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2436-7826","subitem_source_identifier_type":"EISSN"},{"subitem_source_identifier":"AN00216776","subitem_source_identifier_type":"NCID"}]},"item_1617187056579":{"attribute_name":"Bibliographic Information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"6","bibliographicPageStart":"1","bibliographicVolumeNumber":"74","bibliographic_titles":[{"bibliographic_title":"福島医学雑誌","bibliographic_titleLang":"ja"}]}]},"item_1617258105262":{"attribute_name":"Resource Type","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_1617265215918":{"attribute_name":"Version Type","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1617353299429":{"attribute_name":"Relation","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.5387/fmedj.74.1_1","subitem_relation_type_select":"DOI"}}]},"item_1617605131499":{"attribute_name":"File","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-06-06"}],"displaytype":"detail","filename":"FksmMedJ_74_p1.pdf","filesize":[{"value":"1.4 MB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"url":"https://fmu.repo.nii.ac.jp/record/2002261/files/FksmMedJ_74_p1.pdf"},"version_id":"f54dce69-7d41-488f-8ef1-0f9a882527db"}]},"item_title":"偽性腎不全を呈した膀胱破裂の1例","item_type_id":"40002","owner":"8","path":["1733477188501"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-06-06"},"publish_date":"2024-06-06","publish_status":"0","recid":"2002261","relation_version_is_last":true,"title":["偽性腎不全を呈した膀胱破裂の1例"],"weko_creator_id":"8","weko_shared_id":-1},"updated":"2024-12-27T09:22:40.473950+00:00"}