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- W4285543728 abstract "症例は19歳，女性．2年前に左鼠径部の腫脹と疼痛が出現したが自然軽快していた．今回，6日前より同様の症状が出現し疼痛が増強したため，当科を受診した．身体所見では左鼠径部に圧痛を伴う腫瘤を触知した．血液検査では炎症反応上昇を認めず，腹部US・CTで卵巣の鼠径ヘルニア嵌頓と診断した．徒手整復は困難で，緊急で腹腔鏡下手術を施行した．術中所見では左内鼠径輪に卵巣が嵌頓しており，内鼠径輪周囲の腹膜を切開して嵌頓を解除した．卵巣は正常卵巣でヘルニア嚢の一部を形成しており，卵巣滑脱ヘルニア（L1型）と診断した．滑脱しなくなるまで卵巣周囲を剥離し，腹膜切開部の修復と内鼠径輪の縫合閉鎖を行った．若年成人女性の卵巣滑脱ヘルニアは稀であるが，腹腔鏡手術は正確な診断，整復，修復が可能であり，妊孕性の上でも有用な方法と考えられた．" @default.
- W4285543728 created "2022-07-16" @default.
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- W4285543728 date "2021-01-01" @default.
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- W4285543728 title "Laparoscopic Repair Useful for Incarcerated Sliding Hernia of the Ovary in a Young Woman—A Case Report—" @default.
- W4285543728 doi "https://doi.org/10.3919/jjsa.82.2084" @default.
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