@article{oai:dmu.repo.nii.ac.jp:00000296,
 author = {石橋, 正樹 and 高瀬, 康雄 and 山口, 真彦 and Ishibashi, Masaki and Takase, Yasuo and Yamaguchi, Masahiko},
 issue = {3},
 journal = {Dokkyo journal of medical sciences},
 month = {Oct},
 note = {症例は54歳,女性で発熱,腹痛,下痢を主訴に来院し,抗生剤投与で外来経過観察を行っていたが,軽減しないため入院した.各種画像診断にて巨大なダグラス窩膿瘍,右水腎症を指摘され,開腹手術を行った.術中,ダグラス窩膿瘍の頭側に穿孔した虫垂を認め,その内腔に糞石を認めたため,糞石を伴った穿孔性虫垂炎によるダグラス窩膿瘍と診断し,虫垂切除および膿瘍ドレナージを行った.筋性防御,反跳痛などの腹膜炎症状を呈さず,下痢,腹痛,発熱など感染性腸炎様症状を呈し,巨大なダグラス窩膿瘍を形成した術前診断の困難な穿孔性虫垂炎の1例を経験したので報告した., A 54-year-old woman visited our hospital complaining of pyrexia, abdominal pain, and diarrhea. She was treated with antibiotics as an outpatient but, was hospitalized because her condition had deteriorated. Radiological studies revealed a huge abscess in the Douglas pouch and right hydronephrosis, and an operation was done for abscess drainage. Since laparotomy revealed a ruptured appendi with a fecalith at the cranial edge of the abscess in the Douglas pouch, appendectomy with abscess drainage was performed. We report herein a case of ruptured appendi developing a huge abscess in the Douglas pouch which was difficult to diagnose preoperatively., 症例報告, Case Report},
 pages = {235--238},
 title = {巨大ダグラス窩膿瘍を形成した穿孔性虫垂炎の1例},
 volume = {31},
 year = {2004},
 yomi = {イシバシ, マサキ and タカセ, ヤスオ and ヤマグチ, マサヒコ}
}