medicina56巻10号

2019年09月発行

特集 脱・「とりあえずCT」！—スマートな腹痛診療 実践編

下腹部正中の腹痛

著者： 柴田綾子¹

所属機関： ¹淀川キリスト教病院産婦人科

ページ範囲：P.1652 - P.1655

症例
29歳女性．
主訴　2日間続く下腹部痛

参考文献

1）急性腹症診療ガイドライン作成委員会（編）：急性腹症診療ガイドライン2015，医学書院，2015

2）National Collaborating Centre for Women's and Children's Health（UK）：6 Diagnosis of ectopic pregnancy and miscarriage. In：Ectopic pregnancy and miscarriage：Diagnosis and initial management in early pregnancy of ectopic pregnancy and miscarriage, London, 2012　https://www.ncbi.nlm.nih.gov/books/NBK132768（2019年6月閲覧）

3）Korn AP, et al：Risk factors for plasma cell endometritis among women with cervical Neisseria gonorrhoeae, cervical Chlamydia trachomatis, or bacterial vaginosis. Am J Obstet Gynecol 178：987-990, 1998

4）Gaitán H, et al：Accuracy of five different diagnostic techniques in mild-to-moderate pelvic inflammatory disease. Infect Dis Obstet Gynecol 10：171-180, 2002

5）Workowski KA, Bolan GA；Centers for Disease Control and PreventionCenters for Disease Control and Prevention（CDC）：Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 64（RR-03）：1-137, 2015

6）Joong WP, et al：A model for prediction of pelvic inflammatory disease and acute appendicitis in childbearing-aged women who visit the emergency department with abdominal pain. J Korean Soc Emerg Med 23：649-656, 2012

7）Hay PE, et al：Which sexually active young female students are most at risk of pelvic inflammatory disease? A prospective study. Sex Transm Infect 92：63-66, 2016

8）Morishita K, et al：Clinical prediction rule to distinguish pelvic inflammatory disease from acute appendicitis in women of childbearing age. Am J Emerg Med 25：152-157, 2007

9）Simms I, et al：Diagnosis of pelvic inflammatory disease：time for a rethink. Sex Transm Infect 79：491-494, 2003