{"id":3920,"date":"2025-11-03T22:56:09","date_gmt":"2025-11-03T13:56:09","guid":{"rendered":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3920"},"modified":"2025-11-03T22:56:11","modified_gmt":"2025-11-03T13:56:11","slug":"case-records-of-the-massachusetts-general-hospital%e3%82%88%e3%82%8a-9","status":"publish","type":"post","link":"https:\/\/plaza.umin.ac.jp\/~OIO\/?p=3920","title":{"rendered":"Case Records of the Massachusetts General Hospital\u3088\u308a"},"content":{"rendered":"\n<p><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMcpc2412540\">Case 31-2025: A 56-Year-Old Man with Left Lower Abdominal Pain and Anemia | New England Journal of Medicine<\/a><\/p>\n\n\n\n<p>\u8868\u984c\u306e\u8ad6\u6587\u3092AI\u3068\u3068\u3082\u306b\u8aad\u307f\u8fbc\u307f\u307e\u3057\u305f<br>\uff08\u672c\u8a18\u4e8b\u306f\u5143\u6587\u732e\u3092\u898b\u306a\u304c\u3089\u8aad\u3093\u3067\u3044\u305f\u3060\u304f\u524d\u63d0\u3067\u3059\u306e\u3067\u3001\u8a73\u7d30\u306a\u75c5\u6b74\u3001\u753b\u50cf\u3084\u81e8\u5e8a\u691c\u67fb\u6240\u898b\u7b49\u306f\u5143\u6587\u732e\u3092\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\uff09<\/p>\n\n\n\n<p><strong>56\u6b73\u7537\u6027\u306e\u8907\u96d1\u306a\u75c7\u4f8b<\/strong>\u306b\u3064\u3044\u3066\u306e\u8a73\u7d30\u306a\u691c\u8a0e\u3067\u3042\u308a\u3001\u5f53\u521d\u306f<strong>\u30bb\u30ea\u30a2\u30c3\u30af\u75c5\u3084\u30af\u30ed\u30fc\u30f3\u75c5<\/strong>\u306a\u3069\u306e\u8a3a\u65ad\u304c\u7591\u308f\u308c\u307e\u3057\u305f\u3002\u60a3\u8005\u306f<strong>\u6162\u6027\u7684\u306a\u4e0b\u75e2\u3001\u8ca7\u8840\u3001\u304a\u3088\u3073IgA\u30fbIgM\u6b20\u4e4f\u75c7<\/strong>\u306a\u3069\u306e\u514d\u75ab\u4e0d\u5168\u306e\u5146\u5019\u3092\u5448\u3057\u3001\u5c0f\u8178\u3068\u5927\u8178\u306e\u9593\u306b<strong>\u8178\u7d50\u8178\u763b<\/strong>\u304c\u898b\u3089\u308c\u307e\u3057\u305f\u3002\u521d\u671f\u6cbb\u7642\u306b\u3082\u304b\u304b\u308f\u3089\u305a\u75c7\u72b6\u304c\u518d\u767a\u3057\u305f\u5f8c\u3001\u6700\u7d42\u7684\u306a\u8a3a\u65ad\u306f\u3001<strong>\u7279\u767a\u6027\u539f\u767a\u6027\u4f4e\u30ac\u30f3\u30de\u30b0\u30ed\u30d6\u30ea\u30f3\u8840\u75c7\u306b\u8d77\u56e0\u3059\u308b\u30af\u30ed\u30fc\u30f3\u75c5\u69d8\u8178\u75c7\u3092\u5408\u4f75\u3057\u305f\u3073\u307e\u3093\u6027\u5927\u7d30\u80de\u578bB\u7d30\u80de\u30ea\u30f3\u30d1\u816b<\/strong>\u3067\u3057\u305f\u3002\u3053\u306e\u30b1\u30fc\u30b9\u30b9\u30bf\u30c7\u30a3\u3067\u306f\u3001\u69d8\u3005\u306a\u5c02\u9580\u5206\u91ce\u306e\u533b\u5e2b\u304c<strong>\u753b\u50cf\u8a3a\u65ad\u3001\u75c5\u7406\u7d44\u7e54\u5b66\u7684\u691c\u67fb\u3001\u304a\u3088\u3073\u9451\u5225\u8a3a\u65ad\u306e\u904e\u7a0b<\/strong>\u3092\u901a\u3058\u3066\u3001<strong>\u6700\u7d42\u7684\u306a\u8a3a\u65ad\u3068\u305d\u308c\u306b\u7d9a\u304f\u5316\u5b66\u514d\u75ab\u7642\u6cd5\u306b\u3088\u308b\u6cbb\u7642<\/strong>\u306b\u81f3\u308b\u307e\u3067\u306e\u7d4c\u904e\u3092\u8a73\u8ff0\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-audio\"><audio controls src=\"https:\/\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/11\/43c7a6fe275befede2e85815a68d80ab.mp3\"><\/audio><\/figure>\n<div class=\"powerpress_player\" id=\"powerpress_player_6066\"><audio class=\"wp-audio-shortcode\" id=\"audio-3920-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/11\/43c7a6fe275befede2e85815a68d80ab.mp3?_=1\" \/><a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/11\/43c7a6fe275befede2e85815a68d80ab.mp3\">https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/11\/43c7a6fe275befede2e85815a68d80ab.mp3<\/a><\/audio><\/div><p class=\"powerpress_links powerpress_links_mp3\" style=\"margin-bottom: 1px !important;\">Podcast: <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/11\/43c7a6fe275befede2e85815a68d80ab.mp3\" class=\"powerpress_link_pinw\" target=\"_blank\" title=\"Play in new window\" onclick=\"return powerpress_pinw('https:\/\/plaza.umin.ac.jp\/~OIO\/?powerpress_pinw=3920-podcast');\" rel=\"nofollow\">Play in new window<\/a> | <a href=\"https:\/\/media.blubrry.com\/3955429\/plaza.umin.ac.jp\/~OIO\/wp-content\/uploads\/2025\/11\/43c7a6fe275befede2e85815a68d80ab.mp3\" class=\"powerpress_link_d\" title=\"Download\" rel=\"nofollow\" download=\"43c7a6fe275befede2e85815a68d80ab.mp3\">Download<\/a><\/p><!--powerpress_player-->","protected":false},"excerpt":{"rendered":"<p>Case 31-2025: A 56-Year-Old Man with Left Lower Abdominal Pain and Anemia | New England Journal of Medicine 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