一つの症例から、次の判断を考える。
症例番号から選ぶ｜全48症例
情報を読み、今の判断に近い選択肢をタップ。振り返ってから次の経過へ進みます。文章入力は不要です。
初めてならCASE 01から。検討会では番号を指定するだけで、同じ症例を開けます。
臨床監修の状況｜一部監修 1・監修前 47
CASE 01は一部の判断を監修済みです。確認した範囲と日付は、その症例の振り返りに記載しています。CASE 02〜48は臨床監修前です。
監修状況の更新：2026年10月12日。文献の確認と臨床監修は区別して表示します。
CASE 01–12 を選ぶ
CASE 13–24 を選ぶ
CASE 25–36 を選ぶ
CASE 37–48 を選ぶ
原著タイトルと結末は最後に確認できます。CASE 17は抄録の確認範囲に限った短い検討です。自動採点・回答の保存はありません。
復習用の症例・論文一覧を開く｜48件
ここから先は診断名・治療内容・原著タイトルを表示します。
症例を探す｜全48件
部位別に並べています。キーワードを入れると、症例名と英語原題から絞り込めます。
NECK / AIRWAY
頸部・気道・食道
- 15頸部気管穿通傷：自発呼吸を保つ気道確保Airway Management for Penetrating Neck Trauma: A Case Report
- 16重度頸部切創：出血蘇生と外科的気道Penetrating Neck Injury—Early Surgical Airway Management: A Case Report
- 39CTで漏出を捉えられなかった頸部食道破裂Unique case of esophageal rupture after a fall from height
- 46多発外傷後の瞳孔不同：両側内頸動脈解離と脳梗塞Traumatic bilateral carotid artery dissection following severe blunt trauma: a case report on the difficulties in diagnosis and therapy of an often overlooked life-threatening injury
HEART
心臓・心膜
- 01鈍的心損傷・心タンポナーデEmergency room thoracotomy for acute traumatic cardiac tamponade caused by a blunt cardiac injury: A case report
- 11多数銃創：心膜開窓後に再発した心タンポナーデResuscitative Thoracotomy for Multiple Gunshot Wounds With Cardiac Tamponade Despite Pericardial Window
- 12穿通性心損傷：状態に応じた開胸アプローチPenetrating cardiac stab wounds: A case report with management algorithm and review of the literature
- 13上腹部刺創：腹腔内に損傷がなくても心損傷An unexpected finding of cardiac injury penetrating the diaphragm in a suspected abdominal trauma case
- 14心膜破裂・心臓脱出によるショックBlunt traumatic pericardial rupture and cardiac herniation with a penetrating twist: two case reports
- 43胸腔ドレーン後も続くショック：緊張性心膜気腫Pneumopericardium, a Heart in a Trap
- 44止血後も続くショック：乳頭筋断裂に緊急三尖弁形成Emergent Valve Repair for Severe Traumatic Acute Tricuspid Regurgitation in Polytrauma Patients: A Case Report
AORTA
大動脈
- 04大動脈損傷：下半身虚血とTEVARまでの橋渡しA case of blunt thoracic aortic injury requiring ECMO for acute malperfusion before TEVAR
- 05蘇生的開胸後の大動脈分枝損傷と再出血Thoracic endovascular aortic repair for avulsion of aortic branches in a trauma patient requiring resuscitative thoracotomy: a case report
- 24大動脈損傷と腹腔出血：開腹止血直後にTEVARA Damage-Control Strategy With Immediate Thoracic Endovascular Aortic Repair (TEVAR) for Polytrauma With Blunt Thoracic Aortic Injury and Intra-abdominal Hemorrhage: A Case Report
LUNG / BRONCHUS
肺・気管支・胸腔
- 07軽微に見えた胸部外傷：80時間後の大量血胸Delayed massive hemothorax after blunt thoracic trauma requiring thoracotomy by VATS: a case report
- 17複雑な気管・気管支損傷：緊急修復と内視鏡フォロー 抄録紹介Surgical management and follow-up of a complex tracheobronchial injury
- 34重症胸部外傷にVV-ECMO＋気管支ブロッカー＋塞栓術Novel Non-surgical Strategy of Severe Chest Trauma With Venovenous Extracorporeal Membrane Oxygenation, Angioembolization, and Bronchial Blocker: A Case Report
- 35気管支離断・肺全摘とVA／VV-ECMOTraumatic Bronchus Avulsion Managed With Extracorporeal Membrane Oxygenation, Pneumonectomy, and Rib Fixation
DIAPHRAGM
横隔膜
- 27遅発性右横隔膜ヘルニア：肝全体の胸腔内脱出Total thoracic herniation of the liver: a case of delayed right-sided diaphragmatic hernia after blunt trauma
- 30遅発性横隔膜破裂：緊張性colothorax・結腸絞扼Delayed presentation of traumatic diaphragmatic rupture with tension colothorax and strangulation of the transverse colon
- 41胸腹部を貫く木片刺入：手術後の膿胸へ再介入Transdiaphragmatic wooden impalement with multi-organ injury: a case report
LIVER / IVC
肝・胆道・下大静脈
- 03重症肝損傷：心停止とパッキング後の出血Severe liver injury with traumatic cardiac arrest successfully treated by damage control surgery and transcatheter arterial embolization in the hybrid operating room: a case report
- 06小児重症肝損傷：開腹判断と遅発性胆汁漏Damage control surgery for grade IV blunt hepatic injury with multiple organ damage in a child: a case report
- 2317歳の腹部銃創：非手術治療から肝動脈塞栓Selective Nonoperative Management of a Pediatric Abdominal Gunshot Wound
- 32肝後面IVC損傷を段階的手術で修復Case report: direct suture repair of inferior vena cava to rescue a stab patient with hepatic and caval injury through left hepatectomy and total vascular exclusion
- 33IVC損傷・造影剤漏出を非手術管理Non-operative Management of an Isolated Blunt Traumatic Retrohepatic Inferior Vena Cava Injury
- 47車輪による胸腹部圧挫：肝床から胆嚢が完全剥離Isolated complete avulsion of the gallbladder (near traumatic cholecystectomy): a case report and review of the literature
PANCREAS / BOWEL
膵・十二指腸・腸管
- 21骨盤骨折に隠れた腸間膜断裂と小腸虚血A big mesenteric rupture after blunt abdominal trauma: A case report and literature review
- 22腹部銃創：上腸間膜静脈修復とsecond lookSuperior mesenteric vein injury in penetrating abdominal trauma: A case report
- 28膵体部断裂の非手術治療と長期経過Successful Conservative Management of Traumatic Pancreatic Duct Injury: A Case Report
- 29膵完全断裂：経過良好でも残る主膵管断絶Conservative management of complete traumatic pancreatic body transection; A case report
- 37十二指腸完全断裂を有茎回腸で再建Reconstruction of a traumatic duodenal transection with a pedicled ileal loop: a case report
- 3815歳の膵・十二指腸損傷：DCS後に膵頭十二指腸切除Pancreaticoduodenectomy for trauma in an adolescent female with complex pancreatic and duodenal injuries: Case report and review of the literature
SPLEEN / KIDNEY
脾・腎・尿路
- 20脾・腎高度損傷の非手術治療と尿路合併症Successful non-operative management of multiple intra-abdominal solid organ injury after blunt abdominal trauma: a case report
- 25高度腎損傷：尿瘤増大・発熱への追加介入Conservative management of blunt high-grade renal trauma: A case report
- 42外傷性腎動脈閉塞：ステントで再灌流、その後の腎萎縮Renal Artery Stenting for Traumatic Dissection
- 45腸管手術後の腹痛：血尿のない尿管狭窄Delayed Diagnosis of Blunt Ureteral Injury following Motor Vehicle Collision
PELVIS
骨盤出血
- 09骨盤圧挫・腸骨動脈損傷：REBOAが進まないTechnical limitations of REBOA in a patient with exsanguinating pelvic crush trauma: a case report
- 10骨盤出血：AAJTによる一時的な循環改善Bleeding control in catastrophic blunt pelvic trauma using the abdominal aortic and junctional tourniquet in a civilian level I trauma center: A case report
- 31骨盤圧挫から半身切断術による救命Open pelvic fracture with bilateral common iliac arteriovenous injury successfully treated with hemicorporectomy following damage control interventional radiology in a hybrid emergency room
PRIORITIES
複数損傷の治療順序（Hybrid ER）
- 02頭部・肺・大動脈損傷の治療順序Combined brain and thoracic trauma surgery in a hybrid emergency room system: a case report
- 18大動脈破裂と骨盤出血：Hybrid ERの処置順序Blunt thoracic aortic injury treated with thoracic endovascular aortic repair in hybrid emergency room: A case report
- 19横隔膜・胸壁・脊椎損傷の段階的治療Damage control strategy involving early strategic decision-making and staged surgical management in a hybrid emergency room system: A case report
ECMO / EMBOLISM
ECMO・塞栓症
- 26止血後の心原性ショックにVA-ECMOSuccessful rescue of a patient with cardiogenic shock following traumatic cardiac arrest using VA-ECMO after air medical transport: a case report
- 36胸部銃創後の多発梗塞・空気塞栓疑いTraumatic air embolism; a case report and literature review of this rare complication of trauma
- 48大腿骨髄内釘挿入中の急変：脂肪塞栓・右心不全にVA-ECMOA Case of Fatal Fat Embolism Syndrome During Osteosynthesis Saved by Veno-Arterial Extracorporeal Membrane Oxygenation
SPECIAL POPULATIONS
抗凝固薬・妊婦
この症例集について
症例で実際に行われた治療と、一般的な診療上の推奨を区別して解説しています。一例の成功は、その治療の優越性を証明するものではありません。出典・利用条件は各ページに記載しています。原著のライセンスに応じて、詳しい症例経過または独自要約を掲載し、図は原著へのリンクを添えています。
CASE 01–30はTraumaBenchの候補症例です（専門医レビュー・正式採用は未確定）。CASE 31以降は学習用の追加症例です。CASE 17は抄録に基づく紹介で、原著本文の確認後に詳細を追加する予定です。