{"created":"2023-06-19T11:37:11.950426+00:00","id":4406,"links":{},"metadata":{"_buckets":{"deposit":"f73e501f-2859-46d8-8e65-9f7e0d0904b9"},"_deposit":{"created_by":13,"id":"4406","owners":[13],"pid":{"revision_id":0,"type":"depid","value":"4406"},"status":"published"},"_oai":{"id":"oai:mie-u.repo.nii.ac.jp:00004406","sets":["334:335:342:343"]},"author_link":["8729","8730","8731","8732"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2006-03-25","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3/4","bibliographicPageEnd":"56","bibliographicPageStart":"53","bibliographicVolumeNumber":"49","bibliographic_titles":[{"bibliographic_title":"三重医学"}]}]},"item_4_description_14":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_4_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は 32 歳女性． 昼食 2 時間後に突然， 臍周囲の腹痛が出現し， 当院内科紹介入院． 腹部所見で， 臍周囲に軽度圧痛を認め， 腹部 CT 検査にて限局性の小腸拡張を認めたが， 鎮痛剤にて症状軽減し， 経過観察となった． 腹痛出現後から 10 時間後， 腹痛の増悪， 嘔吐， 腹膜刺激症状が出現し外科紹介． 急性腹症， 絞扼性腸閉塞と診断し， 症状出現より 12 時間後， 緊急手術施行． 回腸末端部分より 70cm の小腸が反時計周りに 720 度捻転し， 壊死を認めた． 壊死部分を含めた， 回盲部切除術， 端々吻合を施行． 腹部に， 癒着， 腫瘍， 憩室， 解剖学的異常は認めず， 原発性小腸軸捻転症と診断した． 成人における原発性小腸捻転症は稀で， 広範な小腸壊死から， 致命的な経過をとる場合もある． 急性腹症や， 開腹歴のない腸閉塞症例では， 腹部 CT 検査での Whirl sign など， 本症の特徴的所見を念頭に入れ， 早期診断， 治療を行うことが重要であると考えられた．","subitem_description_type":"Abstract"}]},"item_4_publisher_30":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"三重医学会"},{"subitem_publisher":"三重大学医学部"}]},"item_4_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0385-0978","subitem_source_identifier_type":"PISSN"}]},"item_4_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00233709","subitem_source_identifier_type":"NCID"}]},"item_4_subject_16":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_4_text_18":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"A Case of Primary Small Bowel Volvulus in an Adult"}]},"item_4_text_65":{"attribute_name":"資源タイプ（三重大）","attribute_value_mlt":[{"subitem_text_value":"Departmental Bulletin Paper / 紀要論文"}]},"item_4_version_type_15":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"廣, 純一郎","creatorNameLang":"ja"},{"creatorName":"Hiro, Junichiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松本, 好市","creatorNameLang":"ja"},{"creatorName":"Matsumoto, Kouichi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"三木, 誓雄","creatorNameLang":"ja"},{"creatorName":"Miki, Chikao","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"楠, 正人","creatorNameLang":"ja"}],"familyNames":[{"familyName":"Kusunoki, 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CT","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"成人に発症した原発性小腸軸捻転症の 1 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"成人に発症した原発性小腸軸捻転症の 1 例","subitem_title_language":"ja"}]},"item_type_id":"4","owner":"13","path":["343"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2008-02-19"},"publish_date":"2008-02-19","publish_status":"0","recid":"4406","relation_version_is_last":true,"title":["成人に発症した原発性小腸軸捻転症の 1 例"],"weko_creator_id":"13","weko_shared_id":-1},"updated":"2023-10-02T05:56:00.701816+00:00"}