{"created":"2023-06-19T11:37:13.754355+00:00","id":4448,"links":{},"metadata":{"_buckets":{"deposit":"82ae16ac-b5ca-4bc0-b466-90f41c5d044c"},"_deposit":{"created_by":13,"id":"4448","owners":[13],"pid":{"revision_id":0,"type":"depid","value":"4448"},"status":"published"},"_oai":{"id":"oai:mie-u.repo.nii.ac.jp:00004448","sets":["334:335:342:347"]},"author_link":["8833","8834","8835","8836"],"item_4_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2010-03-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1-4","bibliographicPageEnd":"9","bibliographicPageStart":"7","bibliographicVolumeNumber":"53","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 79 歳男性． 上腹部痛， 発熱， 嘔吐を主訴に当院内科を紹介受診し， 入院となった． 内科的加療をしていたが症状が強くなり， 入院 2 日目に外科へ転科となった． 右鼠径部に巨大なヘルニアがあり陰嚢に発赤， 圧痛を認めた． ヘルニア内容の徒手整復は無理であった． CT にて free air とイレウスを認め， 右鼠径ヘルニア嵌頓， 嵌頓腸管穿孔と診断し手術を施行した． 陰嚢内に回腸， 盲腸， 上行結腸が嵌頓していた． 盲腸穿孔， 十二指腸穿孔を認め， 右半結腸切除術， 十二指腸穿孔部単純閉鎖を施行した． 術後創感染がみられたが回復し， 術後 42 日目に退院した． 巨大鼠径ヘルニア手術では腹部コンパートメント症候群や高い再発率が問題点となり， 対策が必要である． 本症例では右半結腸切除術を行ったため， 還納臓器が減り拘束性肺障害の予防となった． また可能な限り iliopubic tract repair を行い， 現在ヘルニアの再発は認めていない．","subitem_description_type":"Abstract"}]},"item_4_publisher_30":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"三重大学医学部"},{"subitem_publisher":"三重医学会"}]},"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 Giant Inguinal Hernia with Duodenal Perforation"}]},"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":"坪内, 優宜","creatorNameLang":"ja"},{"creatorName":"Tsubouchi, Masayoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"竹内, 謙二","creatorNameLang":"ja"},{"creatorName":"Takeuchi, Kenji","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"浦田, 久志","creatorNameLang":"ja"},{"creatorName":"Urata, Hisashi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"寺邊, 政宏","creatorNameLang":"ja"},{"creatorName":"Terabe, Masahiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-02-18"}],"displaytype":"detail","filename":"AN002337090530103.pdf","filesize":[{"value":"67.8 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"本文","url":"https://mie-u.repo.nii.ac.jp/record/4448/files/AN002337090530103.pdf"},"version_id":"f6c2d1fe-0f3c-463c-a67d-fde642ccfc95"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"巨大鼠径ヘルニア","subitem_subject_scheme":"Other"},{"subitem_subject":"十二指腸穿孔","subitem_subject_scheme":"Other"},{"subitem_subject":"giant inguinal hernia","subitem_subject_scheme":"Other"},{"subitem_subject":"duodenal perforation","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":"十二指腸穿孔を伴った巨大鼠径ヘルニアの 1 例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"十二指腸穿孔を伴った巨大鼠径ヘルニアの 1 例","subitem_title_language":"ja"}]},"item_type_id":"4","owner":"13","path":["347"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2010-08-18"},"publish_date":"2010-08-18","publish_status":"0","recid":"4448","relation_version_is_last":true,"title":["十二指腸穿孔を伴った巨大鼠径ヘルニアの 1 例"],"weko_creator_id":"13","weko_shared_id":-1},"updated":"2023-10-02T07:07:33.435256+00:00"}