{"created":"2023-06-20T16:47:16.431806+00:00","id":18919,"links":{},"metadata":{"_buckets":{"deposit":"976512d7-ecea-404d-8dd3-3870a850d17c"},"_deposit":{"created_by":3,"id":"18919","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"18919"},"status":"published"},"_oai":{"id":"oai:kindai.repo.nii.ac.jp:00018919","sets":["14:923:1477:4379"]},"author_link":["32105","32106","32102","32103","32104","32100","32101","32099"],"item_2_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-12-20","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"3-4","bibliographicPageEnd":"102","bibliographicPageStart":"97","bibliographicVolumeNumber":"41","bibliographic_titles":[{"bibliographic_title":"近畿大学医学雑誌"},{"bibliographic_title":"Medical Journal of Kindai University","bibliographic_titleLang":"en"}]}]},"item_2_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"[抄録] 症例は35歳男性．間欠的な上腹部痛および嘔吐を認め，３時間後には自制不可能となり当院へ救急搬送となった．Fallot四徴症に対して手術歴があるが，開腹の既往歴はない．腹部CT検査にて右上腹部に拡張した腸管が集簇し囊状構造を呈した所見（sac-like appearance）やClosed loop signを認めた．腸間膜血流の障害は認めていなかったが，そのまま放置すると絞扼性イレウスにより腸管壊死をきたす可能性が高いと判断し同日緊急手術を施行した．手術所見ではTreitz靱帯の形成不全がみられ，小腸起始部と思われる部位から尾側に約3cm 大のヘルニア門を形成し，約100cmの小腸が嵌入して暗赤色を呈していた．整復後，小腸は正常色調に回復し壊死がないことを確認し，ヘルニア門の閉鎖を行い閉腹した．本症例では腸回転異常を伴う右傍十二指腸ヘルニアと判断し，絞扼性イレウスから腸管壊死に進展する症例もあることより早期に手術を施行したことで腸管壊死を回避できたと考えられる．","subitem_description_type":"Abstract"}]},"item_2_publisher_14":{"attribute_name":"出版者 名前","attribute_value_mlt":[{"subitem_publisher":"近畿大学医学会"}]},"item_2_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"03858367","subitem_source_identifier_type":"ISSN"}]},"item_2_text_7":{"attribute_name":"著者(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Aoyama, Shingo"},{"subitem_text_language":"en","subitem_text_value":"Murao, Yoshinori"},{"subitem_text_language":"en","subitem_text_value":"Kimura, Takaaki"},{"subitem_text_language":"en","subitem_text_value":"Ishibe, Takuya"},{"subitem_text_language":"en","subitem_text_value":"Yokoyama, Keiichi"},{"subitem_text_language":"en","subitem_text_value":"Matsushima, Tomohide"},{"subitem_text_language":"en","subitem_text_value":"  "},{"subitem_text_language":"en","subitem_text_value":"Kitazawa, Yasuhide"}]},"item_2_text_8":{"attribute_name":"著者 所属","attribute_value_mlt":[{"subitem_text_value":"近畿大学総合医学教育研修センター"},{"subitem_text_value":"近畿大学医学部附属病院救命救急センター"},{"subitem_text_value":"近畿大学医学部附属病院救命救急センター"},{"subitem_text_value":"近畿大学医学部附属病院救命救急センター"},{"subitem_text_value":"近畿大学医学部附属病院救命救急センター"},{"subitem_text_value":"近畿大学医学部附属病院救命救急センター"},{"subitem_text_value":"近畿大学医学部附属病院救命救急センター"},{"subitem_text_value":"近畿大学医学部附属病院救命救急センター"}]},"item_2_text_9":{"attribute_name":"著者所属(翻訳)","attribute_value_mlt":[{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"},{"subitem_text_value":"Kindai University"}]},"item_2_version_type_12":{"attribute_name":"版","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_be7fb7dd8ff6fe43","subitem_version_type":"NA"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"青山, 真吾"},{"creatorName":"アオヤマ, シンゴ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"32099","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"村尾, 佳則"},{"creatorName":"ムラオ, ヨシノリ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"32100","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"木村, 貴明"},{"creatorName":"キムラ, 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