{"created":"2023-06-19T08:45:55.886943+00:00","id":1344,"links":{},"metadata":{"_buckets":{"deposit":"0d8b81db-618c-4fa3-a289-0fa3c8b51f43"},"_deposit":{"created_by":25,"id":"1344","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"1344"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00001344","sets":["4:71:328:332"]},"author_link":["2784","2788","2787","2783","2786","2785"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-10","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"521","bibliographicPageStart":"517","bibliographicVolumeNumber":"68","bibliographic_titles":[{"bibliographic_title":"横浜医学"},{"bibliographic_title":"Yokohama Medical Journal","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は38歳，男性．右下腹部痛を主訴に当院に救急搬送された．来院時，右下腹部を中心に強い圧痛と腹膜刺激症状を認めた．腹部造影CTでは虫垂の軽度腫大と周囲の脂肪織濃度上昇を認め，そのすぐ背側に虫垂との連続性が一部不明瞭な液体貯留を認めた．限局的腹水貯留もしくは膿瘍形成を伴った虫垂炎と診断し，同日緊急手術を施行した．腹腔下で手術を開始し腹腔内を観察すると，炎症性に発赤・腫大した虫垂を認め，虫垂を授動するとそのすぐ背側に発赤・腫大したMeckel 憩室を認め，その根部付近で穿孔をきたしていた．虫垂切除，Meckel 憩室切除，腹腔内ドレナージを施行し終刀とした．切除標本では，虫垂の漿膜面にMeckel 憩室穿孔の炎症の波及を認めたが粘膜面に炎症は認めなかった．術後経過は良好で第5 病日に退院となった．自験例はMeckel 憩室か虫垂炎か鑑別診断が困難であり，従来の交差切開法による開腹手術ではMeckel 憩室穿孔を同定困難であった可能性がある示唆に富む1 例であった．","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"横浜市立大学医学会"}]},"item_10002_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0372-7726","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"清水, 康博"},{"creatorName":"シミズ, ヤスヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"杉田, 光隆"},{"creatorName":"スギタ, ミツタカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"大石, 裕佳"},{"creatorName":"オオイシ, ユカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"中嶌, 雅之"},{"creatorName":"なかしま, マサユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小野, 秀高"},{"creatorName":"オノ, ヒデタカ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"馬場, 裕之"},{"creatorName":"ババ, ヒロユキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-03-12"}],"displaytype":"detail","filename":"04_Shimizu.pdf","filesize":[{"value":"874.2 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"横浜医学68巻4号（清水康博）","url":"https://ycu.repo.nii.ac.jp/record/1344/files/04_Shimizu.pdf"},"version_id":"c1fb41bf-0113-4c1a-81d6-251ed679f351"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"Meckel憩室","subitem_subject_scheme":"Other"},{"subitem_subject":"腹腔鏡手術","subitem_subject_scheme":"Other"},{"subitem_subject":"Meckel's diverticulum","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"laparoscopic surgery）","subitem_subject_language":"en","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":"腹腔鏡手術が診断・治療に有効であったMeckel憩室穿孔の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹腔鏡手術が診断・治療に有効であったMeckel憩室穿孔の1例"},{"subitem_title":"A case of perforated meckel's diverticulum effectively diagnosed and treated by laparoscopic surgery","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"25","path":["332"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-03-12"},"publish_date":"2018-03-12","publish_status":"0","recid":"1344","relation_version_is_last":true,"title":["腹腔鏡手術が診断・治療に有効であったMeckel憩室穿孔の1例"],"weko_creator_id":"25","weko_shared_id":-1},"updated":"2023-06-19T09:47:23.970050+00:00"}