{"created":"2023-06-19T08:46:59.144246+00:00","id":2722,"links":{},"metadata":{"_buckets":{"deposit":"f846be7b-2ea2-452e-90db-ccde147bd6a9"},"_deposit":{"created_by":25,"id":"2722","owners":[25],"pid":{"revision_id":0,"type":"depid","value":"2722"},"status":"published"},"_oai":{"id":"oai:ycu.repo.nii.ac.jp:00002722","sets":["4:71:489:491"]},"author_link":["4474","2782","5480","5484","4495","5486","5481","5476","5477","5479","589","5478","5482","5483","801","5473","5485","5475","5472","5474"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2023-04-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"71","bibliographicPageStart":"67","bibliographicVolumeNumber":"74","bibliographic_titles":[{"bibliographic_title":"横浜医学"},{"bibliographic_title":"YOKOHAMA MEDICAL JOURNAL","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は73歳男性．便秘および血便を主訴に救急外来を受診した．腹部は所見なく，直腸診で肛門縁より約7 ㎝の直腸前壁に腫瘤を触知した．造影CTで，軸断面で直腸に重積像，冠状断で同部位にmulti consentric ring sign を認め腸重積症と診断した．注腸造影では直腸に蟹爪様の所見を認め，送気により整復した. 腹部は所見なく，排便も認めていたため，全身精査後に待機的に手術を行う方針とした．下部消化管内視鏡検査で肛門縁から約15㎝のRS部に半周性の1 型腫瘍を認め，生検で高分化腺癌であった．直腸RS癌による腸重積症の診断で，入院9 日目に開腹高位前方切除術，D 3 リンパ節郭清を行った．開腹すると骨盤内の岬角より尾側の直腸RS部に腫瘍の壁変形を認めた．重積は認めず，腸管の浮腫状変化は軽度であったため，一期的に切除吻合した．切除標本では40×30mm，環周率50%の1 型腫瘍を認め，病理組織学的検査はtub 2 ，pT 2 ，ly 1 ，v 1 ，pN 0 （ 0 /23），pStage Ⅰであった．術後経過は良好で，術後7 日目に軽快退院した．成人の腸重積は小児と比べて稀な疾患であり，また直腸腸重積症は稀であるため，若干の文献的考察を加えて報告する．","subitem_description_type":"Abstract"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"横浜市立大学医学会"}]},"item_10001_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":"秋元, 規宏"},{"creatorName":"アキモト, ノリヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"澤崎, 翔"},{"creatorName":"サワザキ, ショウ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"樋口, 晃生"},{"creatorName":"ヒグチ, アキオ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"箕輪, 和陽"},{"creatorName":"ミノワ, カズアキ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"土屋, 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