{"created":"2023-06-19T11:24:14.409680+00:00","id":4926,"links":{},"metadata":{"_buckets":{"deposit":"ab63da83-121e-4b7b-b435-570b4a3edb59"},"_deposit":{"created_by":1,"id":"4926","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4926"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004926","sets":["7","7:23"]},"author_link":["15245","15241","15242","15243","15246","15244"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-07-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7","bibliographicPageEnd":"1709","bibliographicPageStart":"1705","bibliographicVolumeNumber":"73","bibliographic_titles":[{"bibliographic_title":"日本臨床外科学会雑誌"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は61歳,女性.本年4月,全身倦怠感を主訴に当院内科を受診し,貧血と便潜血陽性を認めたため消化管精査目的に入院となった.入院後,腸閉塞症状が出現し,CTにて左下腹部に腫瘤像と口側小腸の拡張を認め,小腸腫瘍によるイレウスの診断で当科紹介となり手術を施行した.術中所見では,直径7×4cmの壁外性に発育する小腸腫瘍を認め小腸部分切除を行った.病理組織学的には小腸海綿状血管腫の診断で,粘膜下での血管腫の破綻による慢性的出血と血腫形成があり,それに対する肉芽反応と線維化が生じた病変と思われた.血管腫は全消化管腫瘍の0.05%,小腸良性腫瘍の7〜11%を占めるまれな疾患で,消化管出血を主訴に発見されることが多く,腸閉塞に至った症例の報告はない.治療は外科的切除が第一選択とされている.今回われわれは貧血を主訴とし腸閉塞症状を呈した小腸血管腫の1例を経験したので報告する.","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_relation_27":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"2012360902","subitem_relation_type_select":"ICHUSHI"}}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1345-2843","subitem_source_identifier_type":"ISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"2012360902"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"437"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"792"}]},"item_5_text_7":{"attribute_name":"著者 ローマ字","attribute_value_mlt":[{"subitem_text_value":"Miyamoto, Masashi"},{"subitem_text_value":"Yamamoto, Yasuhiro"},{"subitem_text_value":"Suzuki, Wakako"},{"subitem_text_value":"Okamura, Mikio"},{"subitem_text_value":"Kono, Toru"},{"subitem_text_value":"Furukawa, Hiroyuki"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"宮本, 正之"},{"creatorName":"ミヤモト, マサシ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15241","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"山本, 康弘"},{"creatorName":"ヤマモト, ヤスヒロ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15242","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木, 和香子"},{"creatorName":"スズキ, ワカコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"15243","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"岡村, 幹郎"},{"creatorName":"オカムラ, 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