{"_buckets": {"deposit": "f1e03f54-11ce-4a3c-a519-1219ea0735c6"}, "_deposit": {"id": "2015909", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2015909"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02015909", "sets": ["1642838203782", "1642838412624"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "[症例報告]大量消化管出血を来した小腸静脈瘤の1例", "subitem_1551255648112": "ja"}, {"subitem_1551255647225": "Massive Intestinal Bleeding from Ileal Varices : A Case Report", "subitem_1551255648112": "en"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "佐村, 博範", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "武藤, 良弘", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "草野, 敏臣", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "奥島, 憲彦", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "松本, 光之", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "諸見里, 秀和", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "勝山, 直文", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "高江洲, 裕", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "Samura, Hironori", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Muto, Yoshihiro", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kusano, Toshiomi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Okushima, Norihiko", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Matumoto, Mituyuki", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Moromizato, Hidekazu", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Katuyama, Naohumi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Takaesu, Yutaka", "creatorNameLang": "en"}]}]}, "item_1617186476635": {"attribute_name": "Access Rights", "attribute_value_mlt": [{"subitem_1522299639480": "open access", "subitem_1600958577026": "http://purl.org/coar/access_right/c_abf2"}]}, "item_1617186499011": {"attribute_name": "Rights", "attribute_value_mlt": [{"subitem_1522650717957": "ja", "subitem_1522651041219": "琉球医学会"}]}, "item_1617186609386": {"attribute_name": "Subject", "attribute_value_mlt": [{"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "intestinal bleeding"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "ileal varices"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "no portal hypertension"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "A case of massive intestinal bleeding from ileal varices in a 39-year-old female with no evidence of portal hypertension was reported. Her past history revealed left oophorectomy at the age of 33 and cholecystectomy at the age of 37. The patient reported with a sudden massive anal bleeding and subsequent endoscopic examination of upper GI tract and colon revealed no bleeding source. She was referred to the Ryukyu University Hospital for further study. On admission, she appeared critically ill with anemia and jaundice. Superior mesenteric angiography examination showed tortuous, dilated branches of the ileocecal vein. Labeled blood cell RI scintigraphy demonstrated RI .pooling in.the varices and ileum. She bled again and laparotomy was performed. As a result of her previous two laparotomies, there were massive adhesions between the mesenterium and the intestine. The mesentery adjacent to the cecum 120cm proximal to the ileocecal valve showed varices of the ileocecal vein up to the superior mesenteric vein. Segmental resection of the involved cecum (about 15cm long) including varices was performed. Her post-operative course was uneventful and she has been doing wel since surgery at the time of writing. This case to our knowledge is the first report of massive bleeding from varices without any evidence of portal hypertension.", "subitem_description_type": "Other"}, {"subitem_description": "論文", "subitem_description_type": "Other"}]}, "item_1617186643794": {"attribute_name": "Publisher", "attribute_value_mlt": [{"subitem_1522300295150": "ja", "subitem_1522300316516": "琉球医学会"}, {"subitem_1522300295150": "en", "subitem_1522300316516": "Ryukyu Medical Association"}]}, "item_1617186702042": {"attribute_name": "Language", "attribute_value_mlt": [{"subitem_1551255818386": "jpn"}]}, "item_1617186920753": {"attribute_name": "Source Identifier", "attribute_value_mlt": [{"subitem_1522646500366": "ISSN", "subitem_1522646572813": "1346888X"}, {"subitem_1522646500366": "ISSN", "subitem_1522646572813": "0289-1530"}, {"subitem_1522646500366": "NCID", "subitem_1522646572813": "AN10369445"}]}, "item_1617186941041": {"attribute_name": "Source Title", "attribute_value_mlt": [{"subitem_1522650068558": "ja", "subitem_1522650091861": "琉球医学会誌 = Ryukyu Medical Journal"}]}, "item_1617187056579": {"attribute_name": "Bibliographic Information", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "1994", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "1", "bibliographicPageEnd": "91", "bibliographicPageStart": "87", "bibliographicVolumeNumber": "14"}]}, "item_1617258105262": {"attribute_name": "Resource Type", "attribute_value_mlt": [{"resourcetype": "journal article", "resourceuri": "http://purl.org/coar/resource_type/c_6501"}]}, "item_1617265215918": {"attribute_name": "Version Type", "attribute_value_mlt": [{"subitem_1522305645492": "VoR", "subitem_1600292170262": "http://purl.org/coar/version/c_970fb48d4fbd8a85"}]}, "item_1617605131499": {"attribute_name": "File", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_access", "download_preview_message": "", "file_order": 0, "filename": "v14p87.pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 0, "url": {"objectType": "fulltext", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2015909/files/v14p87.pdf"}, "version_id": "a40a1539-6cab-497f-b126-e4e55381bd23"}]}, "item_title": "[症例報告]大量消化管出血を来した小腸静脈瘤の1例", "item_type_id": "15", "owner": "1", "path": ["1642838203782", "1642838412624"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002015909", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2010-07-02"}, "publish_date": "2010-07-02", "publish_status": "0", "recid": "2015909", "relation": {}, "relation_version_is_last": true, "title": ["[症例報告]大量消化管出血を来した小腸静脈瘤の1例"], "weko_shared_id": -1}