Item type |
デフォルトアイテムタイプ(フル)(1) |
公開日 |
2020-11-25 |
タイトル |
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タイトル |
S状結腸過長症術後に発症した精神発達遅滞者における下行結腸軸捻転の1例 |
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言語 |
ja |
タイトル |
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タイトル |
A case of volvulus of the descending colon after sigmoidectomy for sigmoid elongation in an individual with intellectual disability |
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言語 |
en |
作成者 |
宮平, 礼
金城, 達也
伊禮, 靖苗
西垣, 大志
西巻, 正
Miyahira, Aya
Kinjo, Tatsuya
Irei, Yasue
Nishigaki, Taishi
Nishimaki, Tadashi
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アクセス権 |
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アクセス権 |
open access |
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アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
権利情報 |
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言語 |
ja |
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権利情報 |
琉球医学会 |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
colonic volvulus |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
intellectual disability |
主題 |
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言語 |
en |
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主題Scheme |
Other |
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主題 |
unusual fixation of the colon |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
A 49-year-old woman who had an intellectual disability was examined during an emergency visit at our hospital because of abdominal swelling. Her abdomen was remarkably distended but without tenderness. Abdominal plain radiography revealed an enlarged colon in the upper abdomen. As abdominal contrast-enhanced computed tomography (CT) revealed volvulus of the descending colon, she underwent emergency surgery. The descending colon was mostly not fixed at the retroperitoneum and was rotated 180° counter-clockwise. The thin and ischemic parts of the colon were resected, and Hartmannʼs operation was performed. She underwent reconstruction surgery 2 months later. Volvulus of the colon with megacolon carries a high risk and requires emergency surgery. In patients with intellectual disabilities, notification of symptoms and diagnosis of volvulus are usually delayed because of the patientsʼ difficulty in communication. Clinical history taking, careful examination of the patient and taking a CT scan in the early stage are highly important. The appropriate surgical procedures must also be decided in consideration of the risk of complications and reduced quality of life. |
内容記述 |
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内容記述タイプ |
Other |
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内容記述 |
論文 |
出版者 |
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言語 |
ja |
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出版者 |
琉球医学会 |
出版者 |
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言語 |
en |
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出版者 |
Ryukyu Medical Association |
言語 |
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言語 |
jpn |
資源タイプ |
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資源タイプ |
journal article |
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資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
出版タイプ |
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出版タイプ |
VoR |
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出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
収録物識別子 |
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収録物識別子タイプ |
ISSN |
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収録物識別子 |
1346-888X |
収録物識別子 |
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収録物識別子タイプ |
NCID |
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収録物識別子 |
AN10369445 |
収録物名 |
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言語 |
ja |
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収録物名 |
琉球医学会誌 = Ryukyu Medical Journal |
書誌情報 |
巻 38,
号 1-4,
p. 83-88
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