{"_buckets": {"deposit": "dd7f6537-4b13-469a-8a43-7f404fdf28bf"}, "_deposit": {"id": "2016915", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "2016915"}, "status": "published"}, "_oai": {"id": "oai:u-ryukyu.repo.nii.ac.jp:02016915", "sets": ["1642838232086", "1642838412624"]}, "author_link": [], "item_1617186331708": {"attribute_name": "Title", "attribute_value_mlt": [{"subitem_1551255647225": "S\u72b6\u7d50\u8178\u904e\u9577\u75c7\u8853\u5f8c\u306b\u767a\u75c7\u3057\u305f\u7cbe\u795e\u767a\u9054\u9045\u6ede\u8005\u306b\u304a\u3051\u308b\u4e0b\u884c\u7d50\u8178\u8ef8\u637b\u8ee2\u306e1\u4f8b", "subitem_1551255648112": "ja"}, {"subitem_1551255647225": "A case of volvulus of the descending colon after sigmoidectomy for sigmoid elongation in an individual with intellectual disability", "subitem_1551255648112": "en"}]}, "item_1617186419668": {"attribute_name": "Creator", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "\u5bae\u5e73, \u793c", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u91d1\u57ce, \u9054\u4e5f", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u4f0a\u79ae, \u9756\u82d7", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u897f\u57a3, \u5927\u5fd7", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "\u897f\u5dfb, \u6b63", "creatorNameLang": "ja"}]}, {"creatorNames": [{"creatorName": "Miyahira, Aya", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Kinjo, Tatsuya", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Irei, Yasue", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Nishigaki, Taishi", "creatorNameLang": "en"}]}, {"creatorNames": [{"creatorName": "Nishimaki, Tadashi", "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": "\u7409\u7403\u533b\u5b66\u4f1a"}]}, "item_1617186609386": {"attribute_name": "Subject", "attribute_value_mlt": [{"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "colonic volvulus"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "intellectual disability"}, {"subitem_1522299896455": "en", "subitem_1522300014469": "Other", "subitem_1523261968819": "unusual fixation of the colon"}]}, "item_1617186626617": {"attribute_name": "Description", "attribute_value_mlt": [{"subitem_description": "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 \uff08CT\uff09 revealed volvulus of the descending colon, she underwent emergency surgery. The descending colon was mostly not fixed at the retroperitoneum and was rotated 180\u00b0 counter-clockwise. The thin and ischemic parts of the colon were resected, and Hartmann\u02bcs 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 patients\u02bc 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.", "subitem_description_type": "Other"}, {"subitem_description": "\u8ad6\u6587", "subitem_description_type": "Other"}]}, "item_1617186643794": {"attribute_name": "Publisher", "attribute_value_mlt": [{"subitem_1522300295150": "ja", "subitem_1522300316516": "\u7409\u7403\u533b\u5b66\u4f1a"}, {"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": "1346-888X"}, {"subitem_1522646500366": "NCID", "subitem_1522646572813": "AN10369445"}]}, "item_1617186941041": {"attribute_name": "Source Title", "attribute_value_mlt": [{"subitem_1522650068558": "ja", "subitem_1522650091861": "\u7409\u7403\u533b\u5b66\u4f1a\u8a8c = Ryukyu Medical Journal"}]}, "item_1617187056579": {"attribute_name": "Bibliographic Information", "attribute_value_mlt": [{"bibliographicIssueNumber": "1-4", "bibliographicPageEnd": "88", "bibliographicPageStart": "83", "bibliographicVolumeNumber": "38"}]}, "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": "vol38p83.pdf", "future_date_message": "", "is_thumbnail": false, "mimetype": "", "size": 0, "url": {"objectType": "fulltext", "url": "https://u-ryukyu.repo.nii.ac.jp/record/2016915/files/vol38p83.pdf"}, "version_id": "2d685ddb-3535-442a-acd4-28a535c37632"}]}, "item_title": "S\u72b6\u7d50\u8178\u904e\u9577\u75c7\u8853\u5f8c\u306b\u767a\u75c7\u3057\u305f\u7cbe\u795e\u767a\u9054\u9045\u6ede\u8005\u306b\u304a\u3051\u308b\u4e0b\u884c\u7d50\u8178\u8ef8\u637b\u8ee2\u306e1\u4f8b", "item_type_id": "15", "owner": "1", "path": ["1642838232086", "1642838412624"], "permalink_uri": "http://hdl.handle.net/20.500.12000/0002016915", "pubdate": {"attribute_name": "PubDate", "attribute_value": "2020-11-25"}, "publish_date": "2020-11-25", "publish_status": "0", "recid": "2016915", "relation": {}, "relation_version_is_last": true, "title": ["S\u72b6\u7d50\u8178\u904e\u9577\u75c7\u8853\u5f8c\u306b\u767a\u75c7\u3057\u305f\u7cbe\u795e\u767a\u9054\u9045\u6ede\u8005\u306b\u304a\u3051\u308b\u4e0b\u884c\u7d50\u8178\u8ef8\u637b\u8ee2\u306e1\u4f8b"], "weko_shared_id": -1}