{"created":"2023-05-25T05:25:13.077184+00:00","id":3475,"links":{},"metadata":{"_buckets":{"deposit":"5bbfda68-2033-48e7-8bcf-3b5a3ea2f85b"},"_deposit":{"created_by":3,"id":"3475","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"3475"},"status":"published"},"_oai":{"id":"oai:yamagata.repo.nii.ac.jp:00003475","sets":["29:31:109:111"]},"author_link":["10996","10989","10994","10997","10988","10995","10993","10991","10992","10986","10990","10987"],"item_3_alternative_title_18":{"attribute_name":"その他の言語のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"A case of ruptured Gastrointestinal stromal tumor of the stomach with intraabdominalhemorrhage"}]},"item_3_alternative_title_19":{"attribute_name":"タイトル（ヨミ）","attribute_value_mlt":[{"subitem_alternative_title":"フククウキョウ シュッケツ オ キタシタ イGIST ノ ハレツ ノ イチレイ"}]},"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2015-02-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"28","bibliographicPageStart":"23","bibliographicVolumeNumber":"33","bibliographic_titles":[{"bibliographic_title":"山形大学紀要. 医学 : 山形医学 = Bulletin of the Yamagata University. Medical science : Yamagata medical journal"}]}]},"item_3_description_42":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"論文(Article)","subitem_description_type":"Other"}]},"item_3_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"　消化管間質腫瘍（Gastrointestinal stromal tumor，以下GIST）は、壁外性に発育し、破裂により腹腔内出血を来すことがある。今回、われわれは、胃GISTの破裂により腹腔内出血をきたした１例を経験したので、報告する。\n　症例は45歳の女性。2013年７月の上旬より上腹部痛を自覚した。次第に痛みが増強し、その翌日に当院の救急外来を受診した。腹部造影CTで胃体部から壁外性に発育する径9.5×7.5cm の腫瘍と周囲の血腫および血性腹水を認めた。胃粘膜下腫瘍の破裂と診断し、同日手術を施行した。上腹部正中切開で開腹したところ、400 mlの血性腹水と、胃体部後壁に有茎性に発育する腫瘍を確認した。周囲への浸潤は見られず、リンパ節転移も見られなかった。胃壁を一部含めて、胃局所切除術を施行した。病理組織学的検査で、胃GISTと診断された。核分裂像は12個/50視野であり、高リスク症例と考えられた。外来でメシル酸イマチニブの投与を開始した。腫瘍破裂症例では、再発のリスクが高く、慎重に経過を見る必要があると考えられた。","subitem_description_type":"Other"}]},"item_3_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"10992","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Shibata,  Kenich"}]},{"nameIdentifiers":[{"nameIdentifier":"10993","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Hachiya,  Osamu"}]},{"nameIdentifiers":[{"nameIdentifier":"10994","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Suzuki,  Takefumi"}]},{"nameIdentifiers":[{"nameIdentifier":"10995","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kawamura,  Ichiro"}]},{"nameIdentifiers":[{"nameIdentifier":"10996","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Takasu,  Naoki"}]},{"nameIdentifiers":[{"nameIdentifier":"10997","nameIdentifierScheme":"WEKO"}],"names":[{"name":"Kimura,  Wataru"}]}]},"item_3_publisher_32":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"山形大学"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0288-030X","subitem_source_identifier_type":"ISSN"}]},"item_3_source_id_9":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00067279","subitem_source_identifier_type":"NCID"}]},"item_3_text_33":{"attribute_name":"出版者（ヨミ）","attribute_value_mlt":[{"subitem_text_value":"ヤマガタ ダイガク"}]},"item_3_text_34":{"attribute_name":"別言語の出版者","attribute_value_mlt":[{"subitem_text_value":"Yamagata University"}]},"item_3_text_43":{"attribute_name":"資源タイプ・ローカル","attribute_value_mlt":[{"subitem_text_value":"紀要論文"}]},"item_3_text_44":{"attribute_name":"資源タイプ・NII","attribute_value_mlt":[{"subitem_text_value":"Departmental Bulletin Paper"}]},"item_3_text_45":{"attribute_name":"資源タイプ・DCMI","attribute_value_mlt":[{"subitem_text_value":"text"}]},"item_3_text_46":{"attribute_name":"資源タイプ・ローカル表示コード","attribute_value_mlt":[{"subitem_text_value":"2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"柴田,  健一"}],"nameIdentifiers":[{"nameIdentifier":"10986","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"蜂谷,  修"}],"nameIdentifiers":[{"nameIdentifier":"10987","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"鈴木,  武文"}],"nameIdentifiers":[{"nameIdentifier":"10988","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"川村,  一郎"}],"nameIdentifiers":[{"nameIdentifier":"10989","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"高須,  直樹"}],"nameIdentifiers":[{"nameIdentifier":"10990","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"木村,  理"}],"nameIdentifiers":[{"nameIdentifier":"10991","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2015-11-24"}],"displaytype":"detail","filename":"kiyoum-33-1-023to028.pdf","filesize":[{"value":"416.1 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"kiyoum-33-1-023to028.pdf","url":"https://yamagata.repo.nii.ac.jp/record/3475/files/kiyoum-33-1-023to028.pdf"},"version_id":"bb1fb799-c787-44ff-b1e1-7fce7ed1a0dd"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"腹腔内出血をきたした胃GISTの破裂の1例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"腹腔内出血をきたした胃GISTの破裂の1例"}]},"item_type_id":"3","owner":"3","path":["111"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-11-24"},"publish_date":"2015-11-24","publish_status":"0","recid":"3475","relation_version_is_last":true,"title":["腹腔内出血をきたした胃GISTの破裂の1例"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-05-25T06:31:21.148163+00:00"}