{"created":"2023-05-15T16:32:09.506667+00:00","id":3890,"links":{},"metadata":{"_buckets":{"deposit":"780d09a3-fc2a-4b47-a995-48c134f244f6"},"_deposit":{"created_by":2,"id":"3890","owners":[2],"pid":{"revision_id":0,"type":"depid","value":"3890"},"status":"published"},"_oai":{"id":"oai:nagasaki-u.repo.nii.ac.jp:00003890","sets":["29:30:1713167819629:262"]},"author_link":["15826","15829","15822","15828","15825","15824","15823","15827","15830"],"item_3_biblio_info_6":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2017-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"26","bibliographicPageStart":"23","bibliographicVolumeNumber":"61","bibliographic_titles":[{"bibliographic_title":"Acta medica Nagasakiensia"}]}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Background: Ulcerative colitis (UC) typically develops in the rectum and progresses proximally. Segmental UC is a rare condition\nthat is often difficult to diagnose. We present a case of segmental UC mimicking colon cancer that developed in the transverse colon.\nCase presentation: An 83-year-old woman with abdominal pain visited our hospital. Total colonoscopy revealed a granular mass with stenosis in the transverse colon. Biopsy specimen showed infiltration of inflammatory cells. No mucosal inflammation was evident on the anal side of the colon and rectum. Abdominal computed tomography showed enhanced mural thicknening in the transverse colon. Enlarged regional lymph nodes were apparent. Although no malignancy was evident, cancerlike\nstenosis and swollen lymph nodes were identified, so colectomy with regional lymph node resection was performed. The resected specimen showed near-circumferential thicknening. Aggregated small polypoid lesions and a mucosal bridge were also revealed. Histological findings showed a wide range of crypt abscess. No cellular atypia was found. We finally diagnosed segmental UC. The patient was subsequently followed closely without treatment, and abdominal distension developed one and a half years later. Total colonoscopy showed mucosal redness and erosion in the residual transverse colon. Pharmacotherapy \nimmediately improved symptoms. As of 10 years postoperatively, she has experienced no further recurrence. Conclusion: We encountered a rare case of segmental UC in the transverse colon. UC does not always develop from the \nrectum and progress towards the oral side. Early definitive diagnosis can achieve good results for treatment and the clinical course.","subitem_description_type":"Abstract"}]},"item_3_description_64":{"attribute_name":"引用","attribute_value_mlt":[{"subitem_description":"Acta medica Nagasakiensia, 61(1), pp.23-26; 2017","subitem_description_type":"Other"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"Nagasaki University School of Medicine"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA00508430","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"00016055","subitem_source_identifier_type":"ISSN"}]},"item_3_text_62":{"attribute_name":"sortkey","attribute_value_mlt":[{"subitem_text_value":"05"}]},"item_3_text_63":{"attribute_name":"出版者別言語","attribute_value_mlt":[{"subitem_text_value":"長崎大学医学部"}]},"item_3_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Tominaga, Tetsuro"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nonaka, Takashi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Takeshita, Hiroaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Tobinaga, Shuichi"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Kunizaki, Masaki"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sumida, Yorihisa"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Hidaka, Shigekazu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Sawai, Terumitsu"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Nagayasu, Takeshi"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2020-12-21"}],"displaytype":"detail","filename":"ActMed61_23.pdf","filesize":[{"value":"804.5 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"ActMed61_23.pdf","url":"https://nagasaki-u.repo.nii.ac.jp/record/3890/files/ActMed61_23.pdf"},"version_id":"5cee23d9-942b-4ac5-8e10-6cbb846a08ef"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"segmental ulcerative colitis","subitem_subject_scheme":"Other"},{"subitem_subject":"operation","subitem_subject_scheme":"Other"},{"subitem_subject":"splenic flexure","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"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":"A rare case of segmental ulcerative colitis","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"A rare case of segmental ulcerative colitis"}]},"item_type_id":"3","owner":"2","path":["262"],"pubdate":{"attribute_name":"公開日","attribute_value":"2017-03-16"},"publish_date":"2017-03-16","publish_status":"0","recid":"3890","relation_version_is_last":true,"title":["A rare case of segmental ulcerative colitis"],"weko_creator_id":"2","weko_shared_id":2},"updated":"2024-04-16T05:26:39.048618+00:00"}