{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282679712470784.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11231/jaem.32.1061"}},{"identifier":{"@type":"NAID","@value":"10031165296"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2013010841"}}],"dc:title":[{"@language":"en","@value":"A Case of Torsion of the Gallbladder, Preoperatively Diagnosed on Radiological Imaging,Requiring an Emergency Laparoscopic Cholecystectomy"},{"@language":"ja","@value":"術前画像から胆嚢捻転症と診断し緊急腹腔鏡下胆嚢摘出術を施行した1例"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"We report herein on a case of torsion of the gallbladder that was preoperatively diagnosed with abdominal computed tomography and MRCP. An 82-year-old woman was admitted to our hospital with acute right upper quadrant pain. CT showed a massively distended floating gallbladder, but it was not enhanced. Moreover, MRCP showed tapering interruption of the cystic duct and deviation of the gallbladder. Based on these findings, we diagnosed torsion of the gallbladder, and emergency laparoscopic surgery was performed. The gallbladder had fallen into a gangrenous state, and was twisted 180 degrees clockwise along its longitudinal axis. After the gallbladder was untwisted, a laparoscopic cholecystectomy was easily performed. Due to the improvement of imaging, preoperative diagnosis is more accurate than before. It is important to keep this disease in mind. Since torsion of the gallbladder is caused by a floating gallbladder, laparoscopic cholecystectomy is recommended because of less adhesion."},{"@language":"ja","@value":"症例は82歳，女性。突然の右上腹部痛が出現し当院受診。腹部造影CTで遊走胆嚢と胆嚢腫大を認め，胆嚢壁の造影効果の減弱を認めた。MRCPではさらに胆嚢管の先細り様の途絶，胆嚢軸の偏位を認めた。画像所見より胆嚢捻転症と術前診断し緊急的に腹腔鏡下胆嚢摘出術を施行した。胆嚢は緊満，暗赤色を呈し壊死に陥っており，胆嚢頸部で時計方向に180°捻転していた。捻転解除後は，比較的容易に腹腔鏡下に手術を終えることができた。胆嚢捻転症は，画像診断精度の向上に伴って以前よりも術前正診率が向上しているため，本疾患を念頭において診療に当たることが重要だと考えられた。また術式に関しては遊走胆嚢であり，周囲との癒着が少ないため，腹腔鏡下胆嚢摘出術の良い適応であると考えられた。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410009222411005824","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000017289233"},{"@type":"NRID","@value":"9000258074020"}],"foaf:name":[{"@language":"en","@value":"Suzuki Toshihiro"},{"@language":"ja","@value":"鈴木 俊裕"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Handa City Hospital"},{"@language":"ja","@value":"半田市立半田病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001288077534978","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000242375612"},{"@type":"NRID","@value":"9000253361463"},{"@type":"NRID","@value":"9000253366182"},{"@type":"NRID","@value":"9000253385511"},{"@type":"NRID","@value":"9000253384304"},{"@type":"NRID","@value":"9000256302385"},{"@type":"NRID","@value":"9000258074021"},{"@type":"NRID","@value":"9000258110982"},{"@type":"NRID","@value":"9000258104393"},{"@type":"NRID","@value":"9000256631196"},{"@type":"NRID","@value":"9000253369772"},{"@type":"NRID","@value":"9000253377548"}],"foaf:name":[{"@language":"en","@value":"Kubota Hitoshi"},{"@language":"ja","@value":"久保田 仁"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Handa City Hospital"},{"@language":"ja","@value":"半田市立半田病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001288077534976","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000249866703"},{"@type":"NRID","@value":"9000253366185"},{"@type":"NRID","@value":"9000253367035"},{"@type":"NRID","@value":"9000253384305"},{"@type":"NRID","@value":"9000256302386"},{"@type":"NRID","@value":"9000258074015"},{"@type":"NRID","@value":"9000253377550"}],"foaf:name":[{"@language":"en","@value":"Suzuki Hideaki"},{"@language":"ja","@value":"鈴木 秀昭"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Handa City Hospital"},{"@language":"ja","@value":"半田市立半田病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410853646907886597","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258718880"}],"foaf:name":[{"@language":"en","@value":"Hayashi Eiji"},{"@language":"ja","@value":"林 英司"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Handa City Hospital"},{"@language":"ja","@value":"半田市立半田病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204843298049","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000002891350"},{"@type":"NRID","@value":"9000253373556"},{"@type":"NRID","@value":"9000253379463"},{"@type":"NRID","@value":"9000253370864"},{"@type":"NRID","@value":"9000255891582"},{"@type":"NRID","@value":"9000258708552"},{"@type":"NRID","@value":"9000253375674"},{"@type":"NRID","@value":"9000255891980"},{"@type":"NRID","@value":"9000258074018"},{"@type":"NRID","@value":"9000258708313"},{"@type":"NRID","@value":"9000258110981"},{"@type":"NRID","@value":"9000255892151"},{"@type":"NRID","@value":"9000256632954"},{"@type":"NRID","@value":"9000252855394"},{"@type":"NRID","@value":"9000253377639"},{"@type":"NRID","@value":"9000253375242"},{"@type":"NRID","@value":"9000258104392"},{"@type":"NRID","@value":"9000253372971"},{"@type":"NRID","@value":"9000256632004"},{"@type":"NRID","@value":"9000253379129"},{"@type":"NRID","@value":"9000253369561"},{"@type":"NRID","@value":"9000256628063"},{"@type":"NRID","@value":"9000253380567"},{"@type":"NRID","@value":"9000256628201"}],"foaf:name":[{"@language":"en","@value":"Ohira Shusaku"},{"@language":"ja","@value":"太平 周作"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Handa City Hospital"},{"@language":"ja","@value":"半田市立半田病院外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001288077721091","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000019186895"},{"@type":"NRID","@value":"9000258074019"}],"foaf:name":[{"@language":"en","@value":"Inoue Masaya"},{"@language":"ja","@value":"井上 昌也"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Surgery, Handa City Hospital"},{"@language":"ja","@value":"半田市立半田病院外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"13402242"},{"@type":"LISSN","@value":"13402242"},{"@type":"EISSN","@value":"18824781"},{"@type":"NCID","@value":"AN10426469"}],"prism:publicationName":[{"@language":"en","@value":"Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)"},{"@language":"ja","@value":"日本腹部救急医学会雑誌"},{"@language":"en","@value":"J Abdom Emerg Med"},{"@language":"en","@value":"Nihon Fukubu Kyukyu Igakkai Zasshi"},{"@language":"en","@value":"Journal of Abdominal Emergency Medicine"},{"@language":"ja","@value":"日腹部救急医会誌"}],"dc:publisher":[{"@language":"en","@value":"Japanese Society for Abdominal Emergency Medicine"},{"@language":"ja","@value":"日本腹部救急医学会"}],"prism:publicationDate":"2012","prism:volume":"32","prism:number":"6","prism:startingPage":"1061","prism:endingPage":"1064"},"url":[{"@id":"https://search.jamas.or.jp/link/ui/2013010841"}],"availableAt":"2012","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%83%86%E5%9A%A2%E6%8D%BB%E8%BB%A2%E7%97%87","dc:title":"胆嚢捻転症"},{"@id":"https://cir.nii.ac.jp/all?q=%E7%94%BB%E5%83%8F%E8%A8%BA%E6%96%AD","dc:title":"画像診断"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%85%B9%E8%85%94%E9%8F%A1%E4%B8%8B%E8%83%86%E5%9A%A2%E6%91%98%E5%87%BA%E8%A1%93","dc:title":"腹腔鏡下胆嚢摘出術"}],"relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1390001204849789568","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A CASE OF THE GALLBLADDER TORSION DIAGNOSED PREOPERATIVELY AND TREATED WITH LAPAROSCOPIC CHOLECYSTECTOMY"},{"@language":"ja","@value":"術前診断し緊急腹腔鏡下胆嚢摘出術を施行した胆嚢捻転症の１例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680282430464","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"AN OPERATED CASE OF VOLUVULUS OF THE GALLBLADDER"},{"@value":"胆嚢捻転症の1手術例"}]},{"@id":"https://cir.nii.ac.jp/crid/1390282680415894784","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A case of torsion of the gallbladder diagnosed preoperatively on MRCP"},{"@language":"ja","@value":"MRCPにて術前診断し得た胆囊捻転症の1例"}]},{"@id":"https://cir.nii.ac.jp/crid/1521417755849453440","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"症例 腹部CTにて特徴的な所見を呈した胆嚢捻転症の2例"},{"@language":"ja-Kana","@value":"ショウレイ フクブ CT ニテ トクチョウテキ ナ ショケン オ テイシタ タンノウ ネンテンショウ ノ 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gallbladder"}]},{"@id":"https://cir.nii.ac.jp/crid/1572824499125582592","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"A case of floating gallbladder and kidney complicated by cholelithiasis with perforation of the gallbladder"}]},{"@id":"https://cir.nii.ac.jp/crid/1573105975395071104","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"胆嚢軸捻転症の1症例-本邦236例の検討"}]},{"@id":"https://cir.nii.ac.jp/crid/1573387449079002880","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Acute torsion of the gallbladder"}]},{"@id":"https://cir.nii.ac.jp/crid/1573387449079004032","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"en","@value":"Volvulus of the gallbladder"}]},{"@id":"https://cir.nii.ac.jp/crid/1573387451720001280","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@language":"ja","@value":"術前画像から確診し腹腔鏡下胆嚢摘出術を施行しえた完全型胆嚢捻転症の1例"},{"@language":"en","@value":"A Case of Torsion of Gallbladder Treated Laparoscopically, Immediately after Onset from Radiological Imaging"}]},{"@id":"https://cir.nii.ac.jp/crid/1573668924055715328","@type":"Article","relationType":["cites"],"jpcoar:relatedTitle":[{"@value":"捻転症 (睾丸, 盲腸, 胆嚢) 三題"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1001336557"},{"@type":"CIA","@value":"10031165296"}]}