Department of Surgery, University of Mississippi School of Medicine, Jackson, Mississippi, USA.
J Pediatr Surg. 2013 May;48(5):E13-5. doi: 10.1016/j.jpedsurg.2013.03.005.
Liver herniation with gastroschisis is an uncommon occurrence that is associated with a poor prognosis. This report presents a single case of complex gastroschisis complicated by herniation of the left hepatic lobe. In the subject case, the abdominal wall defect was successfully closed by sequential closure with negative pressure wound therapy after the initial application of a preformed silo. As there are no established standards for the management of gastroschisis with liver herniation, there exists an opportunity for multicenter review to define approaches to optimize clinical outcomes with this complex congenital issue. As a result of the complexity and rarity of this congenital abnormality, reports with a positive prognosis carry clinical relevance.
肝疝合并腹裂较为罕见，预后不良。本报告介绍了 1 例复杂腹裂合并左肝叶疝的病例。在本病例中，在初次应用预制式沙桶后，通过负压伤口治疗的序贯闭合成功地关闭了腹壁缺陷。由于目前对于肝疝合并腹裂的处理尚无既定标准，因此有机会进行多中心回顾，以确定优化这种复杂先天性问题的临床结局的方法。由于这种先天性异常的复杂性和罕见性，预后良好的报告具有临床相关性。
