Pediatric Surgery Unit, Azienda Ospedaliera Universitaria Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
Child Neurology and Psychiatry Unit, Azienda Ospedaliera Universitaria Policlinico Umberto I, Sapienza University of Rome, Rome, Italy.
Asian J Endosc Surg. 2021 Jul;14(3):553-556. doi: 10.1111/ases.12865. Epub 2020 Sep 10.
The association between Morgagni hernia and Menkes disease has not yet been described. Here, we report such a rare association in an 8-year-old boy who presented with subocclusive symptoms. He successfully underwent laparoscopic repair with a patch. The patch was fixed to the anterior abdominal wall by using transfascial sutures with extracorporeal knot tying and to the remaining edges of the diaphragmatic defect by using intracorporeal suturing and spiral tacks. At the 2-year follow-up, the child remained recurrence-free and without gastrointestinal symptoms. The potential relationship between the two conditions and the controversial use of spiral tacks to affix the mesh to the diaphragm are also discussed.
Morgan 疝和 Menkes 病之间的关联尚未被描述。在这里，我们报告了一例罕见的 8 岁男孩病例，他表现为亚阻塞症状。他成功地接受了腹腔镜修补术，使用了带体外打结的经筋膜缝线将补片固定在前腹壁上，并使用体内缝线和螺旋钉将补片固定在膈肌缺损的剩余边缘上。在 2 年的随访中，患儿无复发且无胃肠道症状。本文还讨论了这两种情况之间的潜在关系，以及使用螺旋钉将网片固定到膈肌上的争议性应用。
