Carlton G R, Towne B H, Bryan R W, Chang J H
J Pediatr Surg. 1979 Dec;14(6):733-4. doi: 10.1016/s0022-3468(79)80255-9.
Obstruction of the inferior vena cava with resultant Budd-Chiari syndrome after giant omphalocele repair has not previously been reported. Such a case is presented. We hypothesize the mechanism of this blockage to be posterior displacement of the inferior vena cava during reduction of the viscera and closure of the anterior abdominal wall, thereby creating angulation and mechanical blockage of the inferior vena cava at the diaphragmatic hiatus.
巨大脐膨出修补术后下腔静脉阻塞并导致布加综合征此前未见报道。现报告这样一例病例。我们推测这种阻塞的机制是在脏器还纳和前腹壁关闭过程中下腔静脉向后移位,从而在膈肌裂孔处造成下腔静脉成角和机械性阻塞。