Schwarzkopf Ilona, Bavegems Valerie C A, Vandekerckhove Peter M F P, Melis Sanne M, Cornillie Pieter, de Rooster Hilde
DAC Malpertuus, Heusden, Belgium.
Vet Surg. 2014 Jul;43(5):623-9. doi: 10.1111/j.1532-950X.2014.12226.x. Epub 2014 Jun 7.
To describe the clinical findings, diagnosis, and treatment of an incomplete cleft of the 5th-8th sternebra and a cranioventral abdominal wall hernia in a 2 month old Ragdoll kitten and to evaluate the short- and long-term outcome.
Clinical report.
Ragdoll cat (n = 1), 2 months old.
Sternal cleft was confirmed by thoracic radiographs. Computed tomography (CT) was used to plan an optimal surgical approach. A ventral median incision was made, starting at the 3rd sternebra and extended into the abdomen. Ostectomy of the proximal part of the 5th left sternebra was performed. Lateral periosteal flaps were created, unfolded, and absorbable monofilament sutures preplaced to facilitate closure and the repair was reinforced by 2 peristernal sutures. A bone graft was applied, and the free margin of the omentum was sutured to the cranial aspect of the wound.
No major complications occurred. At 3 weeks, CT scan confirmed approximation of the hemisternebrae and at 10 months, complete fusion of the hemisternebrae had not occurred, but a strong connection of the sternal bars was present.
Sternal cleft is a rare congenital abnormality that can be corrected surgically with favorable outcome.
描述一只2月龄布偶猫第5 - 8节胸骨不完全裂开及颅腹侧腹壁疝的临床症状、诊断和治疗方法，并评估其短期和长期预后。
临床报告。
2月龄布偶猫（n = 1）。
通过胸部X光片确诊胸骨裂开。使用计算机断层扫描（CT）来规划最佳手术方法。做一个腹正中切口，从第3节胸骨开始并延伸至腹部。对第5节左胸骨近端进行截骨术。制作外侧骨膜瓣，展开，预先放置可吸收单丝缝线以利于闭合，并用2根胸骨周围缝线加强修复。应用骨移植，将大网膜的游离边缘缝合到伤口的颅侧。
未发生重大并发症。3周时，CT扫描证实半胸骨接近；10个月时，半胸骨未完全融合，但胸骨条有牢固连接。
胸骨裂开是一种罕见的先天性异常，可通过手术矫正并取得良好预后。
