Zeeshan Sana, Hussain Syeda Namayah Fatima, Mughal Zeeshan, Anwar Shayan Sirat Maheen, Naeem Syed Nadir
Section of Breast Surgery, Department of Surgery, The Aga Khan University, P.O. Box 3500, Stadium Road, Karachi, 74800, Pakistan.
Liaquat National Hospital and Medical College, Stadium Road, Karachi, 74800, Pakistan.
Int J Surg Case Rep. 2020;67:203-206. doi: 10.1016/j.ijscr.2020.02.010. Epub 2020 Feb 7.
Bifurcated ribs are a neuroskeletal anomaly which are incidentally discovered on chest X-ray. It is a developmental disorder where sternal end of a rib is split into two, commonly found in males, on the right side and unilaterally not associated with a vertebral defect.
In this report we discuss a case of a 17-year-old girl with a left bifid rib alongside a segmental defect of the vertebra.
Bifurcated ribs usually occur in isolation or with other rib abnormalities associated with vertebral defects. Most cases are asymptomatic or found at post-mortem. Gorlin Syndrome is a condition where both these anatomical defects form a part of its criteria.
With barely any data on significance of bifid rib with vertebral defects and no conclusive exclusion of Gorlin Syndrome, close monitoring coupled with regular follow-ups in such patients is the likely plan of treatment. In addition, genetic testing for susceptible genes should be strongly considered.
分叉肋骨是一种神经骨骼异常，通常在胸部X光检查时偶然发现。它是一种发育障碍，肋骨的胸骨端分裂成两部分，常见于男性，右侧，且单侧与椎体缺陷无关。
在本报告中，我们讨论了一例17岁女孩，其左肋骨分叉并伴有椎体节段性缺陷。
分叉肋骨通常单独出现，或与其他伴有椎体缺陷的肋骨异常一起出现。大多数病例无症状或在尸检时发现。戈林综合征是一种这些解剖缺陷均构成其诊断标准一部分的疾病。
由于关于伴有椎体缺陷的分叉肋骨的意义几乎没有任何数据，且无法确凿排除戈林综合征，对此类患者密切监测并定期随访可能是治疗方案。此外，应强烈考虑对易感基因进行基因检测。
