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成功实施小猫不对称尾端重复畸形或寄生性联体双胎的手术分离。

Successful surgical separation of asymmetrical caudal duplication or parasitic twinning in a kitten.

作者信息

Botsoglou Rachel, Albert Rebecca, Krauß Maximiljan

机构信息

Tierklinik Düsseldorf GmbH, Duesseldorf, Germany.

AniCura Tierklinik Neandertal GmbH, Haan, Germany.

出版信息

JFMS Open Rep. 2024 Jul 25;10(2):20551169241261582. doi: 10.1177/20551169241261582. eCollection 2024 Jul-Dec.

Abstract

CASE SUMMARY

A female kitten with two ectopic supernumerary pelvic limbs arising from the umbilicus was born in our clinic. Five weeks after the kitten's birth, she showed an acute deterioration in condition, with clinical signs of an ileus in the intestines entering the supernumerary body part. We then performed a surgical separation of the supernumerary limbs and intestines. Based on clinical findings and radiography, the kitten was classified as a case of parasitic twinning-omphalopagus or a subtype of asymmetrical caudal duplication, rather than a case of polymelia. Parasitic twinning and caudal duplication are rare congenital malformations in many animal species and in humans, which can often have a poor outcome. Almost 1 year after the separation, the cat appeared to be living a normal life without complications.

RELEVANCE AND NOVEL INFORMATION

A good outcome is rare in parasitic twinning because many of these animals present with other concurrent health issues, such as congenital heart malformation or cleft palate, or they are stillborn. However, this pathological entity is scarce in small animal medicine, and there is no documented survival rate. To our knowledge, this is the first officially documented case of parasitic twinning-omphalopagus in a cat in the past decade.

摘要

病例摘要

我们诊所出生了一只雌性小猫,它有两条异位多余的骨盆肢体,从脐部生出。小猫出生五周后,病情急剧恶化,出现肠梗阻的临床症状,累及多余身体部位的肠道。随后我们对多余肢体和肠道进行了手术分离。根据临床检查结果和X光检查,这只小猫被归类为寄生性联体双胎——脐部联体双胎病例,或不对称尾部重复畸形的一个亚型,而非多指(趾)畸形病例。寄生性联体双胎和尾部重复畸形在许多动物物种和人类中都是罕见的先天性畸形,通常预后不良。分离手术近一年后,这只猫似乎过着正常生活,没有出现并发症。

相关性及新信息

寄生性联体双胎预后良好的情况很少见,因为许多这类动物还伴有其他并发健康问题,如先天性心脏畸形或腭裂,或者它们是死产。然而,这种病理实体在小动物医学中很罕见,也没有记录在案的存活率。据我们所知,这是过去十年中首例官方记录的猫寄生性联体双胎——脐部联体双胎病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6cf8/11273565/e680751abd92/10.1177_20551169241261582-fig1.jpg

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