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Successful use of a 3D-printed surgical guide to facilitate transiliosacral fixation in a cat with bilateral sacroiliac luxation. 在一只患有双侧骶髂关节松弛症的猫身上成功使用3D打印手术导板进行经髂骶固定。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-09-19 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241273629
Radu Scortea, Fee Reichardt, Cosmin Muresan, Maximiljan Krauß

Case summary: A 7-year-old male castrated domestic shorthair cat was presented for treatment of a bilateral sacroiliac luxation (SIL). CT was performed and the data were extracted in a stereolithography (STL) file, after which a 3D-printed drill guide (3DPDG) was devised, using computer-aided design (CAD) software, and printed. Using an open surgical approach, the guide was used as an aid for drilling the sacrum. The ilial wings were drilled free-hand later and a transiliosacral pin (TP) was inserted to realign and stabilise the SIL. The cat exhibited an early return to normal limb function and a CT scan performed at the postoperative follow-up showed early signs of bone remodelling at the sacroiliac joint.

Relevance and novel information: To the authors' knowledge, this is the first report using a 3DPDG for implant placement in the feline sacrum without intraoperative imaging.

病例摘要:患者是一只 7 岁的雄性阉割短毛猫,因双侧骶髂关节松弛 (SIL) 而前来就诊。在进行了 CT 扫描并将数据提取为立体光刻 (STL) 文件后,使用计算机辅助设计 (CAD) 软件设计并打印了 3D 打印钻孔导向器 (3DPDG)。采用开放式手术方法,将该导向器用作骶骨钻孔的辅助工具。随后徒手钻髂骨翼,并插入经髂骨针(TP)以重新调整和稳定 SIL。猫的肢体功能很早就恢复了正常,术后随访时进行的 CT 扫描显示,骶髂关节处的骨质出现了早期重塑迹象:据作者所知,这是第一份使用 3DPDG 在猫骶骨中植入假体而无需术中成像的报告。
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引用次数: 0
Excision of a nasal dermoid sinus cyst and primary reconstruction using an autologous fascia lata graft in a cat. 在一只猫身上切除鼻腔皮样窦囊肿,并使用自体筋膜移植进行初级重建。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-09-15 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241269284
Sara Manzoni, Roberta Aloisi, Alexandre Bongartz

Case summary: A 6-year-old female spayed domestic shorthair cat was presented with a 7-month history of a subcutaneous mass on the dorsal nasal surface. A CT examination revealed the presence of a nasal dermoid sinus cyst with a nasal bone defect. The cyst was excised and an autologous fascia lata graft was used for reconstruction. The dorsal nasal bone was reconstituted and no compromise of respiratory function was reported in the long-term outcome. No short-term complications were observed at the 2-week follow-up. No long-term complications or recurrence were observed at the 2- and 12-month follow-ups. Fascia lata grafting appears to be an effective method for repairing a nasal bone defect after surgical excision of a nasal dermoid sinus cyst in cats. It is inexpensive and the tissue is easily harvested and provides good functional and cosmetic results.

Relevance and novel information: To the authors' knowledge, this is the first report that evaluates the effectiveness of repairing a nasal bone defect after dermoid sinus cyst excision in a cat using an autologous fascia lata graft.

病例摘要:一只 6 岁的雌性绝育短毛猫在 7 个月前出现鼻背皮下肿块。CT 检查显示该猫存在鼻腔皮样窦囊肿和鼻骨缺损。手术切除了囊肿,并采用自体筋膜移植进行重建。鼻背骨得到了重建,长期结果显示呼吸功能没有受到影响。两周随访时未发现短期并发症。在 2 个月和 12 个月的随访中未发现长期并发症或复发。在猫鼻腔皮样窦囊肿手术切除后,筋膜移植似乎是修复鼻骨缺损的有效方法。这种方法成本低廉,组织易于采集,并能提供良好的功能和外观效果:据作者所知,这是第一份评估使用自体筋膜移植修复猫鼻皮样窦囊肿切除术后鼻骨缺损效果的报告。
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引用次数: 0
Fenestrated over-the-needle catheter fracture during thoracocentesis in a cat. 一只猫在胸腔穿刺术中发生穿孔过针导管断裂。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-09-13 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241273600
Brigid K Lemburg, Julie M Walker

Case summary: A 6-year-old castrated male domestic shorthair cat was evaluated for recurrent pleural effusion, atrial fibrillation and suspected congestive heart failure. During thoracocentesis, the fenestrated over-the-needle catheter became fractured and a catheter fragment remained in the patient's left pleural space. Later in the course of treatment, the patient acutely decompensated and was euthanized. There were no immediately observed complications associated with the retained catheter fragment.

Relevance and novel information: To the authors' knowledge, there are no reports of over-the-needle catheter fractures with retained pleural catheter fragments in veterinary medicine. Similar cases in humans have been successfully managed with and without removal of catheter fragments. In veterinary medicine, the decision to attempt removal of a catheter fragment must consider both the likelihood of related morbidity and the patient's ability to tolerate an invasive procedure.

病例摘要:一只 6 岁的阉割雄性短毛猫因反复胸腔积液、心房颤动和疑似充血性心力衰竭接受了评估。在胸腔穿刺过程中,栅栏状过针导管断裂,导管碎片残留在患者左侧胸膜腔内。治疗后期,患者出现急性失代偿,被安乐死。没有立即观察到与残留导管碎片相关的并发症:据作者所知,在兽医领域还没有关于过针导管骨折并伴有胸膜导管碎片滞留的报道。人类的类似病例在移除或不移除导管碎片的情况下都获得了成功。在兽医学中,决定是否尝试移除导管碎片时,必须同时考虑相关发病率的可能性和患者对侵入性手术的耐受能力。
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引用次数: 0
Distal partial ulnectomy with ulnar styloid process excision for management of an aneurysmal bone cyst in a cat. 为治疗猫动脉瘤性骨囊肿而进行的尺骨远端部分连接切除术和尺骨腕突切除术。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-09-10 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241269323
Carlos Sanchez Villamil, Cesar Llanos Diez, Grace Thomas, Rachel Garty, Marianne Lappalainen, Julius Klever, Alexandros Hardas

Case summary: An 8-year-old male neutered domestic shorthair cat was presented with an acute onset of left thoracic limb lameness and a firm swelling on the lateral aspect of the left distal antebrachium. A CT scan of the left thoracic limb revealed an expansile osteolytic cystic bone lesion centred at the distal left ulnar metaphysis. Cytology from fine-needle aspiration was not consistent with neoplasia. The CT features and the cytology results were suggestive of a bone cyst. A distal partial ulnectomy with ulnar styloid process excision was performed as the biopsy method and as the treatment approach. Histopathology results were consistent with an aneurysmal bone cyst (ABC). Carpal instability was not detected after distal partial ulnectomy; therefore, a stabilisation method was not required. Limb function was excellent after surgery, with no lameness and no recurrence detected by the owner at 2, 6 and 24 weeks postoperatively. The veterinary examination at 12 weeks postoperatively confirmed the owner's outcome assessment.

Relevance and novel information: To the authors' knowledge, this is the first report describing a distal partial ulnectomy with ulnar styloid process excision in a cat. Despite disrupting the short ulnar collateral ligament, this technique provided excellent short-term limb function with no need for carpal joint stabilisation. This technique allowed for the complete excision of a distal ulnar ABC and avoided cyst debridement, which could be associated with haemorrhage, recurrence and malignant transformation. Distal partial ulnectomy should be considered for distal ulnar bone lesions in cats.

病例摘要:一只 8 岁的雄性阉割短毛猫因急性左胸肢跛行和左前肱骨远端外侧坚实肿胀而就诊。左胸肢的 CT 扫描显示,以左尺桡骨干骺端为中心的膨胀性溶骨性囊性骨病变。细针穿刺细胞学检查结果与肿瘤不符。CT 特征和细胞学结果均提示为骨囊肿。作为活检方法和治疗方法,该患者接受了尺骨远端部分尺骨切除术,并切除了尺骨骨干。组织病理学结果与动脉瘤性骨囊肿(ABC)一致。远端部分尺骨切除术后未发现腕关节不稳,因此无需采用稳定方法。术后肢体功能良好,在术后2周、6周和24周,主人没有发现跛行和复发。术后 12 周的兽医检查证实了主人的评估结果:据作者所知,这是第一份描述在猫身上进行尺骨远端部分韧带切除术并同时切除尺骨类风湿关节的报告。尽管该技术破坏了短尺侧韧带,但却能提供极佳的短期肢体功能,且无需稳定腕关节。这种技术可以完全切除尺骨远端ABC,避免了囊肿清创,而囊肿清创可能会导致大出血、复发和恶变。对于猫的尺骨远端病变,应考虑进行尺骨远端部分切除术。
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引用次数: 0
Dyke-Davidoff-Masson-like syndrome in an adult cat. 一只成年猫的戴克-大卫杜夫-马森样综合征。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-09-10 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241273691
Andrea Thon, Elisa Gamperl-Mikula, Florian Willmitzer, Michael Leschnik, Kristina Anna Lederer

Case summary: A 4-year-old cat was presented with acute onset of lateralised neurological central nervous system (CNS) signs and seizures. Haematological and serum biochemical parameters were within normal limits. Imaging diagnostics revealed severe CT and MRI abnormalities of the right brain, similar to Dyke-Davidoff-Masson syndrome (DDMS) in human medicine. This syndrome includes cerebral hemiatrophy with compensatory calvarial hyperostosis and ventriculomegaly. Such changes have previously been reported only once in a single feline case of approximately the same age. In humans, DDMS is described as an embryonic and perinatal developmental disturbance or an acquired injury in early childhood.

Relevance and novel information: This case report shows that without further imaging diagnostics, congenital disorders can be overlooked in some rare cases of adult cats with later onset of their first clinical signs.

病例摘要:一只 4 岁大的猫咪因急性发作侧向神经性中枢神经系统(CNS)症状和癫痫发作而就诊。血液和血清生化指标均在正常范围内。影像诊断显示右脑 CT 和 MRI 严重异常,类似于人类医学中的戴克-达维多夫-马森综合征(DDMS)。该综合征包括脑半球萎缩、代偿性颅骨骨质增生和脑室肥大。这种变化以前仅在一例年龄相仿的猫科动物身上出现过一次。在人类,DDMS 被描述为胚胎和围产期发育障碍或幼年期获得性损伤:本病例报告表明,在一些罕见的成年猫病例中,如果没有进一步的影像学诊断,先天性疾病可能会被忽视,而这些病例的首次临床症状出现得较晚。
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引用次数: 0
Preputial urethrostomy in a cat with suspected glandular hypospadias: case report and literature review. 疑似腺性尿道下裂猫的前尿道造口术:病例报告和文献综述。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-09-02 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241272195
Aina Murcia-Barba, Claudio Iván Serra-Aguado, Tomás Serrano-Crehuet, Núria Fernández-Salesa

Case summary: An 11-year-old neutered male Turkish Angora cat was referred for obstructive feline lower urinary tract disease (FLUTD). On physical examination, the penis was curved at the tip and had a smaller than normal urethral opening proximal to the end, consistent with singular glandular hypospadias with a dorsal penile curvature. Because of its recurrent obstructive FLUTD history and inability to catheterise the urethra, a preputial urethrostomy (PRU) was performed. The PRU resolved the clinical signs with no clinical recurrence and no short- or long-term complications.

Relevance and novel information: To the authors' knowledge, this is the first description of singular glandular hypospadias in a cat. In addition, this is the first time feline hypospadias has been reported to occur with obstructive FLUTD and to be treated by preputial urethrostomy.

病例摘要:一只 11 岁的绝育雄性土耳其安哥拉猫因阻塞性猫下尿路疾病(FLUTD)而转诊。经体格检查,该猫的阴茎顶端弯曲,近端尿道开口小于正常值,符合阴茎背侧弯曲的单侧腺性尿道下裂。由于该患儿有反复阻塞性尿道外口畸形病史,且无法用导尿管插入尿道,因此为其实施了阴茎前尿道造口术(PRU)。PRU 解决了临床症状,没有临床复发,也没有短期或长期并发症:据作者所知,这是首次描述猫的单腺尿道下裂。此外,这也是首次报道猫尿道下裂与梗阻性前列腺增生症同时发生,并通过前尿道造口术进行治疗。
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引用次数: 0
Surgical stabilisation of a traumatic cervical subluxation in a cat. 手术稳定一只猫的外伤性颈椎脱位。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-08-30 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241269292
Lisa Gugliotta, Quentin Cabon

Case summary: A 2-year-old spayed female domestic shorthair cat presented with tetraparesis after being involved in a road traffic accident. Survey spine radiographs revealed a C2-C3 cervical subluxation, which was confirmed by a CT scan. Surgical stabilisation was performed using screws and polymethyl methacrylate (PMMA) via a ventral approach. A postoperative CT scan demonstrated correct implant positioning and good reduction of the subluxation. After surgery, the cat rapidly recovered to a neurologically normal status.

Relevance and novel information: Trauma-induced cervical subluxation is an uncommon occurrence in cats but should be considered in the differential diagnosis. This report describes the surgical management of a C2-C3 cervical subluxation in a cat using screws and PMMA. This is the first case report of a surgically treated subaxial cervical subluxation in a cat.

病例摘要:一只两岁大的绝育雌性短毛猫在一次交通事故后出现四肢瘫痪。脊柱放射线检查显示,C2-C3 颈椎脱位,CT 扫描证实了这一点。通过腹侧入路使用螺钉和聚甲基丙烯酸甲酯(PMMA)进行了手术稳定。术后 CT 扫描显示,植入物的位置正确,半脱位得到了很好的缓解。术后,猫咪的神经功能迅速恢复正常:外伤引起的颈椎半脱位在猫科动物中并不常见,但应在鉴别诊断中予以考虑。本报告描述了使用螺钉和 PMMA 对猫的 C2-C3 颈椎脱位进行手术治疗的情况。这是首例通过手术治疗猫颈椎轴下脱位的病例报告。
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引用次数: 0
Subcutaneous ureteral bypass for treatment of proximal ureteral obstruction secondary to retroperitoneal fibrosis after renal transplantation in a cat. 用皮下输尿管旁路术治疗猫肾移植后继发于腹膜后纤维化的近端输尿管梗阻。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-08-22 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241265244
Peter J Laminette, Robert J Hardie

Case summary: A 5.5-year-old male neutered domestic shorthair cat was presented with a 2-year history of progressive chronic kidney disease. Abdominal ultrasonography revealed bilateral chronic renal degeneration, nephrolithiasis, cortical hyperechogenicity and infarction. Left orthotopic renal transplantation was performed using the Synovis vascular coupling system for end-to-end anastomosis of the renal arteries and veins. Two months after transplantation, renal values were elevated, and abdominal ultrasonography revealed hydronephrosis and hydroureter of the transplanted kidney. Fluoroscopic antegrade pyelography identified a proximal ureteral stricture. Proximal neoureterocystostomy was performed and renal values normalized postoperatively. The cat was re-evaluated for acute stranguria and severe azotemia 12 months later. Contrast-enhanced CT revealed severe hydronephrosis of the transplanted kidney, obstruction of the proximal ureter and adhesions to the urinary bladder. Upon exploration, retroperitoneal fibrosis was found covering the transplanted kidney. Given the clinical situation, a subcutaneous ureteral bypass device (SUB) was placed. Clinicopathologic analyses, trough cyclosporine levels, aerobic urine cultures and ultrasonographic evaluations of the transplanted kidney were monitored every 1-3 months. Patency of the SUB was reassessed every 3-6 months. At 15 months after placement, the SUB occluded due to kinking of the cystostomy catheter and was replaced. At 28 months after SUB placement, renal function and clinical status deteriorated, and the cat was euthanized.

Relevance and novel information: To the authors' knowledge, this is the first report of a SUB device being used for management of ureteral obstruction in a transplanted kidney in a cat.

病例摘要:患者是一只 5.5 岁的雄性阉割短毛猫,两年前开始出现进行性慢性肾病。腹部超声波检查发现双侧慢性肾脏变性、肾结石、皮质高回声和梗死。使用 Synovis 血管耦合系统对肾动脉和静脉进行端对端吻合,进行了左侧正位肾移植。移植两个月后,肾脏数值升高,腹部超声波检查发现移植肾肾积水和肾积脓。透视前行肾盂造影发现近端输尿管狭窄。对其进行了近端新输尿管囊肿切除术,术后肾脏数值恢复正常。12 个月后,该猫因急性绞窄尿和严重氮质血症接受了重新评估。对比增强 CT 显示移植肾出现严重肾积水,近端输尿管阻塞,膀胱粘连。经探查发现,腹膜后纤维化覆盖了移植肾。考虑到临床情况,患者被放置了皮下输尿管旁路装置(SUB)。每隔 1-3 个月对临床病理分析、环孢素谷值、需氧尿培养和移植肾的超声波评估进行一次监测。每 3-6 个月重新评估一次 SUB 的通畅性。放置 SUB 15 个月后,由于膀胱造口导管扭结,SUB 出现闭塞,因此进行了更换。放置 SUB 后 28 个月,该猫的肾功能和临床状况恶化,最终安乐死:据作者所知,这是首次报道使用 SUB 装置治疗猫移植肾的输尿管梗阻。
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引用次数: 0
First case of feline cryptococcosis in Bosnia and Herzegovina. 波斯尼亚和黑塞哥维那首例猫隐球菌病。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-08-07 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241265248
Aida Glavinić, Jovana Šupić, Amer Alić, Nermina Spahija, Alan Maksimović, Amila Šunje-Rizvan

Case summary: A 2-year-old domestic longhair crossbred female cat was referred for a second opinion on a non-healing surgical wound after left eye enucleation. In addition to the left orbital lesion, ulcerative granular masses protruding from the left nostril and on the base of the left ear were noted. A diagnosis of cryptococcosis was established using histopathological examination and a latex cryptococcal antigen agglutination test. The cat was successfully treated with itraconazole.

Relevance and novel information: Cryptococcosis, commonly reported in Australia, western Canada and the western USA, is rarely reported in companion animals in Europe. This marks the first report of cryptococcosis in cats in Bosnia and Herzegovina, emphasising the need to raise awareness within the veterinary community, both local and regional, about this disease.

病例摘要:一只两岁大的家养长毛杂交雌猫因左眼眼球摘除术后手术伤口不愈合而转诊。除了左眼眶病变外,还发现左鼻孔和左耳根部有溃疡性颗粒状肿块突出。通过组织病理学检查和乳胶隐球菌抗原凝集试验,确定了隐球菌病的诊断。猫咪接受了伊曲康唑的成功治疗:隐球菌病通常发生在澳大利亚、加拿大西部和美国西部,但在欧洲很少有伴侣动物感染隐球菌病的报道。这是波斯尼亚和黑塞哥维那首次报告猫感染隐球菌病,强调了提高当地和地区兽医界对这种疾病认识的必要性。
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引用次数: 0
MRI of a presumptive intracranial histiocytic sarcoma with extracranial extension in a cat. 一只猫颅内推测组织细胞肉瘤并向颅外扩展的核磁共振成像。
IF 0.7 Q3 VETERINARY SCIENCES Pub Date : 2024-08-02 eCollection Date: 2024-07-01 DOI: 10.1177/20551169241264134
Anna Eichrodt, Nico Mauri, Maja Ruetten, Barbara Kaser-Hotz, Susann Dressel-Böhm

Case summary: A 4-year-old female neutered Scottish Fold shorthair cat was presented for further investigation of circling towards the right. MRI of the brain revealed an extensive, right-sided temporal muscle lesion with associated frontotemporal bone osteolysis, intracranial, extra-axial extension along the calvarial convexity with severe pachy- and leptomeningeal thickening and contrast enhancement, and an intra-axial space-occupying lesion in the right piriform lobe. The regional lymph nodes were moderately enlarged. Cytology of the right parotid lymph node and the temporal muscle was performed and histiocytic sarcoma (HS) was diagnosed. The owners elected euthanasia.

Relevance and novel information: HS of the central nervous system (CNS) is a very rare neoplastic condition in cats. Although a few case reports mention MRI, to our knowledge, the characterisation of MRI features of feline CNS HS have not been investigated in detail. Therefore, the aim of this case report was to describe the MRI characteristics in a feline HS involving not only the CNS, but also the fronto-temporal bone, temporal muscle and the regional lymph nodes. In particular, aggressive neoplastic bone invasion was a novel finding.

病例摘要:患者是一只 4 岁的雌性苏格兰折耳短毛猫,已绝育,因向右侧绕圈而接受进一步检查。脑部核磁共振成像显示,右侧颞肌广泛病变,伴有额颞骨骨质溶解,颅内、轴外沿犊凸延伸,伴有严重的颊部和脑膜增厚和对比度增强,右侧梨状叶轴内占位性病变。区域淋巴结中度肿大。对右侧腮腺淋巴结和颞肌进行了细胞学检查,确诊为组织细胞肉瘤(HS)。主人选择了安乐死:中枢神经系统 (CNS) 的组织细胞肉瘤是猫科动物中非常罕见的肿瘤性疾病。虽然有一些病例报告提到了核磁共振成像,但据我们所知,猫中枢神经系统 HS 的核磁共振成像特征尚未得到详细研究。因此,本病例报告的目的是描述猫中枢神经系统癌的磁共振成像特征,不仅包括中枢神经系统,还包括额颞骨、颞肌和区域淋巴结。其中,侵袭性骨肿瘤是一项新发现。
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引用次数: 0
期刊
Journal of Feline Medicine and Surgery Open Reports
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