Intussuscepção intestinal associada à protrusão cloacal em Trachemys scripta elegans / Intestinal intussusception associated with cloacal protusion in Trachemys scripta elegans

Background: Gastrointestinal dysfunction in reptiles is a common condition seen in animal medicine, and is often causedby inappropriate husbandry. The purpose of this report is to describe the case of a surgical procedure for enterectomy ofthe small intestines, performed as treatment for an intussusception with cloacal protrusion that occurred in a red-earedslider (Trachemys scripta elegans) kept as a pet.Case: A 20-year-old red-eared slider (Trachemys scripta elegans) was taken into medical care after the owner’s observationof a cloacal protrusion that had started 72 h previously. During physical examination the protrusion was noted as an intestinalsegment of approximately 5 cm, which was not reducible. Complementary examinations, including radiography and hematological profiling, were performed and revealed no significant findings; therefore, it was decided that an exploratory celiotomywould be conducted. The patient was referred to the surgical unit for the procedure and underwent surgical anesthesia. Afterappropriate antisepsis of the surgical area, a plastron osteotomy was performed using a previously sterilized oscillatory saw ata 45º angulation. The celomatic membrane was subsequently incised to enable both cavity and intestinal inspection allowingobservation of the intussusception in the small intestine of the animal with the intussuscept segment protruding through thecloaca. The intussusception was undone, and an enterectomy was performed to remove the unviable intestine, using intestinalresection and subsequent anastomosis with simple interrupted sutures using 4-0 nylon, followed by intestinal reposition in thecavity. The celomatic membrane was closed using continuous suture with 4-0 nylon. The plastron fragment was then repositioned with the aid of eight...

Intussuscepção intestinal associada à protrusão cloacal em Trachemys scripta elegans / Intestinal intussusception associated with cloacal protusion in Trachemys scripta elegans

Background: Gastrointestinal dysfunction in reptiles is a common condition seen in animal medicine, and is often causedby inappropriate husbandry. The purpose of this report is to describe the case of a surgical procedure for enterectomy ofthe small intestines, performed as treatment for an intussusception with cloacal protrusion that occurred in a red-earedslider (Trachemys scripta elegans) kept as a pet.Case: A 20-year-old red-eared slider (Trachemys scripta elegans) was taken into medical care after the owners observationof a cloacal protrusion that had started 72 h previously. During physical examination the protrusion was noted as an intestinalsegment of approximately 5 cm, which was not reducible. Complementary examinations, including radiography and hematological profiling, were performed and revealed no significant findings; therefore, it was decided that an exploratory celiotomywould be conducted. The patient was referred to the surgical unit for the procedure and underwent surgical anesthesia. Afterappropriate antisepsis of the surgical area, a plastron osteotomy was performed using a previously sterilized oscillatory saw ata 45º angulation. The celomatic membrane was subsequently incised to enable both cavity and intestinal inspection allowingobservation of the intussusception in the small intestine of the animal with the intussuscept segment protruding through thecloaca. The intussusception was undone, and an enterectomy was performed to remove the unviable intestine, using intestinalresection and subsequent anastomosis with simple interrupted sutures using 4-0 nylon, followed by intestinal reposition in thecavity. The celomatic membrane was closed using continuous suture with 4-0 nylon. The plastron fragment was then repositioned with the aid of eight...(AU)

Estabilização de sínfise mandibular com cerclagem após disjunção traumática em cachorro-do-mato (Cerdocyon thous) / Mandibular symphysis stabilization after traumatic disjunction in a crab-eating fox (Cerdocyon thous)

Background: Fractures and dislocations are common orthopedic conditions arising from traumas from anthropic interaction on wild species, such as those caused by road trampling, being the mandibular separation with great frequency of occurrence in dogs and cats. The procedures for mandibular symphysis stabilization are described as of low complexity in the literature, however no reports of this procedure in wild canids were found. The purpose of this study is to report a surgical procedure of mandibular symphysis disjunction stabilization in an individual of the species Cerdocyon thous (crab-eating fox) through the technique of cerclage fixation using stainless steel wire.Case: An adult male individual of the free-living specie weighing 5.6 kg was referred to veterinary care after having been run-over. General physical examination showed abrasions in the ventral region of the jaw, discreet bleeding in the oral cavity, and mandibular instability. Subsequently, the patient underwent radiographic examination that revealed mandibular disjunction. The patient was therefore referred to the surgical unit for stabilization. During surgical anesthesia, two 12-gauge hypodermic needles (40x12 mm) were inserted percutaneously through the ventral region of the mandible, protruding into the oral cavity immediately caudal to the canine teeth. Next, both extremities of a 0.5 mm stainless steel wire were introduced into the interior of the needles and, when both ends extruded through the other end of the needles, the latter were removed, leaving only the steel wire uniting both rostral rami of the mandible. Using a twisting apparatus, the steel wire was twisted until the disjunction was completely stabilized and mandibular occlusion was deemed appropriate. Lastly, the surplus steel wire was sectioned, leaving a small segment that remained exposed to surface in the ventral region of the mandible.[...](AU)

Estabilização de sínfise mandibular com cerclagem após disjunção traumática em cachorro-do-mato (Cerdocyon thous) / Mandibular symphysis stabilization after traumatic disjunction in a crab-eating fox (Cerdocyon thous)

Background: Fractures and dislocations are common orthopedic conditions arising from traumas from anthropic interaction on wild species, such as those caused by road trampling, being the mandibular separation with great frequency of occurrence in dogs and cats. The procedures for mandibular symphysis stabilization are described as of low complexity in the literature, however no reports of this procedure in wild canids were found. The purpose of this study is to report a surgical procedure of mandibular symphysis disjunction stabilization in an individual of the species Cerdocyon thous (crab-eating fox) through the technique of cerclage fixation using stainless steel wire.Case: An adult male individual of the free-living specie weighing 5.6 kg was referred to veterinary care after having been run-over. General physical examination showed abrasions in the ventral region of the jaw, discreet bleeding in the oral cavity, and mandibular instability. Subsequently, the patient underwent radiographic examination that revealed mandibular disjunction. The patient was therefore referred to the surgical unit for stabilization. During surgical anesthesia, two 12-gauge hypodermic needles (40x12 mm) were inserted percutaneously through the ventral region of the mandible, protruding into the oral cavity immediately caudal to the canine teeth. Next, both extremities of a 0.5 mm stainless steel wire were introduced into the interior of the needles and, when both ends extruded through the other end of the needles, the latter were removed, leaving only the steel wire uniting both rostral rami of the mandible. Using a twisting apparatus, the steel wire was twisted until the disjunction was completely stabilized and mandibular occlusion was deemed appropriate. Lastly, the surplus steel wire was sectioned, leaving a small segment that remained exposed to surface in the ventral region of the mandible.[...]