Intussuscepção intestinal associada à protrusão cloacal em Trachemys scripta elegans
Zafalon-Silva, BrunaFormenton, Bruna DinahSchmidt, Victória Regina de QueirozSantos, Eduardo Almeida Ruivo doAlievi, Marcelo Meller
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)
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