Endoscope-Guided Marble Foreign Body Removal Technique in an Inland Bearded Dragon (Pogona vitticeps)

E. Littman, Kyra J. Berg, Robyn N. Goldberg, D. Guzman
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Abstract

Abstract A 1-yr-old intact female inland bearded dragon (Pogona vitticeps) was presented approximately 24 h after observed ingestion of a marble. Orthogonal whole-body radiographs with and without contrast revealed a spherical radiopaque foreign body within the gastric lumen and no passage of contrast material beyond the foreign body, suggestive of pyloric outflow obstruction. The complete blood count showed mild basophilia, and plasma biochemical analysis revealed a moderately elevated creatine kinase. The bearded dragon was placed under general anesthesia, and a rigid endoscope was used to visualize the foreign body at the level of the pylorus. The marble foreign body was suctioned and removed orally using a red rubber catheter and a Luer-lock syringe. The patient recovered uneventfully from the procedure and was sent home with sucralfate and omeprazole after 2 days of hospitalization. This report provides a novel, nonsurgical method for removing smooth spherical foreign bodies from the proximal gastrointestinal tract of bearded dragons. The technique may apply to various small-to-medium–sized reptiles or amphibians that present with spherical foreign bodies.
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摘要:在观察到一只1岁的完整雌性内陆胡须龙(Pogona vitticeps)摄入大理石后约24小时出现。有造影剂和没有造影剂的全身正交x线片显示胃腔内有一个不透射线的球形异物,在异物外没有造影剂通过,提示幽门流出梗阻。全血细胞计数显示轻度嗜碱性粒细胞增多,血浆生化分析显示肌酸激酶中度升高。须龙全身麻醉,并使用刚性内窥镜观察幽门水平的异物。用红色橡胶导管和鲁尔锁注射器将大理石异物吸出并口腔取出。患者顺利康复,住院2天后用硫糖铝和奥美拉唑送回家。本报告提供了一种新的,非手术的方法来清除光滑的球形异物从近端胃肠道的胡须龙。该技术可应用于具有球形异物的各种中小型爬行动物或两栖动物。
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