Case Report : Urolith Surgical Removal in a Green Iguana (Iguana iguana) (LAPORAN KASUS : BEDAH PENGELUARAN BATU KANTUNG KEMIH PADA SEEKOR IGUANA HIJAU (IGUANA IGUANA))

Abstract

Two years old male Green Iguana (Iguana iguana) weighing 1.3 kilograms presented with a swelling mass in the abdomen. Clinical signs, palpation and radiography images indicated urolith in the urinary bladder. The mass was radiopaque and had a width of 37 mm and a length of 41 mm. Clinical findings, examination and radio-imaging confirmed urolithiasis in the urinary bladder. Coeliotomy and cystotomy were performed to remove the urolith. Two days after surgery, the iguana regained its appetite and normal urate secretion was observed. Prognosis is good when surgery is performed on a healthy animal. ABSTRAKSeekor iguana hijau (Iguana iguana) jantan berumur dua tahun dengan bobot 1,3 kg datang dengan keluhan ada massa tumbuh membesar di dalam abdomen. Tanda-tanda klinis, hasil palpasi dan radiografi menunjukkan adanya urolit di dalam kantung kemih. Massa adalah radiopak dan memiliki lebar 37 mm dan panjang 41 mm. Gejala, pemeriksaan klinis dan radiografi meneguhkan telah terjadi urolithiasis pada vesika urinaria. Coeliotomi dan sistotomi diindikasikan untuk mengangkat batu kantung kemih/ urolith. Dua hari setelah operasi urolith, nafsu makan iguana sudah kembali dan sekresi urat terpantau normal. Operasi pengangkatan urolith yang dilakukan pada hewan yang sehat memiliki prognosis yang

Surgical removal of bladder stone in a sulcata tortoise (Centrochelys sulcata): A case study

“…The diagnoses of bladder stones in this case was proof with X-ray imaging which showing a large dense mass in the urinary bladder [11,15]. Bladder stones usually induced by excess of calcium intake in feed or dehydration condition for long poeriod which makes the urates deposite from kidneys turn to crystalize in urinary bladder [11,14]. In this tortoise the bladder stones supposed to be exist for months before diagnosed.…”

“…In this tortoise the bladder stones supposed to be exist for months before diagnosed. Surgery treatment is the best choice for removing the bladder stones from the urinary bladder due to the size and high density of the stones [16,14]. The anesthesia using ketamine combine with xylaxine was the common method in animal and safe using in reptiles surgery [3,4,8,12].…”

“…Prior to surgery the tortoise was prepared to minimize anesthetic risks [12,13,15]. The surgery was perform for cutting the plastron or the bottom of the shell and remove the stone from the urinary bladder [13,14]. Most tortoises undergo the surgery showing fine post-operative reponses.…”

“…Antibiotic enrofloxacine 10% with the dosage 5 mg/kg BW combine with antiinflamatory tolfenamic acid 4% given 0,1 ml/kg BW and vitamin B complex given 0,2 ml/kg BW all are injected intramuscularly once a day for 5 consecutive days [4,10,13,15]. For maintain the hydration status, fluid therapy Ringer Lactat's solution 20 ml/kg BW was given intracoelomic once a day for 3 consecutive days [1,14,17]. The tortoise put in a clean-warm room with a temperature of 28-30 o C and humidity 55-65% after complete recovery from the anesthesia.…”