A 3.10 kg, six-year old male green iguana (Iguana iguana) suffered several weeks of decreased activity, loss of body weight, anorexia and change of skin colour. Physical examination revealed a cachectic depressed lizard, with marked pale mucous membranes. The complete blood count revealed a leukocytosis (46.5 × 10 9 /l), elevated heterophils (23.25 × 10 9 /l) and azurophils (23.25 × 10 9 /l), decreased haemoglobin concentration (29.00 g/l), low haematocrit (0.16 l/l) and erythropenia (0.35 × 10 12 /l). Abnormalities of the plasma chemistry panel included increased activity of aspartate aminotransferase (6.05 μkat/l) and creatinephosphokinase (217.91 μkat/l), increased concentrations of uric acid (321.58 μmol/l), phosphorus (4.04 mmol/l) and bile acids (120.21 μmol/l), as well as a decreased concentration of glucose (3.72 mmol/l), cholesterol (0.637 mmol/l) and triglycerides (0.09 mmol/l). A lateral radiograph revealed soft-tissue opacity present in the region of the liver. Magnetic resonance imaging showed a markedly enlarged left liver lobe distended caudally and displacing the other abdominal organs. The signal intensity of the liver parenchyma was slightly hyperintense, the ventro-medial part of the left lobe showed a hypointense signal. Endoscopic examination of the coelomic cavity revealed a greatly enlarged pale liver and the presence of a straw-coloured modified transudate. Based on histopathological examination of the liver hepatocellular carcinoma was diagnosed. Despite supportive treatment the patient died on the sixth day of hospitalisation.
Reptiles, liver disease, plasma chemistry, bile acids, MRIDifferent types of liver diseases are common in captive reptiles. Monitoring of liver function in reptiles is not easy and cannot be based purely on measuring the activities of plasma enzymes like alkaline phosphatase (ALP), alanine aminotransferase (ALT), and aspartate aminotransferase (AST), because the large reserve capacity of the reptilian liver function makes such evaluation incorrect. Using magnetic resonance imaging (MRI) to assess focal lesions of the spleen and liver has been well documented in dogs (Clifford et al. 2004) and the diffuse and focal pathological processes in different organs and soft tissues are documented with MRI imagines in human and veterinary medicine (Gumpenberger and Henniger 2001;Oliva and Saini 2004;Bialecki and Bisceglie 2005;Aguirre et al. 2006;Hecht et al. 2006;Silverman 2006;Elsayes et al. 2007;Knotek et al. 2007;Szklaruk and Bhosale 2007).
Materials and MethodsA 3.10 kg, six-year old male green iguana (Iguana iguana) suffered several weeks of decreased activity, continuing loss of body weight, anorexia and change of skin colour. The iguana was kept as a single pet indoors in a terrarium (1.45 × 0.9 × 0.6 m) with temperature ranges between 24 and 35 °C, air humidity between 60 and 80% and a specific light regime (12h/12 h of light and dark, 100 W bulb + UV lamp Repti-Glo 5.0, Hagen). The diet