Ultrasound Imaging of the Inguinal Region of Adult Male Loggerhead Sea Turtles (Caretta caretta)

Comparative Diagnostic Efficacy of Ultrasonography and Radiography for Gas Embolism in Loggerhead (Caretta caretta) Turtles

Sea turtles face numerous threats, often stemming from human activities, resulting in high mortality rates. One of the primary risks they encounter is posed by fishing activities. In the South Adriatic Sea, the extensive trawling fleet often impacts sea turtles, and in recent years, a specific disorder, known as gas embolism (GE), and the associated disease known as decompression sickness (DCS), has emerged as a new threat. Our study aims to compare the statistical concordance and sensitivity, specificity, and accuracy between ultrasonography and radiography for evaluating GE in marine turtles. The study involved the analysis of 29 loggerhead turtles (Caretta caretta) admitted to the Sea Turtle Clinic (STC) at the Department of Veterinary Medicine, University of Bari, Italy, between December 2022 and March 2023. The sea turtles underwent X-ray evaluation using the three standard projections (dorso-ventral, latero-lateral, cranial-caudal), followed by ultrasound examination to visualize blood vessels through cervical, axillary, and inguinal ultrasound windows. Color Doppler ultrasonography was utilized to assess blood flow, gas localization, and quantity, but this technique proved to be less helpful in detecting GE. Our results confirm the statistically valid performance of ultrasonographic examinations, highlighting the significant role of combining ultrasonography and radiography to enhance sensitivity, especially in complex and challenging cases for identifying gas embolism (GE) in sea turtles.

The sexual segment of the kidney of a tropical rattlesnake, Crotalus durissus (Reptilia, Squamata, Viperidae), and its relationship to seasonal testicular and androgen cycles

The sexual segment of the kidney (SSK) is a hypertrophied region of the nephron, which occurs in males of most squamate species that have been investigated, at least, during the active season. Many studies have shown that the SSK has a seasonal secretory cycle that could be correlated to the mating season, testicular activity, and androgen synthesis. However, to date, no study has investigated the presence of androgen receptors (AR) in cells of the SSK, nor the relation between the expression of AR, testosterone levels, and testicular condition. The SSK in Crotalus durissus corresponds to the distal segment of the nephron and presents a peak of hypertrophy during the period of testicular activity (spermatogenesis) and high testosterone levels, suggesting that seasonal variation of the SSK might be under the control of androgens. Testosterone concentrations and expression of AR varied seasonally with increased values for both parameters directly correlated to hypertrophy of the SSK. This study is, therefore, the first to target the SSK of a tropical snake and to establish a relationship between the secretory cycle of the SSK, testicular cycle, and levels of androgens. Furthermore, this study is the first to identify the presence of AR in the nucleus of the SSK cells.

Diagnostic Imaging of the Reptile Urinary System

Reptiles can develop various diseases of the urinary tract, including, but not exclusively, urolithiasis, gout, acute and chronic kidney injury, and secondary renal hyperparathyroidism. Diagnostic imaging is instrumental in differentiating and diagnosing these ailments. This article describes the current diagnostic imaging approaches used in reptile medicine for evaluation of urinary tract disease. The use of radiographs, ultrasonography, computed tomography, MRI, and endoscopy is discussed and compared for the evaluation of urinary tract disease in reptiles.

ULTRASONOGRAPHIC DETECTION OF INGESTED FISHING LINES IN LOGGERHEADS ( CARETTA CARETTA)

Loggerhead sea turtles ( Caretta caretta) are among the most frequent victims of bycatch in drifting longlines, and the ingestion of fish hooks and fishing lines is one of the most frequent causes of death of sea turtles. The aim of this study was to evaluate whether coelomic ultrasound (US) can be decisive, not only for diagnosis but also to optimize surgical planning based on preoperative evaluation of the bowel conditions and, in addition, to see if there are characteristic sonographic findings in sea turtles associated with the ingestion of fishing lines. Physical examination, hematology, blood chemistry, radiographs, and US examination were performed in 37 loggerhead sea turtles with suspected or known ingestion of fish hooks or monofilament fishing lines. During the ultrasonographic examinations, the loggerhead sea turtles were placed in dorsal recumbency and the prefemoral left and right acoustic windows were used. Nine wild loggerheads had sonographic findings of intestinal and coelomic abnormalities, and the sonographic images were compared with the surgical findings. Ultrasonography positively identified the foreign body in 89% (8/9) animals. The presence of intestinal plication (in all loggerhead turtles) and ultrasonographic visualization of the linear foreign body was always consistent with the ingestion of a fishing line. In sea turtles, fishing lines cause a corrugated appearance in the small intestine due to increased/unproductive peristalsis. The affected small bowel loops are usually dilated with fluid. In the present study, coelomic US allowed us to make a thorough evaluation of the characteristics, number, and severity of the bowel wall lesions in the animals, thus ensuring the planning of a correct surgical procedure. We suggest that US examination of the coelomic cavity should be complementary to radiographic survey in cases of suspected ingestion of fish hooks and fishing lines by sea turtles.

Reproductive Disorders and Perinatology of Sea Turtles

Sea turtles' reproductive disorders are underdiagnosed, but potentially, there are several diseases that may affect gonads, genitalia, and annexes. Viruses, bacteria, and parasites may cause countless disorders, but more frequently the cause is traumatic or linked to human activities. Furthermore, veterinary management of the nest is of paramount importance as well as the care of newborns (also in captivity). This article gives an overview on the methods used to manage nests and reproductive activities of these endangered chelonians species.

Diagnosis and management of intestinal partial obstruction in a loggerhead turtle (Caretta caretta)

A loggerhead sea turtle (Caretta caretta) was suspected of ingesting rubber suction cups during rehabilitation following a cold-stun event. Survey radiographs were inconclusive. Computed tomography (CT) was performed to determine whether the objects had been ingested after traditional radiographs failed to resolve the material. The items were identified, and a partial obstruction was diagnosed. The case was managed with medical therapy using white petrolatum and light mineral oil administered to the turtle in fish for 3 wk. The CT exam was repeated 2 wk into the therapy. A persistent partial obstruction was identified; however, progression of the foreign objects through the intestinal tract was evident and continued medical mangement was deemed appropriate. The foreign bodies were passed with feces 26 days after ingestion.