Laparoscopic removal of a large abdominal foreign body granuloma using single incision laparoscopic surgery (SILS) and extraction bag in a cheetah (Acinonyx jubatus)

Abstract

This case presents a thorn‐induced abdominal foreign body granuloma that was removed with single incision laparoscopic surgery and an extraction bag. An 11‐year‐old female cheetah presented for routine laparoscopic ovariectomy. Abdominal palpation detected a mid‐abdominal mass. Differential diagnoses were neoplasia and foreign body. Laparoscopic exploration of the peritoneal cavity revealed an omentalised mass, which was successfully removed with the aid of bipolar electrocoagulation. Microscopic investigation intraoperatively and postoperatively confirmed extensive foreign body‐induced granulomatous inflammation. The foreign body was well encapsulated by fibrous tissue with no adjacent stricture formation. The patient made a complete recovery, and this is the first case report of a thorn‐induced abdominal foreign body removed with minimally invasive surgery in a wild African carnivore.

Ultrasonographic and laparoscopic evaluation of the reproductive tract in older captive female cheetahs (Acinonyx jubatus)

“…One cheetah at site A had a concomitant intra-abdominal granuloma with associated abdominal effusion secondary to an abdominally-located thorn. This granuloma was removed laparoscopically [23].…”

Foreign Body Gastrotomy in an Adult Captive Cheetah, Acinonyx jubatus

“…The diagnosis in this case was arrived at using history and plain radiography following findings suspicions from palpation. Exploratory laparotomy was used for definitive diagnosis and subsequent removal of foreign bodies was previously used by others (Hartman et al, 2015;Papazoglou et al, 2010). Endoscopy has been used for removal of foreign bodies by previous workers (Hoefer and Levitan, 2013).…”

“…It is normal for ingested foreign bodies to perforate the wall of the gastrointestinal tract and end up causing granulomatous lesions in the abdomen (Hoefer and Levitan, 2013;Papazoglou et al, 2010). Hartman et al (2015) have recently reported a thorn induced pyogranulomatous lesion in the abdomen of a cheetah. It has been shown by previous workers that pollution of the environment with items such as litter, plastics and old toys has been associated with increased ingestion of these indigestible materials by livestock (Mushonga et al, 2015), pets (Boag et al, 2005;Hayes, 2009;Hobday et al, 2014;Papazoglou et al, 2010;Tyrrell and Beck, 2006) birds (Hoefer and Levitan, 2013) and even marine animals (De Majo et al, 2016).…”

Single‐Incision Laparoscopic Sterilization of the Cheetah (Acinonyx jubatus)

“…Other laparoscopic sterilization techniques have been reported including ovariohysterectomy, uterine horn occlusion, and laparoscopic‐assisted ovariohysterectomy . Laparoscopic ovariectomy has been performed in domestic cats using laser and bipolar electrocoagulation, and in 1 cheetah after removal of an abdominal foreign body . Laparoscopic ovariectomy, salpingectomy, ovariohysterectomy, and hysterectomy using multiple ports have been reported in the lion, and ovariectomy using single‐incision laparoscopic surgery (SILS) has been performed in 2 tigers .…”

“…9- 13 Laparoscopic ovariectomy has been performed in domestic cats using laser and bipolar electrocoagulation, 14 and in 1 cheetah after removal of an abdominal foreign body. 15 Laparoscopic ovariectomy, salpingectomy, ovariohysterectomy, and hysterectomy using multiple ports have been reported in the lion, [16][17][18] and ovariectomy using single-incision laparoscopic surgery (SILS) has been performed in 2 tigers. 19 Laparoscopic sterilization of the cheetah has not been reported.…”