Case report A 5-year-old captive male diamond python (Morelia spilota spilota) was presented with a 1-month history of regurgitation and anorexia and discrete coelomic distention. Physical examination revealed a firm, immobile mass at approximately two-thirds of the snout-vent length from the front of the head. Ultrasoundguided fine needle aspirate biopsy of the mass in the region of the stomach showed necrosis with bacterial infiltration and possibly neoplastic changes. A gastroscopy was conducted, but showed grossly normal gastric mucosa, confirmed by biopsy. On exploratory coeliotomy, it was confirmed the mass involved most of the stomach wall and occluded the gastric lumen. The mass was completely excised and based on histopathology, a diagnosis of gastric adenocarcinoma was made. The snake was found dead 12 h postoperatively, but no specific cause of death was found on postmortem examination. A ntemortem diagnosis of neoplasia in reptiles is uncommonly documented in the literature. Most of the published cases of adenocarcinoma in snakes have been diagnosed at postmortem examination and so provide very little information on clinical signs, diagnosis and clinical classification. As reptile husbandry improves and life span in captivity increases, neoplasia in snakes is being reported more frequently. Several authors have reviewed neoplasia rates in captive reptile collections and a variety of neoplasms were reported, 1-3 but because those large studies were based on postmortem examination it is difficult to extrapolate the findings to the clinical setting to aid in antemortem diagnosis. Coelomic swelling in snakes is a common reason for presentation to the exotics veterinarian and the presenting signs vary markedly because the aetiology is so varied. Clinically, the most common differential diagnoses include abscesses or granulomas, dystocia, constipation, foreign body ingestion and neoplasia.
ConclusionWe report on the clinical signs, diagnostic process and treatment outcome in a case of gastric adenocarcinoma in an adult diamond python, which to our knowledge is the first recorded case in the literature in an Australian python.
Case reportA 5-year-old male diamond python (Morelia spilota spilota) was presented to the University of Queensland Veterinary Medical Centre for regurgitation, anorexia and evaluation of a discrete, firm swelling located approximately two-thirds along the snout-vent length. The snake had been obtained 8 months prior to presentation from a wildlife education organisation and was housed alone in its enclosure, but alongside a Centralian python (Morelia bredli). One month prior to presentation, the snake had regurgitated 24 h after eating and had refused food since then. The owner first noticed the swelling 6 days prior to presentation and it had increased in size rapidly, with the snake becoming reluctant to move in its enclosure, but restless.On physical examination, the snake was found to be slightly overweight. Coelomic palpation revealed a firm, non-painful, approximately 8 × 2 cm,...