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5 March 2024 CLINICAL AND PATHOLOGIC FINDINGS IN IGUANIDS WITH SODIUM URATE CHOLELITHIASIS
Paula Rodriguez, Danielle K. Tarbert, Frank Ridgley, Kenneth J. Conley, James Steeil, Rachel E. Burns, Meg Sutherland-Smith, Karen Rosenthal, Joanne R. Paul-Murphy
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Abstract

Four green iguanas (Iguana iguana) and one blue iguana (Cyclura lewisi) from five facilities were diagnosed with sodium urate cholelithiasis. One case was diagnosed antemortem via ultrasonography, and the iguana underwent a choledochotomy for treatment. The other four cases were identified at necropsy. Pathologic hepatic and biliary changes were present in four of the five cases at necropsy. Histologically, four iguanas had hepatic fibrosis, three had bile duct hyperplasia, and one had cholangiohepatitis and pancreaticocholedochitis. Two iguanas had pathologic renal changes. This is the first report of sodium urate cholelithiasis in reptiles. This case series highlights the potential significant clinical disease caused by sodium urate cholelithiasis and the importance of biliary system evaluation. Further investigation is recommended to explore the pathogenesis of reptilian sodium urate cholelith formation.

Paula Rodriguez, Danielle K. Tarbert, Frank Ridgley, Kenneth J. Conley, James Steeil, Rachel E. Burns, Meg Sutherland-Smith, Karen Rosenthal, and Joanne R. Paul-Murphy "CLINICAL AND PATHOLOGIC FINDINGS IN IGUANIDS WITH SODIUM URATE CHOLELITHIASIS," Journal of Zoo and Wildlife Medicine 55(1), 256-267, (5 March 2024). https://doi.org/10.1638/2023-0043
Accepted: 8 October 2023; Published: 5 March 2024
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