Shell Trauma and Linear Foreign Body in a Rescued Green Sea Turtle (Chelonia mydas)
On presentation, the patient was identified as an 8-year-old male green sea turtle. Physical exam revealed a third vertebral scute carapacial fracture, and a monofilament line protruding from the cloaca. Radiographic images showed no pneumocoelom. Computed tomography imaging disclosed moderate intestinal plication. The iSTAT results revealed metabolic alkalosis. Bacterial culture of the fracture site revealed growth of Enterococcus faecalis and Bacillus spp. Based on these findings, the patient was diagnosed with an infected carapacial fracture and an intestinal linear foreign body obstruction. Amoxicillin/clavulanate potassium, amikacin, ketoprofen, and lactated ringer's solution with dextrose and vitamin B were prescribed. The fracture site was debrided and scrubbed. The monofilament fishing line foreign body was removed via a prefemoral fossa enterotomy. Topical and intravenous stem cells were administered and a wound vacuum treatment was established. At the time of this report, the fracture site was slowly healing and the iSTAT abnormalities had resolved.