Management of a Soft Tissue Sarcoma in a Bog Turtle (Glyptemys muhlenbergii)

Rhabdomyosarcoma on the Forelimb of a Common Musk Turtle (Sternotherus odoratus)

Malignant mesenchymal tumours are only rarely reported in turtles. In the present case, an 8-year-old female common musk turtle (Sternotherus odoratus) was presented with a solid, reddened, non-mobile mass on the right forelimb. The mass had a thin, membranous lining and a grey-white cut surface. Histological examination revealed a cell-rich, focally infiltrative neoplasm consisting of spindloid tumour cells arranged in bundles and streams. Rarely, indistinct cytoplasmic cross-striations were seen in the neoplastic cells. Transmission electron microscopy revealed cytoplasmic, disorganized muscle fibrils and haphazardly arranged, attenuated Z-lines in the neoplastic cells. The histological, histochemical and ultrastructural findings led to the diagnosis of a rhabdomyosarcoma. This is the first description of rhabdomyosarcoma in a freshwater turtle.

Feasibility of a blind perineural injection technique for brachial plexus blockade in eastern box turtles (Terrapene carolina carolina): a cadaver study

OBJECTIVE

To describe the anatomy of the brachial plexus in eastern box turtles (Terrapene carolina carolina), develop a blind perineural injection technique for brachial plexus blockade and evaluate the distribution of three volumes of new methylene blue dye for injection in cadavers.

STUDY DESIGN

Prospective, randomized, blinded cadaveric study.

ANIMALS

A total of 24 frozen-thawed box turtle cadavers; two turtles identified with shoulder injuries were subsequently excluded from the study. The remaining 22 turtles weighed 397 (190-581) g, median (range).

METHODS

The brachial plexus and regional anatomy were identified by dissection of seven cadavers to determine anatomic landmarks for a perineural injection technique. This technique was tested by randomizing 15 cadavers into one of three groups to be injected bilaterally with one of three volumes (0.1, 0.2 or 0.3 mL) of methylene blue dye 1% aqueous solution. Investigators blinded to the assigned group dissected cadavers 15 minutes after injection and used staining of the four cervical spinal nerves (C5-C8; 25% for each nerve) to record a staining score of the brachial plexus (0-100%).

RESULTS

Based on descriptions of the anatomy of the brachial plexus, an injection technique was designed. Injections of 0.1 mL methylene blue dye resulted in nine/10 injections with 100% nerve stained, and one/10 injection with 50% (two) nerves stained. All injections of 0.2 or 0.3 mL of methylene blue dye resulted in 100% nerves stained.

CONCLUSIONS AND CLINICAL RELEVANCE

Perineural injection of the brachial plexus with 0.1, 0.2 or 0.3 mL methylene blue dye was successful in 29/30 injections in box turtle cadavers weighing 190-581 g. Further studies are needed to determine the minimum volume of injectate that can be successfully used for this technique, and to evaluate its application and efficacy in live turtles.