Our team recently admitted two loggerheads from Virginia Aquarium and Marine Science Center. One of the turtles, named Portsmouth, had ingested a recreational fishing hook and had to undergo surgery to remove the hook from his esophagus. We successfully removed the primary hook, but was surprised to find a second hook near the same location. The second hook was older, and more deteriorated, so they could only safely remove a portion of the hook that was visible.
Animal Health staff at the National Aquarium performed a full physical exam on Portsmouth when he was transferred to our care, including radiographs (x-rays) to assess the location of the remaining hook. While radiographs are extremely helpful as a diagnostic tool, they can only provide a one-dimensional view. Our veterinary staff determined that a Computed Tomography (CT) scan would be a very helpful diagnostic for Portsmouth’s condition. A CT scan is a medical imaging procedure that essentially x-rays a body (or area of a body) around a central axis and produces a large volume of x-ray image ‘slices’ of the body – similar to slicing a loaf of bread. With the help of computer software, the image ‘slices’ can be compiled and manipulated into 3-dimensional images of structures.
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Performing a CT scan on a large sea turtle like Portsmouth can be challenging, but the process is very quick (only a few seconds) and is not invasive. In fact, the most challenging part of the process was convincing Portsmouth to leave his watery world for the short trip. Portsmouth was cooperative during the approximately 30-second imaging process, and our veterinarians were able to consult with the radiologists on site about the possibilities of the hooks positioning.
On August 28, 2013, our veterinarians teamed up with Dr. Adam Gonzales, DVM from the Atlantic Veterinary Internal Medicine & Oncology for an endoscopy procedure in hopes of extracting the remainder of the second hook as seen on the x-rays and CT scans. While Portsmouth did have to be sedated for this procedure, the hook itself was fairly easy to remove as it was simply lying among the papillae. Papillae are keratinized projections within the throat which point inward towards the stomach. They are presumed to trap food while excess water is expelled prior to swallowing.
In just a few hours, Portsmouth was back to swimming in his pool, and had worked up quite the appetite – blue crabs, watch out!