Page 287 - Clinical Manual of Small Animal Endosurgery

Small Exotic Animal Endosurgery 275

(a)

Fig. 10.1 (a) The typical
appearance of a severe multifocal
Aspergillus species fungal air
sacculitis in a parrot. Endoscopy
not only allows visualisation and
sampling, but can in some cases
allow the debridement or topical
application of antifungals in single
lesions. (b) Laparoscopic view of an
obstructive cholangiocystitis in a
guinea pig, an unusual differential (b)
for more common cystic ovaries
causing anorexia and palpable
abdominal masses in female
guinea pigs. Despites the patient’s
small size, at 1.1 kg, laparoscopy
results in excellent visualisation.
Care is needed, however, in
avoiding trauma to the large,
thin-walled caecum and large
intestine during entry. (c) Uterine
adenocarcinoma metastasis to the
peritoneum, diaphragm and liver
are evident in this rabbit. Brief
laparoscopy provides a useful
staging tool for prognostication in (c)
these cases.