How To Necropsy A Mammal
How To Necropsy A Mammal
How To Necropsy A Mammal
COPYRIGHT 2012
by Dr. Corrie Brown
University of Georgia
Department of Veterinary Pathology
Athens, Georgia
USA 30602-7388
ISBN: 978-0-9659583-9-4
Library of Congress Control Number: 2011944577
TAKING SAMPLES
This chapter will focus on how to best collect the samples in the field,
and so optimize the key element of sample collection, as seen in the
circle diagram below:
Treatment
Sick
animal
Visit by
animal
health
professional
Report back
to
veterinarian
Samples
taken
Laboratory
testing
Samples
submitted
Samples
to lab
submitted to
lab
2.1
Obtain history
Examine the animal externally
Open the body
Remove the organs and set aside for detailed
examination and sampling
5. Examine and sample the organs
6. Write the report
2. External examination
Many people believe a necropsy begins when you start using the knife.
But if you neglect to look at many external aspects of the carcass, some
key findings can be missed.
Pull the right front leg up, insert knife into skin in the axilla and cut from
the inside out to reflect the fore limb. For the hind limb, lift the limb,
insert knife, cut through soft tissues and then insert the knife at the
coxofemoral junction, cutting through the teres (or round) ligament, so
that the hind limb can be reflected also. It is always a good idea, when
cutting skin, to cut from the inside out because cutting through hair will
dull the knife very quickly. Dull knives make the necropsy more difficult
and also dangerous as you are more likely to cut yourself with a dull
knife because of the increased effort needed to cut. A stronger push will
cause the knife to go into your hand by accident much more easily.
Here is what the carcass looks like now. Ballotte the abdomen gently - is
there any fluid? How do the subcutaneous tissues feel? If they are a
little sticky, it means the animal is dehydrated.
Now that all the skin has been removed on this side of the body, the next
step is to expose the viscera. First, cut a window in the abdominal
musculature and remove the abdominal muscle. Begin by making a cut
that goes parallel to and just behind the last rib (see the arrows in the
lower left picture). It is a good idea to tent the muscle a little as you
make your first cut, to avoid cutting through the viscera beneath. Once
an opening is made, continue to pull the muscle away from the viscera as
you cut. If you nick the intestine, the peritoneal cavity can become a
mess and is harder to evaluate.
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The peritoneal and pleural cavities are very separate spaces. The
pressure in the pleural cavity should be negative. To ensure that it
was still negative when the animal died, lift up the diaphragm and
insert your knife through. You should hear a slight whoosh of air
move into the pleural cavity. You may now cut more of the
diaphragm because you are about to open the pleural cavity by
cutting through the ribs.
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Using rib cutters, cut through the ribs at both the ventral and dorsal
aspects, and remove the ribs. Alternatively, in young animals, the ribs
are soft enough that you can just cut through the ribs ventrally and then
push back the ribs, breaking them at the dorsal portions (photo at right).
Note the color, position, and size of all organs and look for any adhesions
or accumulations of fluid within cavities. In the case of exudates at any of
the surfaces, now is the time to take samples, using swabs or syringes.
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Insert the knife between the tongue and the medial surfaces of the
mandible. Gently tug to pull the tongue ventrally. You will have to cut
some muscle attachments of the tongue to the area of the mandibular
symphysis. Once the tip of the tongue has been pulled through the
mandible insert pressure to pull the tongue backwards.
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Cut the hyoid bones to free the caudal tongue, esophagus and trachea
from the pharynx. This is not as easy as it looks and you may have to
palpate a bit to find the hard hyoid connection. The hyoid makes an
inverted V from this perspective and it is best to cut through the very
top of that inverted V because this is cartilage and will cut more easily
than the rest of the structure which is bone. Connective tissue
surrounding the esophagus and trachea are teased away as the pluck is
pulled ventrally and caudally.
Pull the tongue/trachea/esophagus caudally and cut where the pericardium is attached to the ventral body wall.
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While still applying gentle tension toward the thoracic inlet, the heart
and lungs are removed by severing or tearing all attachments holding
them in place.
At the level of the diaphragm, it is necessary to cut the three attachments
(aorta, esophagus, caudal vena cava.) holding the pluck to the abdominal
viscera.
Set the pluck tongue, esophagus, trachea, heart, and lungs aside, in
a clean area.
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Insert your hand up above the intestines and rumen to find the kidney
and the mesenteric attachments of the intestine. The right adrenal is also
in this location, so before you cut too much, see if you can identify the
right adrenal and sample it if needed.
Cut the intestines at their connections with the liver (bile duct) and pull
away from the body cavity.
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Now that the abdominal cavity is free of the large digestive organs,
identify the left adrenal, remove it and set it aside.
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After the head is disarticulated, peel the skin dorsocranially over the skull.
Once the calvarium is exposed, make three cuts with a saw. Then you can
pry the calvarium off to expose the brain.
20
Hold the skull upside down and gently tear (or cut) all the cranial nerves
that are attaching the brain through the floor of the skull.
21
The brain should fall into your hand. Look inside the skull - the pituitary
and some ganglia remain. Sample these if needed.
Before we are finished with the carcass, there are four more
tissues/organs to examine.
22
Identify some peripheral lymph nodes and note size and color. Cut
through to see the inner surface - is there edema, reactivity? What is the
consistency?
How are the joints? Cut through some large joints - carpus, stifle - what
is the consistency of the fluid? Are the membranes clear?
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A Note on Sampling of Tissues Tissues should be collected in duplicate, with half going into
10% formalin for histopathology and half as unfixed tissues
that will be used for bacterial culture, virus isolation,
fluorescent antibody testing, toxicology, etc.
The following tissues should be collected in all cases: lung,
liver, spleen, heart, brain, kidney, intestines. Additionally, any
other tissue that might have lesions (skin, adrenal, ovary,
etc.) should also be collected.
Crushing should be
avoided when taking
samples since this may
cause histological
artifacts. This can be
avoided by using a
sharp blade and a hard
surface.
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Lymphoid system
.
The spleen should be relatively flat, not turgid, and will not fracture
when folded. On cut surface, it should be uniform
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Brain
Often the brain is
sliced down the
middle to create
symmetrical
halves for frozen
and formalin
specimens.
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Heart
28
To open the right side of the heart, make a C-shaped cut, following
the outline of the right ventricle. Extend the cut so that all of the right
ventricle and right atrium are open and exposed. Now you can see
the inside of both right-sided chambers and both valves on the right
(right a-v valve and pulmonic valve).
29
Respiratory system
Begin by cutting down the trachea and into the bronchi, making
note of any mucus, froth, or petechiae.
Palpate all lobes of the lung. Lungs should be uniformly pink and
slightly spongy. Make several cuts through the lungs - be sure to look
in all lobes.
30
Before finishing with the pluck, be sure to examine the two digestive
system organs that are part of the pluck. Make several cuts through the
tongue to look at the musculature. Cut down the esophagus to see the
mucosa and look for abnormalities.
Urinary tract
For each kidney, peel the capsule back. It should peel easily. Slice
through the kidney to examine the cut surface.
31
Reproductive tract
At left is the female
reproductive tract.
Slice through the
ovaries. Also cut into
the uterine horns,
uterine body, and
cervix, observing
mucosal surfaces.
32
Liver
The livers surface should be examined for any abnormalities. It should
be palpated for any nodules, friable areas, or other abnormal changes.
Several slices are made into the liver in order to examine the deeper
structure of the liver.
33
Intestinal tract
Spread out the intestines and
determine the various parts.
Begin with the duodenum and
follow down the jejunum, to
the ileum, which empties into
the cecum at the ileo-cecocolic junction. The large
intestine slowly narrows to
become the spiral colon,
which then progresses on
down to the terminal colon.
34
Open segments of
the intestinal tract,
beginning with the
duodenum and
working caudally.
Be sure to examine
the mucosal surface
carefully and open
numerous segments.
If the history indicates
an intestinal problem,
you may need to open
the entire intestinal
tract.
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A Note on Sampling of organs Tissues should be collected in duplicate, with half going into 10%
formalin for histopathology and half as unfixed tissues that will be used
for bacterial culture, virus isolation, fluorescent antibody testing, toxicology, etc.
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