October 2018
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An orphaned male Syrian brown bear (Ursus arctos syriacus) was found in Chaharmahal and Bakhtiari province, Iran. The cub was transferred to Tehran zoo and in the third year, signs of anorexia, dysphagia, coughing, regurgitation, emaciation and lethargy were seen. Under general anesthesia with the combination of tiletamine, zolazepam and medetomidine, the patient was examined. CBC demonstrated leukocytosis with grade 2 toxic changes of neutrophils. By auscultation, crackle sound was suggestive of regurgitation and aspiration pneumonia. In radiographic examination, esophageal strip sign was seen in the esophagus indicative of generalized megaesophagus. Mild increased opacity of the left cranial lung lobe could be suggestive of mild pneumonia. Considering the aspiration pneumonia, antibiotic therapy by ceftiofur and marbofloxacin was done. For stimulation of gastrointestinal tract motility, metoclopramide and domperidone have been started. After 3 weeks, in endoscopic examination, esophageal dilation and several ulcerative lesions were additionally seen. Exploratory laparotomy was performed and during the surgery pyloric stenosis assumed to be, so partial gastrotomy has been done, pyloric sphincter has been removed and anastomosed to duodenum. Due to gastric dilation and risk of volvulus and torsion, gastropexy was performed. After two months the clinical signs were still existed and irreversible, so it was euthanized. Gross necropsy findings demonstrated esophageal dilation, hepatization of lungs and ulceration of the esophagus and stomach. In microscopic findings, ulcerative gastroenteritis, esophagitis and extension of muscles of the stomach were seen.