Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.210081
Jornal Vascular Brasileiro
Case Report

Reparo de lesão vascular não letal causada por tamanduá‑bandeira (Myrmecophaga tridactyla) no Brasil

Repair of non-lethal vascular injury caused by Giant Anteater (Myrmecophaga tridactyla) in Brazi

Vinicius Tadeu Ramos da Silva Grillo, Rodrigo Gibin Jaldin, William Wakasugui, Marcelo Sembenelli, Vidal Haddad Júnior

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Resumo

O tamanduá-bandeira é um mamífero encontrado na América Central e na América do Sul. Esse animal possui garras que podem chegar a 6,5 cm de comprimento, utilizadas para escavar formigueiros e obter alimento, além de servir para sua defesa. Relatamos o caso de paciente masculino de 52 anos, com histórico de epilepsia, que foi levado desacordado ao pronto-socorro, devido a lesões no seu braço direito causadas por um tamanduá. Frente à suspeita de trauma vascular, o paciente foi submetido a exploração cirúrgica, que evidenciou uma lesão combinada de vasos braquiais, submetida a reparo. Apresentou boa evolução do quadro, recebendo alta hospitalar no segundo dia de pós-operatório e, no seguimento ambulatorial, evoluiu sem sequelas neurológicas ou vasculares.

Palavras-chave

tamanduá-bandeira; animais selvagens; lesões do sistema vascular; procedimentos cirúrgicos vasculares

Abstract

The giant anteater is a mammal found in Central and South America. These animals have claws that can reach 6.5 centimeters in length, which they use to dig anthills to obtain food and for defense. We report the case of a 52-year-old male patient with a history of epilepsy who was taken unconscious to the emergency room due to injuries to his right arm caused by an anteater. He underwent surgical exploration to investigate suspected vascular trauma, revealing a combined (arterial and venous) injury of the brachial vessels, which were repaired. He recovered well and was discharged on the second postoperative day. During outpatient follow-up he continued to improve, with no neurological or vascular sequelae.

Keywords

giant anteater; wild animals; vascular system injuries; vascular surgical procedures.

References

1. Braga FG. Ecologia e comportamento de tamanduá-bandeira [tese]. Curitiba: Universidade Federal do Paraná; 2010.

2. Haddad V Jr, Reckziegel GC, Domingos G No, Pimentel FL. Human death caused by a giant anteater (Myrmecophaga tridactyla) in Brazil. Wilderness Environ Med. 2014;25(4):446-9. http://dx.doi.org/10.1016/j.wem.2014.04.008. PMid:25027752.

3. Haddad VH Jr, Nunes JF. Report of a new human death caused by a giant anteater in Brazil. Wilderness Environ Med. 2016;27(4):535-7. http://dx.doi.org/10.1016/j.wem.2016.07.003. PMid:27567456.

4. ATLS Subcommittee. American College of Surgeons’ Committee on Trauma, International ATLS working group. Advanced trauma life support (ATLS®). J Trauma Acute Care Surg. 2013;74(5):1363-6. PMid:23609291.


Submitted date:
05/10/2021

Accepted date:
09/28/2021

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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