Article history: Received: 03-05-2018, Accepted: 25-07-2018, Published online: 11-09-2018
Corresponding author: Rahul Kumar Udehiya
E-mail: firstname.lastname@example.orgCitation: Singh G, Udehiya RK, Mohindroo J, Kumar A, Singh T, Verma P, Devi NU, Anand A (2018) Differential diagnosis and surgical management of cecal dilatation vis-a-vis cecal impaction in bovine, Veterinary World, 11(9): 1244-1249.
Aim: The present study was undertaken to study the clinical and hemato-biochemical alterations, ultrasonography, and surgical treatment of bovine suffering from cecal dilatation and cecal impaction.
Materials and Methods: The present study was conducted on 11 bovines (9 buffaloes and 2 cattle) suffering from cecal dilatation (n=6) and cecal impaction (n=5). The diagnosis of surgical affections of cecum was made on the basis of clinical examination, hematobiochemistry, ultrasonography, and exploratory laparotomy.
Results: A marked decrease in serum total protein, albumin, chloride, potassium, and calcium levels while an increase in lactate concentrations was recorded. Peritoneal fluid examination revealed an increase in total protein concentration. Per rectal examination along with ultrasonography was used as a confirmatory diagnostic tool for cecal dilatation and cecal impaction. Ultrasonographic features of cecal dilatation and cecal impaction were recorded. Left flank laparorumenotomy was performed in six animals with dilated cecum along with colonic fecalith. Post-rumenotomy, these animals were treated with massage of cecum along with kneading of colonic fecalith. Right flank typhlotomy was done in the remaining five animals having impacted cecum for decompression of the dilated cecum. 9 of 11 animals survived which underwent surgery and remained healthy up to 3-month follow-up.
Conclusion: Ultrasonography was reliable in the diagnosis of cecal dilatation and cecal impaction in bovine. Left flank exploration after laparorumenotomy is an ideal surgical technique for the management of cecal dilatation, while right flank typhlotomy is ideal for the management of cecal impaction in bovine.
Keywords: buffalo, cattle, cecum, percussion, typhlotomy, ultrasonography.
1. Khalphallah, A., Aref, N.E.M., Elmeligy, E. and El-Hawari, S.F. (2016) Clinical and ultrasonographic observations of functional and mechanical intestinal obstruction in buffaloes (Bubalus bubalis). Vet. World, 9: 475-480. [Crossref] [PubMed] [PMC]
3. Singh, G., Saini, N.S., Kumar, A., Mohindroo, J. and Sharma, M. (2017) Diagnosis and outcome of surgical management of cecal dilatation in bovine. Indian Vet. J., 94: 48-50.
5. Braun, U., Beckmann, C., Gerspach, C., Hassig, M., Muggli, E., Schweizer, G.K. and Nuss, K. (2012) Clinical findings and treatment in cattle with caecal dilatation. BMC Vet. Res., 8: 75. [Crossref] [PubMed] [PMC]
6. Rosenberger, G., Dirksen, G., Grunder, H.D., Grunert, E., Krause, D., Stober, M. and Mack, R. (1979) Clinical examination of cattle. In: Clinical Examination of Cattle. 1st ed. Verlag Paul Parey, Berlin, Hamburg, p. 151-453.
7. Singh, G. (2015) Clinical Studies on the Ultrasonographic Diagnosis and Surgical Management of ?Intestinal Obstruction and Caecal Dilatation in Bovine. M.V.Sc. Thesis (Department of Veterinary Surgery and Radiology). Guru Angad Dev ?Veterinary and Animal Sciences University, Ludhiana, India.
8. Fubini, S.L., Erb, H.N., Rebhun, W.C. and Horne, D. (1986) Caecal dilatation and volvulus in dairy cows: 84 cases (1977-1983). J. Am. Vet. Med. Assoc., 189: 96-99. [PubMed]
9. Martig, J. (1996) Hochtonendes perkussionsgerausch (PING) als leitsymptom, schweiz. Arch. Tierheilkd., 138: 351-352.
10. Mohan, R., Saini, N.S. and Singh, S.S. (2006) Changes in different body fluids during simple intestinal obstruction in buffaloes. Indian J. Anim. Sci., 76: 1001-1003.
11. Papadopoulos, P., Raptopoulos, D., Dessiris, A., Tsimopoulos, G. and Roumpies, N. (1985) Experimental intestinal obstruction in cattle. Part II: Changes in blood, urine and rumen content chemistry. Zentralbl. Veterinarmed. A, 32: 276-288. [Crossref] [PubMed]
12. Smith, D.F. (1985) Bovine intestinal surgery. Mod. Vet. Pract., 65(9): 705-710.
13. Avery, T.B., Nagaraja, T.G. and Frey, A. (1986) Blood, urine and ruminal fluid changes associated with metabolic alkalosis induced by duodenal obstruction. Am. J. Vet. Res., 55: 1633-1637.
14. Hussain, S.A., Uppal, S.K., Randhawa, C.S., Bhutia, C.N., Hassan, N. and Dar, L.M. (2012) Clinical findings and haemato-biochemical alterations in caecal dilatation of buffaloes (Bubalus bubalis). Int. J. Livest. Res., 2: 127-132.
15. Stocker, S., Steiner, A., Geiser, S. and Kundig, H. (1997) Myoelectric activity of the cecum and proximal loop of the ascending colon in cows after spontaneous cecal dilatation/dislocation. Am. J. Vet. Res., 58: 961-968. [PubMed]
16. Allen, S.E. and Holm, J.L. (2008) Lactate: Physiology and clinical utility. J. Vet. Emerg. Crit. Care., 18: 123-132. [Crossref]
17. Saini, N.S., Sharma, S.N., Oberoi, M.S. and Arneja, J.S. (1992) Bacteriological, cytological and biochemical profiles of blood and peritoneal fluid during laparotomy in calves. Indian J. Comp. Microbiol. Immunol. Infect. Dis., 16: 42-47.
18. Imran, S. and Tyagi, S.P. (2014) Reliability of ultrasonographic examination of the large intestine in healthy cows. Vet. Med. (Praha), 59: 63-67. [Crossref]
19. Rantanen, N. and Ewing, R. (1981) Principles of ultrasound application in animals. Vet. Radiol. Ultrasound, 22: 196-203. [Crossref]20. Dar, S.H., Fazili, M.R. and Dar, H.K. (2015) Surgical management of cecal dilatation-torsion in two cows. SKUAST J. Res., 17(2): 122-124.