| 
              
              
              Open Access  
 
              
              
              
              Research 
              
              
(Published 
				online: 14-05-2016)  
              8. 
				
				Clinical and ultrasonographic 
				observations of functional and mechanical intestinal obstruction 
				in buffaloes (Bubalus bubalis) -
				
				
				Arafat Khalphallah, 
				Nasr-Eldin M. Aref, 
				Enas Elmeligy
				
				
				and Sayed F. El-Hawari 
              
              Veterinary World, 9(5): 475-480   
              
   
                
                
doi: 
              
				
				10.14202/vetworld.2016.475-480 
                
				  
				
				Arafat Khalphallah:
				
              
              	Department of 
				Animal Medicine, Faculty of Veterinary Medicine, Assiut 
				University, Assiut, Egypt; arafatvet2003@yahoo.com 
				
				Nasr-Eldin M. Aref:
				
              
              Department of 
				Animal Medicine, Faculty of Veterinary Medicine, Assiut 
				University, Assiut, Egypt; nasreldeen.aref@vet.au.edu.eg 
				
				Enas Elmeligy:
				
              
              Veterinary Teaching 
				Hospital, Faculty of Veterinary Medicine, Assiut University, 
				Assiut, Egypt; enaselmeligy@yahoo.com 
				
				Sayed F. El-Hawari:
				
              
              Department of 
				Surgery, Anesthesiology and Radiology, Faculty of Veterinary 
				Medicine, Sohag University, Sohag, Egypt; newvet911@yahoo.com   
				
				Received: 04-01-2016, Accepted: 09-04-2016, Published online: 
				14-05-2016 
				  
				
              	
              	Corresponding author:Nasr-Eldin M. Aref, e-mail: nasreldeen.aref@vet.au.edu.eg 
 
              Citation: 
				
				Khalphallah A, Aref NM, Elmeligy E, El-Hawari SF (2016) Clinical 
				and ultrasonographic observations of functional and mechanical 
				intestinal obstruction in buffaloes (Bubalus bubalis), 
				Veterinary World, 9(5): 475-480. 
 
              
				Abstract 
 
				Aim: 
				This study 
				was designed for clinical and laboratory evaluation of 
				intestinal obstruction (IO) in buffaloes (Bubalus bubalis)
				with special emphasis on the diagnostic value of 
				ultrasonographic findings.  
				Materials and 
				Methods: 
				A total number 
				of 30 buffaloes were included in the study and divided into 2 
				groups: Healthy (n=10) and diseased group (n=20). 
				Diseased buffaloes were admitted to the Veterinary Teaching 
				Hospital at Assiut University, Egypt, with a history of 
				anorexia, abdominal pain, various degrees of abdominal 
				distention, and absence or presence of scanty mucoid faces. 
				These animals were subjected to clinical and ultrasonographic as 
				well as laboratory examinations.  
				Results:
				Based 
				on ultrasonographic findings, various forms of IO were 
				diagnosed. Functional obstruction, paralytic ileus, was 
				diagnosed in 17 cases (85%) while mechanical IO was diagnosed 
				only in 3 cases (15%). Out of 17 cases of paralytic ileus, both 
				proximal and distal ileuses were successfully imaged in 8 and 9 
				cases, respectively. Proximal ileus was imaged from the right 
				dorsal flank region as a single dilated loop of diameter >6 cm, 
				while distal ileus was imaged as multiple dilated loops of 
				diameter <6 cm. Mechanical obstruction due to duodenal 
				intussusception was visualized as two concentric rings with 
				outer echogenic wall and hypoechoic lumen. All cases of IO 
				showed leukocytosis, hypoproteinemia, and increased activity of 
				alkaline phosphatase and aspartate aminotransferase.  
				Conclusion:
				
				Ultrasonography proved to be an essential tool for diagnosis and 
				differential diagnosis of various forms of IO in buffaloes.
				 
				
				Keywords: 
				
				buffalo, ileus, intestine, intussusception, ultrasonography. 
 
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