Veterinary World

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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;

Nasr-Eldin M. Aref: Department of Animal Medicine, Faculty of Veterinary Medicine, Assiut University, Assiut, Egypt;

Enas Elmeligy: Veterinary Teaching Hospital, Faculty of Veterinary Medicine, Assiut University, Assiut, Egypt;

Sayed F. El-Hawari: Department of Surgery, Anesthesiology and Radiology, Faculty of Veterinary Medicine, Sohag University, Sohag, Egypt;


Received: 04-01-2016, Accepted: 09-04-2016, Published online: 14-05-2016


Corresponding author: Nasr-Eldin M. Aref, e-mail:

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.

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.

1. Kahn, C.M. and Line, S. (2010) Overview of acute intestinal obstructions in large animals. In: eBook Merck Veterinary Medicine Manual. 10th ed. Merck & Co., Whitehouse Station, NJ.
2. Radostits, O.M., Gay, C.C., Hinchcliff, K.W. and Constable, P.D., editors. (2007) Diseases of the alimentary tract. Veterinary Medicine: A Textbook of the Diseases of Cattle, Horses, Sheep, Pigs and Goats. 10th ed. Saunders, Elsevier, Philadelphia, PA. p189-382.
3. Smith, B.P. (2014) Large Animal Internal Medicine. 5th ed. Mosby, St. Louis. p820.
4. Dharmaceelan, S., Rajendran, N., Nanjappan, K., Subramanian, M. and Balasubramaniam, G.A. (2012) Incidence of bovine gastrointestinlal obstruction in a teaching veterinary hospital of Tamilnadu, India. Int. J. Vet. Sci., 1(3): 112-114.
5. Hussain, S.A., Uppal, S.K., Randhawa, C.S. and Sood, N.K. (2015) Bovine intestinal obstruction: Blood gas analysis, serum C-reactive protein and clinical, haematological and biochemical alterations. J. Appl. Anim. Res., 43(2): 224-230.
6. Tharwat, M., Al-Sobayil, F. and Ali, A. (2012) Ultrasonographic evaluation of abdominal distension in 52 camels (Camelus dromedarius). Res. Vet. Sci., 93: 448-456.
7. Tharwat, M. (2011) Diagnostic ultrasonography in cattle and buffaloes with intestinal obstruction. J. Agric. Vet. Sci., 4(1): 67-80.
8. Cockcroft, P. (2015) Diagnosis and clinical reasoning in cattle practice. In: Bovine Medicine. 3rd ed. John Wiley & Sons, Ltd., New Jersey. p124-132.
9. Braun, U. and Marmier, O. (1995) Ultrasonographic examination of the small intestine of cows. Vet. Rec., 36: 239-244.
10. Otter, A. (2013) Diagnostic blood biochemistry and haematology in cattle. Practice, 35(1): 7-16.
11. Weiss, D.G. and Wardrop, J.K. (2010) Interpretation of ruminant leukocyte responses. In: Schalm's Veterinary Hematology. 6th ed. Blackwell Publishing Ltd., Oxford. p307-313.
12. Davoudi, S.M. (2013) Study of hepatic problems in livestock. Eur. J. Zool. Res., 2(4): 124-132.
13. Braun, U. (2003) Ultrasonography in gastrointestinal disease in cattle. Vet. J., 166(2): 112-124.
14. Braun, U. and Amrein, E. (2001) Ultrasonographic examination of the caecum and proximal and spiral loop of the colon of cattle. Vet. Rec., 149: 45-48.
15. Braun, U., Marmier, O. and Pusterla, N. (1995) Ultrasonographic examination of the small intestine of cows with ileus of the duodenum, jejunum or ileum. Vet. Rec., 137: 209-215.