Abomasal impaction in a goat - surgical approach

Background: The abomasum is glandular and has a bagpipe shape, with a capacity of 1 to 2 liters. It has a very acidic content with a pH ranging from 1.5 to 3, and although disturbances in this organ are uncommon in small ruminants, abomasal emptying defect is probably the most common abomasal problem in goats. The etiology of an abomasal emptying defect is unknown, however, abomasal impaction is the main cause of this condition. Since this disorder is associated with poor prognosis and information in goats is scarce, the aim of this report is to describe the success of abomasotomy as a treatment for abomasal impaction in goats, as well as to describe the clinical and laboratory aspects of this disease. Case: A 8-month-old male Anglo-Nubian goat, weighing 33 kg, presented with apathy and decreased appetite for 4 days due to digestive disorder. According to history, the diet consisted of crushed hay ad libitum and 300 g of ration bran. Clinical findings were apathy, pale mucous membranes, ruminal hypomotility, decreased fecal output, tense abdomen with distention of the ventral quadrants and loss of rumen stratification. The increase in chloride ion concentration (67 mEq/L) observed in the ruminal fluid analysis was indicative of abomasal-ruminal reflux, compatible with metabolic acidosis, as well as the dense hyperechogenic content in the ventral field of the left and right abdomen corresponding to the location of the entire abomasum on transabdominal ultrasound. Thus, clinical, laboratory and ultrasound findings were indicative of impaction of the abomasum, and the goat underwent exploratory laparotomy through the left flank, which revealed a distended and compacted abomasum. Differently from reports in the literature, due to severe distension of the abomasum, abomasotomy through the right flank was chosen to reverse the condition, followed by constant monitoring and supportive therapy with antimicrobial and analgesic medication. The goat defecated normally on the second postoperative day, however, on auscultation, there was persistence of abomasal emptying failure, suggesting a situation of posterior functional stenosis. With the suspicion of type III vagal indigestion, the atropine test, along with radiographic examination of the chest and abdomen were performed, and did not reveal any changes. In order to restore abomasal motility, intensive therapy with prokinetic drugs (bromopride, metoclopramide and promethazine) was associated, and on the fifth day the animal returned to normal appetite, abomasal motility and fecal production. The goat was discharged after 14 days of intensive care with recommendations to provide good quality food and water. Discussion: Abomasal impaction is rarely reported in goats, commonly resulting in animal death before or even a few days after surgical correction. The diagnosis of abomasal impaction was based on clinical, laboratory and ultrasound findings, and should be differentiated from other diseases that progress with abdominal distention and gradual weight loss, such as functional stenosis; duodenal obstruction; vagal nerve disorder; abomasite; generalized peritonitis, and granuloma associated with Actinobacillus lignieresii. Surgical correction by right paralombar access associated with visceral emptying and supportive therapy of impaction abomasal was performed and considered successful, without relapses and secondary complications long-term.

Hepatogenous photosensitization in steer by Brachiaria decumbens

Background: Although the etiology of hepatogenous photosensitization has not yet been fully elucidated, it is known that hepatotoxic substances (saponins) present in grasses of the genus Brachiaria spp. are responsible for intoxication of ruminants and horses, causing great economic losses in the whole world. Since this grass is the source of food for the herd in Brazil, and other countries of the world, the aim of this paper is to describe the epidemiological, clinical, laboratory and anatomopathological aspects of a steer with this disease. Case: A 3-year-old Nellore steer was referred to veterinary care at a property in Bahia, with a 3-week history of swelling, loss of cutaneous tissue in the ear and scrotum region, and dry faeces. The animal was raised in pasture with Brachiaria decumbens along with five animals of different age and sex; however, it was the only one to present symptoms. Although the animal had been treated at the farm, there was no clinical improvement. On clinical examination, the steer was apathetic with jaundiced mucous membranes, nasal and ocular discharge, epiphora, and ulcers on the labial and gum commissure. The steer had leukocytosis with neutrophilia, anemia, and hyperfibrinogemia. The body condition score (BCS) was 2 (BCS ranges from 1 to 5), and the skin lesions observed were bedsores, necrosis and scabs in several regions. The increase in liver enzymes (GGT, AST) indicated hepatic impairment, suggesting a case of hepatogenous photosensitization. The therapeutic protocol instituted was enteral hydration, electrolyte replacement, topical application of ointment in the injured areas. In addition, it was recommended to maintain the animal in the shade, supply of good quality grass, and a new clinical evaluation in seven days. On new examination, it was observed that there was no satisfactory clinical improvement of the animal, and persistence of laboratory changes. Despite the poor prognosis, treatment was continued for another month with the same recommendations. However, in view of the severe clinical condition and unfavorable prognosis, the animal was submitted euthanasia. Necropsy revealed extensive areas of bedsores, erythema, severe jaundice in the mucous membranes, eyeballs and opaque corneas. The liver had an enlarged volume with bulging edges and a greenish color. The kidneys had a pale brownish color, with an irregular and mottled subcapsular surface, with blackened and depressed spots. Histologically, the cytoplasm of the hepatocytes was finely vacuolated, sometimes refringent and with an abundant presence of bile pigment. It was also observed in the middle of the liver parenchyma, multiple foci of accumulation of macrophages filled with vacuoles of different sizes containing saponins and crystals of saponins inside bile ducts. Furthermore, it was possible to observe hypertrophy and hyperplasia of Kupffer cells, disarrangement of hepatocytes with individual necrosis of hepatocytes. Discussion: The diagnosis of hepatogenous photosensitization was based on history, clinical, laboratory and anatomopathological findings. Serum biochemistry was important to measure hepatic impairment and possible secondary lesions, which were confirmed by the necropsy. Although hepatogenous photosensitization is less common in adult cattle, it must be considered in the differential diagnosis of skin lesions, reduced appetite, and jaundice. Since it was a sporadic case, individual predisposition is probably a preponderant factor.

Clinical - pathological aspects of hepatocellular carcinoma in cattle

Background: The hepatocellular carcinoma (HCC) is a malignant neoplasm of hepatocytes of rare occurrence in farmanimals, with ruminants being the most affected species. This neoplasm is characterized by nonspecific symptoms and it isetiology in animals has not yet been fully elucidated, although aflatoxin has been shown to be a risk factor in the development this neoplasia. Since hepatic tumors in cattle are commonly incidental findings found in postmortem examination,the objective of this paper is to describe the clinical, laboratory and pathological findings in a cow with this neoplasm.Case: A 5-year-old, adult, Girolando cow weighing 350 kg was referred to the Veterinary Hospital of the Federal University of Recôncavo da Bahia, Brazil, with a history of decreased appetite and weakness for one month. The animal wasraised in a semi-intensive system, with a corn-based diet, and regular vaccination. Futhermore, was not treated at the farmof origin and three days before being admitted to the hospital, began to present edema of the dewlap. On examination atour center, the cow was in lean, active, with mucupurulent secretion in nostrils; ocular conjunctiva edema; and edema ofthe dewlap. The cow had neutrophilia, hypofibrinogemia, hypoproteinemia, and trombocytopenia. It also had tachycardia, tense abdomen, engorgement of the vessels of the face and jugular veins, stasis test and bilaterally positive jugularpulse. Although evidence of pain in reticulum was negative in the examination, the initial diagnostic suspicion establishedwas of traumatic reticular pericarditis. The therapeutic protocol instituted was daily monitoring, flunixin meglumine andflofernicol. The examination of rectal palpation revealed in the right flank an irregular-sized parenchymal structure withenlarged and palpacion in pain. Thus, by location and texture...

Clinical - pathological aspects of hepatocellular carcinoma in cattle

Background: The hepatocellular carcinoma (HCC) is a malignant neoplasm of hepatocytes of rare occurrence in farmanimals, with ruminants being the most affected species. This neoplasm is characterized by nonspecific symptoms and it isetiology in animals has not yet been fully elucidated, although aflatoxin has been shown to be a risk factor in the development this neoplasia. Since hepatic tumors in cattle are commonly incidental findings found in postmortem examination,the objective of this paper is to describe the clinical, laboratory and pathological findings in a cow with this neoplasm.Case: A 5-year-old, adult, Girolando cow weighing 350 kg was referred to the Veterinary Hospital of the Federal University of Recôncavo da Bahia, Brazil, with a history of decreased appetite and weakness for one month. The animal wasraised in a semi-intensive system, with a corn-based diet, and regular vaccination. Futhermore, was not treated at the farmof origin and three days before being admitted to the hospital, began to present edema of the dewlap. On examination atour center, the cow was in lean, active, with mucupurulent secretion in nostrils; ocular conjunctiva edema; and edema ofthe dewlap. The cow had neutrophilia, hypofibrinogemia, hypoproteinemia, and trombocytopenia. It also had tachycardia, tense abdomen, engorgement of the vessels of the face and jugular veins, stasis test and bilaterally positive jugularpulse. Although evidence of pain in reticulum was negative in the examination, the initial diagnostic suspicion establishedwas of traumatic reticular pericarditis. The therapeutic protocol instituted was daily monitoring, flunixin meglumine andflofernicol. The examination of rectal palpation revealed in the right flank an irregular-sized parenchymal structure withenlarged and palpacion in pain. Thus, by location and texture...(AU)