Clinical, laboratory, ultrasonographic, and anatomopathological aspects of 30 cases of traumatic reticulosplenitis in cattle / Aspectos clínicos, laboratoriais, ultrassonográficos e anatomopatológicos de 30 casos de reticulo-esplenite traumática em bovinos

Ingestion of metallic and/or sharp foreign bodies triggers cases of traumatic reticuloperitonitis and its sequelae in cattle. Among these sequelae, we can highlight traumatic reticulosplenitis, that has high mortality, although its frequency in the ruminant medicine is low. Therefore, based on the scarcity of information on this disease, the current study aimed to evaluate the clinical, laboratory, ultrasonographic, and pathological findings of 30 adult cattle diagnosed with traumatic reticulosplenitis. Clinical, ultrasound, and anatomopathological findings were analyzed using descriptive statistics and laboratory data were evaluated using measures of central tendency. Clinically the animals presented dehydration and alterations in behavior, appetite, and ruminal motility. Hematological findings revealed neutrophilic leukocytosis (37077.17±25004.59cell/µL) with regenerative left shift and hyperfibrinogenemia (1130±364.98mg/dL). The ultrasound examination enabled visualization of mobile and echogenic filaments that corresponded to the presence of fibrin adhesions. Displacement of the reticulum and irregularity in its contour, as well as alterations in the quantity, pattern, and amplitude of reticular contractions were also observed. Splenic alterations such as abscesses were found, characterized as circular structures of varying sizes delimited by capsules containing variable echogenicity. Splenic vein thrombosis and spleen folding were also observed. The results obtained in the current study indicated that traumatic reticulosplenitis causes nonspecific clinical signs, severe laboratory alterations and, mainly, that ultrasound is an efficient method for the diagnosis of this disease, since the anatomopathological lesions confirmed the ultrasound findings.(AU)

A ingestão de corpos estranho de origem metálica e/ou pontiagudos desencadeia em bovinos, quadros de Reticuloperitonite Traumática e suas sequelas. Dentre as quais podemos destacar a retículo esplenite traumática cuja letalidade é elevada, embora a mesma apresente uma baixa frequência na clínica de ruminantes. Portanto, baseado na escassez de informações sobre esta enfermidade, este trabalho teve por objetivo avaliar os achados clínicos, laboratoriais, ultrassonográficos e anatomopatológicos de 30 bovinos adultos diagnosticados com retículo esplenite traumática. Os achados clínicos, ultrassonográfico e anatomopatológico foram analisados por meio de estatística descritiva, e os dados laboratoriais foram avaliados utilizando-se as medidas de tendência central. Clinicamente os animais apresentaram desidratação e alterações no comportamento, apetite e na motilidade ruminal. Os achados hematológicos revelaram leucocitose (37077.17±25004.59cell/µL) por neutrofilia com desvio à esquerda regenerativo e hiperfibrinogenemia (1130±364.98mg/dL). O exame ultrassonográfico possibilitou a visualização de filamentos móveis e ecogênicos que corresponderam à presença de aderências fibrinosas, observou-se também, deslocamento do retículo e irregularidade no seu contorno além das alterações na quantidade, padrão e amplitude das contrações reticulares. Permitiu ainda, a constatação de alterações esplênicas como abscessos que foram caracterizados como estruturas circulares de variados tamanhos delimitada por capsula contendo no seu interior conteúdo de ecogenicidade variável. Trombose da veia esplênica e dobramento do baço. Os resultados obtidos nesse trabalho, indicaram que a retículo esplenite traumática causa sinais clínicos inespecíficos, severas alterações laboratoriais e principalmente que a ultrassonografia é um método eficiente para o diagnóstico dessa enfermidade uma vez que as lesões anatomopatológicas confirmaram os achados ultrassonográficos.(AU)

[Squamous cell carcinoma of the reticulum and liver in a Simmental cow]. / Plattenepithelkarzinom in Haube und Leber bei einer Fleckviehkuh.

This report describes an 8.8-year-old Simmental cow with squamous cell carcinoma of the reticulum and liver. The cow had calved recently and was referred to our clinic because of intractable fever, anorexia and progressive indigestion. The general condition and mental status were moderately affected and rectal temperature and respiratory rate were significantly elevated. There were no ruminal sounds and pinching of the withers consistently elicited a grunt. Serum activities of gamma glutamyl transferase, glutamate dehydrogenase and sorbitol dehydrogenase were elevated. Radiographic examination of the reticulum and ultrasonographic examination of the reticulum, liver and abdominal cavity revealed multifocal, poorly demarcated, heterogeneous and echogenic changes in the liver. Biopsy of these lesions yielded a diagnosis of squamous cell carcinoma. The cow was euthanized and a postmortem examination confirmed the diagnosis. A 15 by 15 cm neoplasm was found in the reticular wall, and histological examination showed squamous cell carcinoma. It was assumed that the reticular mass was the primary tumour, which metastasized to the liver via the portal vein.

Sonographic investigation of reticular contractions in healthy sheep, cows and goats and in cows with traumatic reticulo-peritonitis.

The objective of the study was (a) to compare sonographically the sequence of reticular contractions between grass and roughage eaters (cows, sheep) and intermediate feeders (goats) and (b) to check whether sonography may be useful for the investigation of cattle with a history of traumatic reticulo-peritonitis (TRP). All animals were investigated from the left ventral Regio parachondriaca with a 2.5 MHz sector scanner. Reticular contractions were recorded on video and evaluated later on. Duration of the contractions was found to be surprisingly uniform between individuals of the investigated species. However, in cattle and sheep the reticular floor moves over longer distances during both contractions in cranio-dorsal direction compared to goats, i.e. the velocity with which the reticulum contracts was markedly higher in sheep (5.3 +/- 1.4 cm* s-1) and cows (4.4 +/- 2.0) than in goats (2.1 +/- 0.9). Thus, in sheep and cattle feed particles are transported with a higher force in caudo-dorsal direction resulting in a longer retention time of particles in the reticulorumen than in goats. Sonographic investigation of eight cows with clinical symptoms of acute TRP indicated that sonography is a valuable method for the diagnosis of TRP. Implications of sonographic signs for the clinical course in such patients are discussed.

Reticulography of the cow in dorsal recumbency: an aid in the diagnosis and treatment of traumatic reticuloperitonitis.

The accuracy of radiographic evaluation of the reticulum for traumatic reticuloperitonitis was evaluated. In a retrospective study involving 30 cows that had been radiographed in standing position, the diagnosis of penetrating foreign body was made with certainty in only 3 of 19 cases in which foreign bodies were identified. In 8 cases, no foreign body was identified radiographically, but a foreign body was found at surgery. In a prospective study, 19 cows were radiographed in both the standing and dorsal recumbent (dorsal reticulography) positions; in 10 cases, the diagnosis made on the basis of the standing radiograph was changed because of the dorsal reticulographic findings. When compared with surgical or necropsy findings in 9 cases, dorsal reticulography was accurate in determining whether a radiopaque foreign body was embedded in the reticulum wall. Thus, dorsal reticulography was shown to be an accurate diagnostic method for evaluating cows with suspected traumatic reticulitis, whereas radiographs obtained in the standing position were relatively inaccurate.