RESUMO
Background: Traumatic reticulitis (TR) and abomasal obstruction are common digestive diseases in beef cattle. In clinical practice, these two conditions are often detected alone and rarely occur at the same time. Surgical therapy is an effective approach to treat both of these diseases. However, there are no reports on the treatment of abomasal obstruction in cattle induced by TR. Case Description: We here report a rare case of the diagnosis and treatment of TR associated with abomasal obstruction in a beef cow during late pregnancy. The affected cattle had an iron wire that was piercing the wall of the reticulum, but did not penetrate the wall; the abomasum was blocked and appeared solid; and the fetus survived well in utero (268 days gestation). To save the lives of the cow and fetus on the same day, a cesarean section was first performed, followed by rumenotomy, the foreign body (wire) was removed, and abomasotomy was finally performed. The fetus removed by cesarean section grew well, and the beef cow recovered and successfully became pregnant again. Conclusion: This case thus offers guidance for the timely diagnosis, effective treatment, and postoperative management of these digestive diseases in cattle to prevent progression and further complications.
Assuntos
Doenças dos Bovinos , Corpos Estranhos , Bovinos , Animais , Gravidez , Feminino , Doenças dos Bovinos/diagnóstico , Doenças dos Bovinos/etiologia , Doenças dos Bovinos/cirurgia , Abomaso/cirurgia , Cesárea/veterinária , Corpos Estranhos/veterináriaRESUMO
This study aimed to compare the clinical and metabolic results obtained by use of one-step laparoscopic abomasopexy and right paralumbar fossa abomasopexy for the treatment of left displaced abomasum in dairy cows. Thirty Holstein-Friesian dairy cows were randomly placed in two groups: G1, with 15 animals treated by one-step laparoscopic abomasopexy; and G2, with 15 animals treated by right paralumbar fossa ventral abomasopexy. Concentrations of sodium, potassium, chloride, bicarbonate, base excess (BE), pH, partial pressure of carbon dioxide (pCO2) strong ion difference (SID), anion gap (AG), glucose, β-hydroxybutyrate (BHBA) and non-esterified fatty acids (NEFA) were measured before (M0) and 24 (M1), 48 (M2) and 72 (M3) hours following surgery. Laparotomy was statistically faster than laparoscopy. Hypochloremia was observed only in G2 at M0. Hypokalemia and hypocalcemia were observed in both groups at M0, increasing after surgery. Metabolic alkalosis in both groups before surgery was characterized by high bicarbonate, pCO2, and BE, which decreased in subsequent time points, as well as blood pH. Glucose was statistically increased and NEFA and BHBA were statistically decreased in G2 compared to G1. In G1, NEFA and BHBA decreased significantly following surgery. Both surgical techniques restored abomasal flow and feed intake in both groups. Based in acid-base status, one-step laparoscopy showed no additional advantage in comparison with abomasopexy via right paralumbar fossa.(AU)
Este estudo objetivou comparar as técnicas de abomasopexia por laparoscopia em um passo e abomasopexia por laparotomia pelo flanco direito, no tratamento do deslocamento de abomaso à esquerda (DAE) em vacas leiteiras quanto a recuperação clínica no pós-operatório, utilizando parâmetros clínicos, metabólicos e eletrolíticos. Trinta vacas Holandesas preto e brancas foram distribuídas de forma aleatória em dois grupos: G1 com 15 animais tratados pela técnica de abomasopexia em um passo; e G2, com 15 animais tratados pela abomasopexia por laparotomia pelo flanco direito. Foram mensuradas as concentrações séricas de sódio, potássio, cloro, bicarbonato, excesso de base (BE), pH sanguíneo, pressão parcial de gás carbônico (pCO2), diferença de íons fortes (SID), ânion gap AG), glicose, β-hidroxibutirato (BHBA) e ácidos graxos não esterificados (NEFA). As variáveis foram mensuradas antes da operação e 24, 48 e 72 horas após operação. A laparotomia foi estatisticamente mais rápida do que a laparoscopia no tratamento do DAE. Hipocloremia foi observada somente nas vacas do G2 antes da cirurgia. Alcalose metabólica em ambos os grupos antes da operação foi caracterizada pelo aumento do bicarbonato, pCO2 e BE, os quais diminuíram significativamente nos momentos subsequentes, assim como o pH sanguíneo. A concentração de glicose apresentou aumento significativo no G2 em comparação ao G1, enquanto o BHBA e o NEFA estavam estatisticamente diminuídos. Ambas as técnicas restauraram o fluxo abomasal e o consumo de alimentos em ambos os grupos. Baseado no equilíbrio ácido-base, a técnica de laparoscopia não demonstrou vantagens sobre a técnica cirúrgica tradicional.(AU)