tailieunhanh - Surgical management of gut-tie in a cow

Gut-tie is a rare clinical entity and it often presents a diagnostic challenge which may result in life-threatening consequences. This case report describes diagnosis and successful surgical management of gut-tie in a crossbred cow. A year old HF crossbred cow weighing 412 kg was presented with a history of anorexia and impaction from 7 days. There was history of pain and loss of defecation from 4 days. Animal was 8 month pregnant. Cow had tachycardia (120/min) and tachypnea (28/min) with rumen hypermotility (4/2 min). Per rectal examination detected dilated intestinal loops and mucoid secretions in the rectum. Ultrasonographic examination found dilated intestines ( cm) and scanty effusions in the reticular region. Marked neutrophilic (96%) leukocytosis (18600/µL) was detected with toxic neutrophils and left shift. A tentative diagnosis of complete small intestinal obstruction was made. Right flank exploratory laparotomy done under local anesthesia (2% lignocaine hcl) revealed marked distention of the small intestines. On further exploration, a loop of the small intestine was found incarcerated within the tight fibrous band, which was extending from the caudal right abdominal wall toward the pelvic inlet. The band was visualized by bringing it out of incision. This band was resected to make the incarcerated intestines free. Postoperative medication included broad spectrum antibiotics, analgesics, fluid therapy and supportive medication. Animal passed feces within 6 hours of surgery and recovered uneventfully. This case report puts on record the diagnosis and successful surgical management of a rare case of gut-tie in a crossbred cow. | EXCELLENT PUBLISHERS International Journal of Current Microbiology and Applied Sciences ISSN 2319-7706 Volume 8 Number 08 2019 Journal homepage http Case Study https Surgical Management of Gut-Tie in a Cow Harmanpreet Singh Sodhi Balreet Singh Sidhu and Ashwani Kumar Department of Veterinary Surgery and Radiology College of Veterinary Science Guru Angad Dev Veterinary and Animal Sciences University Ludhiana-141004 Punjab India Corresponding author ABSTRACT Keywords Bovine Intestinal surgery Strangulating obstruction Article Info Accepted 07 July 2019 Available Online 10 August 2019 Gut-tie is a rare clinical entity and it often presents a diagnostic challenge which may result in life-threatening consequences. This case report describes diagnosis and successful surgical management of gut-tie in a crossbred cow. A year old HF crossbred cow weighing 412 kg was presented with a history of anorexia and impaction from 7 days. There was history of pain and loss of defecation from 4 days. Animal was 8 month pregnant. Cow had tachycardia 120 min and tachypnea 28 min with rumen hypermotility 4 2 min . Per rectal examination detected dilated intestinal loops and mucoid secretions in the rectum. Ultrasonographic examination found dilated intestines cm and scanty effusions in the reticular region. Marked neutrophilic 96 leukocytosis 18600 pL was detected with toxic neutrophils and left shift. A tentative diagnosis of complete small intestinal obstruction was made. Right flank exploratory laparotomy done under local anesthesia 2 lignocaine hcl revealed marked distention of the small intestines. On further exploration a loop of the small intestine was found incarcerated within the tight fibrous band which was extending from the caudal right abdominal wall toward the pelvic inlet. The band was visualized by bringing it out of incision. This band was resected to make the incarcerated intestines free. Postoperative .