Oman R E, Streeter R N, Reppert E J, Chako C Z
Department of Clinical Sciences, Oklahoma State University, Stillwater, OK, 74078.
Department of Clinical Sciences, Kansas State University College of Veterinary Medicine, Manhattan, KS, 66506.
J Vet Intern Med. 2016 Jul;30(4):1376-80. doi: 10.1111/jvim.14353. Epub 2016 Jun 1.
Little is known about the occurrence rate, underlying etiology or treatment of left displacement of the abomasum in beef calves.
Describe the clinical presentation, diagnosis and treatment of left displacement of the abomasum in 4 beef calves.
Four client-owned beef breed calves with left displaced abomasum (LDA).
Retrospective case series. Hospital medical records were reviewed to identify all beef breed cattle under the age of 6 months diagnosed with LDA.
Four beef calves were treated for left displacement of the abomasum. All four had a history of decreased appetite and left-sided abdominal distention. Two had recently been treated for necrotic laryngitis and one was being treated for clostridial abomasitis. Ultrasonography confirmed the abomasum to be displaced between the rumen and the left body wall in all calves. The calves were initially treated by rolling to correct the abomasal displacement. The abomasum redisplaced in 3 of 4 calves within 1 hour to 6 days; 1 calf developed a mesenteric volvulus. A right paramedian abomasopexy was performed in all cases. Three of 4 calves grew well and remained in the herd 6-18 months later; 1 calf was euthanized because of complications associated with necrotic laryngitis.
Left displacement of the abomasum should be considered as a differential diagnosis for beef calves with abdominal distention. Concurrent necrotic laryngitis can increase the risk of abomasal displacement in beef calves. Treatment should include surgical correction as rolling is not curative and might be associated with mesenteric volvulus.
关于肉牛犊真胃左方变位的发生率、潜在病因或治疗方法,人们了解甚少。
描述4头肉牛犊真胃左方变位的临床表现、诊断及治疗情况。
4头客户拥有的患有真胃左方变位(LDA)的肉牛品种犊牛。
回顾性病例系列研究。查阅医院病历,以确定所有6月龄以下被诊断为LDA的肉牛品种牛。
4头肉牛犊接受了真胃左方变位的治疗。所有4头牛均有食欲减退和左侧腹胀病史。其中2头近期接受过坏死性喉炎治疗,1头正在接受梭菌性皱胃炎治疗。超声检查证实所有犊牛的真胃均移位至瘤胃和左侧体壁之间。犊牛最初通过翻滚来纠正真胃移位。4头犊牛中有3头在1小时至6天内真胃再次移位;1头犊牛发生了肠系膜扭转。所有病例均进行了右侧正中旁真胃固定术。4头犊牛中有3头生长良好,6 - 18个月后仍留在牛群中;1头犊牛因与坏死性喉炎相关的并发症而实施安乐死。
对于出现腹胀的肉牛犊,应将真胃左方变位视为鉴别诊断之一。并发坏死性喉炎会增加肉牛犊真胃移位的风险。治疗应包括手术矫正,因为翻滚疗法不能治愈,且可能与肠系膜扭转有关。