Bayoumi Yasmin H, Attia Noura E
Department of Animal Medicine (Internal Medicine), Faculty of Veterinary Medicine, Zagazig University, Egypt.
Vet World. 2017 Feb;10(2):156-162. doi: 10.14202/vetworld.2017.156-162. Epub 2017 Feb 8.
The present work was designed to study the incidence of obstructive urolithiasis and to apply comparative diagnosis to urine retention cases.
A total of 78 non-castrated buffalo calves aging 3-11 months were included in this study, 68 calves were admitted to the Veterinary Teaching Hospital, Zagazig University, Egypt, during the study period with a history of anuria, and they were classified into three groups; intact bladder group (19 calves), uroperitoneum group (45 calves), and ruptured urethra group (4 calves). 10 apparently healthy calves were used for comparison. On the basis of history, clinical, laboratory, and ultrasonographic findings diagnosis was achieved.
There was a marked increase in the incidence of obstructive urolithiasis in winter season, especially in winter months of 2016. Calves within the age of 3-4 months and 6-8 months were mostly affected. Inappetence to anorexia, restlessness or depression, and abdominal distension were the most observed signs in the diseased calves. Laboratory findings revealed hemoconcentration and a significant increase in blood urea nitrogen and serum creatinine levels in all diseased groups. Hyperproteinemia, hypocalcemia, and hyperphosphatemia with electrolytes imbalance were recorded in the uroperitoneum group. Ultrasonographically, distended urinary bladder with distal acoustic enhancement revealed obstructive urolithiasis with intact bladder while anechoic fluid in abdominal cavity indicates uroperitoneum.
On the basis of all findings, calves with intact bladder were in superior condition than those with a ruptured urethra and both were better than those with uroperitoneum.
本研究旨在探讨阻塞性尿路结石的发病率,并对尿潴留病例进行对比诊断。
本研究共纳入78头3至11月龄未去势的水牛犊,其中68头犊牛在研究期间因无尿病史被收治于埃及扎加齐格大学兽医教学医院,并被分为三组;膀胱完整组(19头犊牛)、尿腹症组(45头犊牛)和尿道破裂组(4头犊牛)。选取10头健康犊牛作为对照。根据病史、临床、实验室及超声检查结果进行诊断。
冬季阻塞性尿路结石的发病率显著增加,尤其是在2016年的冬季月份。3至4月龄和6至8月龄的犊牛受影响最为严重。患病犊牛最常见的症状为食欲不振至厌食、烦躁或抑郁以及腹胀。实验室检查结果显示,所有患病组均出现血液浓缩,血尿素氮和血清肌酐水平显著升高。尿腹症组出现高蛋白血症、低钙血症和高磷血症伴电解质失衡。超声检查显示,膀胱扩张伴远端声增强提示膀胱完整的阻塞性尿路结石,而腹腔内无回声液提示尿腹症。
根据所有检查结果,膀胱完整的犊牛状况优于尿道破裂的犊牛,且两者均优于患有尿腹症的犊牛。