Clinical Department of Ruminant, University of Liège, Liège, Belgium.
Gestion et Prévention de Santé, Regional Association of Health and Animal Identification, Ciney, Belgium.
Vet Rec. 2021 Apr;188(7):e30. doi: 10.1002/vetr.30. Epub 2021 Jan 21.
Parietal fibrinous peritonitis (PFP) is a complication of laparotomy in cattle, consisting of fluid and fibrin accumulation within a fibrous capsule between the parietal peritoneum and the abdominal muscles. Since scientific information on PFP is scarce, we aim to collect available information to help practitioners in its diagnosis and treatment, and to formulate research perspectives.
PubMed and GoogleScholar databases were scanned using "cattle" or "bovine", and one of the following keywords: "seroma", "parietal fibrinous peritonitis", "retroperitoneal abscess", or "wound infection".
Although scientific information is often anecdotal, two recent larger studies shed more light on PFP symptoms, diagnosis and treatment. Symptoms vary according to the cavity's localisation and size, and include anorexia, weight loss and an inflammatory status. Rectal palpation is strongly indicative, but the definitive diagnosis is made by ultrasound. Trueperella pyogenes and Escherichia coli are frequently isolated germs, although it remains unclear whether they are primary or secondary agents. Good survival rates were reported after surgical drainage.
Although the diagnosis and treatment seem clear, the exact pathogenesis of PFP should be the focus of ongoing research. This can be achieved by epidemiological data analysis focusing on risk factors like surgery technique, housing and ration.
壁层纤维性腹膜炎（PFP）是牛剖腹手术后的一种并发症，其特征是在壁层腹膜和腹肌之间的纤维囊中积聚液体和纤维蛋白。由于关于 PFP 的科学信息有限，我们旨在收集现有信息，以帮助从业者进行诊断和治疗，并制定研究方向。
使用“cattle”或“bovine”以及以下关键词之一在 PubMed 和 GoogleScholar 数据库中进行扫描：“seroma”、“parietal fibrinous peritonitis”、“retroperitoneal abscess”或“wound infection”。
尽管科学信息通常是轶事性的，但最近的两项较大规模的研究更深入地探讨了 PFP 的症状、诊断和治疗。症状根据腔的位置和大小而异，包括食欲不振、体重减轻和炎症状态。直肠触诊具有很强的指示性，但明确的诊断是通过超声进行的。Trueperella pyogenes 和 Escherichia coli 是经常分离到的细菌，尽管它们是原发性还是继发性病原体仍不清楚。手术后引流的存活率较高。
尽管诊断和治疗似乎很明确，但 PFP 的确切发病机制应成为正在进行的研究的重点。这可以通过关注手术技术、住房和饲养等风险因素的流行病学数据分析来实现。
