Šertvytytė Greta, Lembovičiūtė Gabija, Rodaitis Osvaldas, Džermeikaitė Karina, Arlauskaitė Samanta, Krištolaitytė Justina, Girdauskaitė Akvilė, Pockevičius Alius, Rutkauskas Arūnas, Antanaitis Ramūnas
Large Animal Clinic, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės Str. 18, LT-47181 Kaunas, Lithuania.
Department of Veterinary Pathobiology, Veterinary Academy, Lithuanian University of Health Sciences, Tilžės Str. 18, LT-47181 Kaunas, Lithuania.
Animals (Basel). 2025 Jul 4;15(13):1969. doi: 10.3390/ani15131969.
In dairy cattle, abomasal ulcers are a serious but sometimes disregarded ailment that can have detrimental effects on health and cause financial losses. Due to inconclusive clinical symptoms, abomasal ulcers are typically misdiagnosed and treated improperly. Specialized diagnostic methods should be considered to ensure a correct diagnosis and the well-being of cattle. This report focuses on a 4-year-old Holstein-Friesian cow which began her third lactation two weeks before she started showing general clinical signs of an elevated fat-protein ratio in the milk and was diagnosed with an abomasum displacement. The clinical signs can also be mistaken for other conditions such as traumatic reticuloperitonitis and left dislocated abomasum. The patient was brought to the LUHS Large Animal Clinic, and after a short while, sudden death occurred. The autopsy concluded that death had occurred due to hypovolemic shock caused by abomasal ulcer perforation, which caused bleeding into the abomasum and intestines. Also, the type 3 ulcer caused severe peritonitis and anemia, and feed and fibrin could be seen on the outside of organs in the abdomen. Blood clots mixed with feed had formed in the inside of the abomasum and intestinal tract. Based on the work of previous scientific studies, it has been established that the occurrence of ulcers is more frequent in dairy cows during the first four to six weeks of lactation. And the most probable cause could be intensive feeding and dietary changes. Ulcers in the abomasum are very difficult to diagnose, because they require special diagnostic equipment such as an ultrasound or surgical interventions. Due to the similarity with other diseases, this pathological condition of the abomasum is most frequently only identified in post-mortem examinations.
在奶牛中，皱胃溃疡是一种严重但有时被忽视的疾病，会对健康产生不利影响并造成经济损失。由于临床症状不明确，皱胃溃疡通常被误诊和不当治疗。应考虑采用专门的诊断方法以确保正确诊断和奶牛的健康。本报告聚焦于一头4岁的荷斯坦-弗里生奶牛，它在开始出现牛奶中脂肪-蛋白质比例升高的一般临床症状前两周开始第三次泌乳，并被诊断为皱胃移位。这些临床症状也可能被误诊为其他病症，如创伤性网胃炎和左方变位皱胃。该患者被送至LUHS大型动物诊所，不久后突然死亡。尸检结论为死亡是由皱胃溃疡穿孔导致的低血容量性休克引起的，这导致血液流入皱胃和肠道。此外，3型溃疡导致了严重的腹膜炎和贫血，在腹部器官外部可见饲料和纤维蛋白。在皱胃和肠道内部形成了与饲料混合的血凝块。根据以往科学研究的成果，已确定溃疡在奶牛泌乳的前四至六周更为频发。最可能的原因可能是高强度饲养和饮食变化。皱胃溃疡很难诊断，因为它们需要特殊的诊断设备，如超声波或手术干预。由于与其他疾病相似，这种皱胃的病理状况最常仅在尸检中被发现。
