Gastric rupture in horses: a review of 54 cases

The historical, clinical, laboratory, surgical and necropsy findings in 54 cases of gastric rupture in horses are described. Eleven per cent of the deaths of horses undergoing exploratory coeliotomy for colic during the period of the study were a result of gastric rupture. Comparison with all horses which had exploratory coeliotomies for colic over an eight year period did not show that horses with gastric rupture were different from these reference horses regarding age, breed or season. There were fewer stallions than expected in the gastric rupture group. Horses with histories of both acute and chronic (more than 36 h) colic were susceptible to gastric rupture. Primary and idiopathic causes of gastric dilation and rupture accounted for about one-third of the horses. All but one of these cases resulting from secondary causes fell into three aetiologically-related groups: obstructive, peritoneal and enteric, with approximately equal numbers of horses in each group. Most of the ruptures occurred along the greater curvature of the stomach. At least six horses ruptured their stomachs postoperatively in the presence of an indwelling nasogastric tube. The presence or absence of gastric reflux following nasogastric intubation was not a reliable indicator, on its own, of gastric dilation. Horses that later died from gastric rupture had markedly elevated heart rate, hypochloraemia, peritoneal exudative effusion (particularly with evidence of sepsis), pre- and/or postoperative gastric reflux and small or large intestinal disease. However, no distinctive feature of these horses was shown to place them at risk of gastric rupture.     

Spontaneous oesophageal rupture in a dog — a Boerhaave-like syndrome

A six-year-old dobermann pinscher sustained a spontaneous rupture of the cervical oesophagus following severe tenesmus as a postoperative complication of abdominal surgery. The clinical and histopathological features of this case are described. Since this condition does not appear to have been reported to date in the dog the literature describing this condition in man is briefly reviewed.     

Femoral diaphysis fractures in cattle: 26 cases (1994–2005)

Objective   This retrospective study was conducted to evaluate the outcome for cattle with diaphyseal fractures of the femur, but not including capital physeal injuries.
Methods   Sources of information were medical records of cattle having a definitive diagnosis of diaphyseal femoral fractures and telephone survey of owners.
Results   Medical records for 26 cattle with femoral fracture were found; of the 20 aged less than 2 months, 15 were treated surgically, 4 conservatively (stall rest) and 1 was euthanased without treatment. The surgical treatment varied according to the configuration of the fracture and the surgeon's experience. Surgery for mid-diaphyseal fractures had a significantly better surgical outcome then distal diaphyseal fractures (P < 0.05), as there were significantly fewer postoperative complications. Of the 15 calves treated surgically, 10 were discharged from hospital and 5 were retained in the herd without noticeable lameness. Of the 4 calves treated conservatively, 3 were alive at follow-up, but 2 were still lame. Of the 6 older cattle, 3 were euthanased without treatment and 3 were treated conservatively, 2 of which were alive at follow-up but 1 was still lame.
Conclusion   Conservative treatment of femur fracture in cattle is possible but associated with complications during the convalescence. Continued research is needed to optimise distal diaphyseal fracture stabilisation in young cattle.     

The uterine motility of cattle during late pregnancy, labor and puerperium. I. Spontaneous motility

In the present study spontaneous uterine motility was recorded in 4 cows during late pregnancy, parturition and the puerperium using pressure microsensors and electrodes which were surgically implanted into the myometrium of the pregnant horn 3 to 4 weeks before parturition. Hysterograms were evaluated by means of pressure amplitude, frequency, duration, interval of uterine contractions and also by electromyography. During the last 2-3 weeks of pregnancy only single weak uterine contractions of different intensity were seen. About 18-20 hours a.p. frequency and amplitude of mainly tubocervical directed waves continuously increased. When the fetus entered the birth canal and especially during expulsion of the calf extremely strong irregular contractions occurred, which became very regular during the first hours p. p. After the placenta has been released 3-8 hours p. p., spontaneous uterine motility drastically decreased until the second postpartal week, when it started to increase again.     

Synovial fluid analysis in cattle: a review of 130 cases

OBJECTIVE: To compare synovial fluid characteristics of cattle with infectious and noninfectious arthritis. STUDY DESIGN: Retrospective cohort study. ANIMAL OR SAMPLE POPULATION: 130 cattle. METHODS: Synovial fluid was analyzed for total nucleated cell count (NCC), absolute number and percentages of polymorphonuclear (PMN) and mononuclear cells, total protein (TP) concentration, and specific gravity. Cattle were categorized as having infectious or noninfectious arthritis based on physical and lameness examinations, joint radiographs, and microbial culture results. Kruskal-Wallis 1-way analysis of variance was used to compare synovial fluid analysis data from different categories. Selection of cut-off values for the calculation of likelihood ratios, sensitivity, specificity, and positive and negative predictive values was based on examination of the distribution of the data using histograms. RESULTS: Cattle with infectious arthritis had significantly higher numbers of total NNC, PMN cells, TP concentration, and specific gravity (P = .0001) and a significantly higher percentage of PMN cells compared with cattle with noninfectious arthritis (P = .0001). The percentage of mononuclear cells was significantly higher in cattle with noninfectious arthritis (P = .0001). CONCLUSIONS: Synovial fluid analysis is useful for differentiation of infectious and noninfectious causes of joint disease in cattle. CLINICAL RELEVANCE: Cattle with a synovial fluid total NCC > 25,000 cells/microL, a PMN cell count > 20,000 cells/microL or more than 80% PMN cells, and TP > 4.5 g/dL should be considered to have infectious arthritis.     

Traumatic reticulitis in cattle: a review of 60 fatal cases

Sixty fatal cases of traumatic reticulitis in cattle were reviewed. Fifty-nine cases were caused by fragments of wire. A nail perforated the reticulum of 1 animal. Common clinical signs included decreased milk production, anorexia, fever, and weight loss. Abnormal or muffled heart sounds associated with pericarditis and epicarditis was the most common sequela, occurring in 40 cases. Fibrous adhesions found at necropsy in all cases suggest that initial clinical signs are difficult to recognize and in most cases it takes weeks to months for abnormalities to be observed.     

Vertebral body abscesses in cattle: a review of five cases

Over a 4-year period, vertebral body abscess (VBA) was diagnosed in 5 young cattle at the University of Minnesota, College of Veterinary Medicine. Review of these cases indicated that laboratory findings may not support a diagnosis of VBA and that the most important basis for diagnosis of this condition is a thorough neurologic examination. In 4 cases, necropsy revealed abscesses in the lungs or thoracic cavity as well, suggesting that a history of pneumonia preceding paresis may favor the diagnosis of VBA.     

Hydramnios causing uterine rupture in a mare

An 18-year-old mare, 285 days pregnant, was evaluated for apparent abdominal pain of 8 hours' duration. A large volume of sanguinous fluid was obtained on abdominocentesis, and digital vaginal examination revealed a dilated cervix and blood in the uterus. Abdominal palpation per rectum revealed the uterus to be large and distended with fluid. Ultrasonography revealed a dead fetus on the floor of the cranial portion of the abdomen. The mare was euthanatized, and necropsy confirmed that the uterus had ruptured, and that the fetus, within its chorioallantois, was in the abdomen. The amniotic sac contained approximately 96 L of amniotic fluid. Torsion of the amniotic sac separated the fetus from the fluid-filled compartment. Hydramnios was diagnosed on the basis of the excessive amniotic fluid and was believed to be the cause of the uterine rupture.     

Spontaneous uterine fibroleiomyoma in a captive cheetah

Information on uterine neoplasia in felids and more so in non-domestic felids is sparse. In non-domestic felids, this may be due to the small sample size. A uterine fibroleiomyoma is described in a 17-year-old captive cheetah. The multicentric nodular tumour masses were situated in the myometrium, were well demarcated, non-encapsulated and did not show infiltrative growth. Between the neoplastic cells, numerous of varying width, and irregularly braided bundles and whorls of collagen and reticular fibres were demonstrated. Immunohistochemical examinations revealed positive reactions for both desmin, the marker for smooth and skeletal muscle cells, and vimentin, the marker for fibrocyte-derived cells.     

Laryngotomy as a treatment for chronic laryngeal obstruction in cattle: a review of 130 cases.

One hundred and thirty cattle with chronic laryngeal obstruction were treated by surgery; the diagnostic and operative techniques are discussed. A simplified technique using local anaesthesia of the laryngeal area was used in sedated calves weighing up to 200 kg. Inhalation anaesthesia through a distal tracheotomy was needed in heavier animals. Complications related to the surgical intervention are described. The animals were reviewed from five months to over one year after discharge from the clinic. The long term survival rate of the 130 animals was 58 per cent. The results after surgery were excellent in 40.9 per cent and good in 15.2 per cent of the animals.     

A study of 55 field cases of uterine torsion in dairy cattle

Two-hundred and seventy-three animals were enrolled in a case-case comparison of uterine torsions and other dystocias. The purpose of the study was to describe field cases of uterine torsion and their clinical management, compare them with other types of dystocia attended by field veterinarians, and evaluate the effect of season and housing on the incidence of torsions. Fifty-five cases of uterine torsions representing 20% of the dystocias were diagnosed. Most cases of uterine torsion were successfully corrected and followed by the vaginal delivery of a live calf. When compared with other types of dystocia, cows were at greater risk for uterine torsion than were heifers (OR = 5.2; P < 0.0001), while animals suffering from fetopelvic disproportion or carrying twins were at a lesser risk (OR = 0.05; P < 0.0001 and OR = 0.09; P = 0.007, respectively). Heifers had a lower risk when calving alone in a pen versus a tie-stall (OR = 0.2, P = 0.04). There was no significant effect of season on the risk of uterine torsion.