Cecal inversion followed by ileocolic intussusception in a cat

A cat was presented with a history of constipation, tenesmus, and malaise. Ultrasonography revealed an ileocolic intussusception and cecal inversion. Surgical findings included an easily reducible intussusception and an inverted cecum that was moderately difficult to reduce. A typhlectomy and bowel plication was performed. The cat had an uneventful recovery.     

Obstruction of the cecocolic orifice by ileocecocolic intussusception following jejunocecostomy in a horse

A 4-year-old Thoroughbred stallion was referred for signs of mild to moderate colic, anorexia, and decreased water intake of 3 weeks' duration. Ultrasonographic examination revealed an intussusception, the most common of which would be a cecal inversion or ileocecal intussusception. Surgical exploration identified an ileocecocolic intussusception with extension of the intussusceptum into the right ventral colon; however, the cause of the intussusception could not be identified. The intussusception could not be surgically corrected, and the horse was euthanatized. A side-to-side jejunocecostomy that had been performed previously was identified at necropsy. The ileal stump had intussuscepted into the right ventral colon and become hypertrophied, causing partial obstruction of the cecocolic orifice and clinical signs of colic. In horses requiring an ileocecal or jejunocecal anastomosis, the ileal stump may be left to slough within the cecum as part of the treatment for an irreducible ileocecal intussusception or intentionally inverted into the cecum when the ileal stump is necrotic and cannot be exteriorized and resected. Efforts should be made to minimize the size of the ileal stump to reduce the liklihood of intussusception.     

Ultrasonographic features of intestinal intussusception in 10 dogs

Records of dogs that had abdominal ultrasonography and surgical or pathological diagnosis of intestinal intussusception between February 1992 and June 1997 were reviewed retrospectively. Ultrasound images were reviewed with respect to appearance of the intussusception, suspected location, evidence of predisposing cause and concurrent lesions. Ten intussusceptions were found, affecting a variety of breeds. The mean (range) age of affected dogs was 2·5 (0·3 to seven) years (four females and six males) and the reported duration of clinical signs, 48 (one to 150) days. Intussusceptions were jejunojejunal (five dogs), ileocolic (three), caecocolic (one) and colocolic (one). A concentric ring sign was identified ultrasonographically in each dog and anatomical location predicted correctly in five instances. Additional ultrasonographic findings associated with intussusceptions included intestinal neoplasm in two dogs, enlarged abdominal lymph nodes in two, multiple mesenteric cysts in one and intestinal foreign body in a further dog. Thus, ultrasonography enables accurate diagnosis of intestinal intussusception and is a useful method for searching for concurrent or predisposing lesions.     

A case of a colocolic intussusception in a horse

The purpose of this report is to describe the clinical course and pathological findings in a horse admitted to the emergency service of the University of Georgia Large Animal Teaching Hospital for evaluation of colic, fever and diarrhoea of several days' duration. A presumptive historical diagnosis of colitis was made initially, but, due to the lack of faecal output during the first 12 h of hospitalisation and subsequent examination findings, an impaction of the ascending colon was suspected. Initial therapy consisted of rehydration with oral fluids and management of the abdominal pain with analgesic therapy. The horse did not respond to medical therapy and because of signs of persistent abdominal pain and financial constraints, the owner elected euthanasia after several days of supportive care. At necropsy, the horse was diagnosed with a colocolic intussusception.     

Effect of inclusion of defatted grape seed meal in the diet on digestion and performance of growing rabbits

The digestion and nutritive value of defatted grape seed meal (DGSM) was investigated. A basal diet was formulated to meet requirements of growing rabbits. Another diet was formulated by substituting 15.2% of the basal diet with DGSM. Two hundred eight weaned 30-d-old rabbits were fed these diets, and fattening performance was recorded. Eighty animals were used to study the effect of DGSM inclusion on cecal fermentation traits and intestinal disaccharidase activity at two ages (5 and 35 d after weaning). Fecal apparent digestibility of nutrients was measured in 18 rabbits. A third diet was formulated to contain DGSM (61.3%) as the sole source of fiber and a supplement consisting of wheat flour, casein, lard, and a mixture of vitamins and minerals to avoid nutrient imbalances. This semipurified diet was used to determine cecal digestion traits, disaccharidase activity in the small intestine, fecal apparent digestibility of nutrients, and rate of passage in 70-d-old rabbits. Digestible energy and NDF and CP digestibilities of DGSM calculated by difference were 5.51 +/- 0.89 MJ/kg DM, 24.5 +/- 5.76%, and 46.8 +/- 14.9%, respectively. Inclusion of 15% of DGSM in the basal diet increased ADFI in finishing rabbits (from 9 to 15%; P < 0.05), so that DE intake increased although dietary DE concentration decreased. As a consequence, ADG increased by 3.3% in the whole fattening period (P = 0.046). The increase in ADFI was parallel to an 8% decrease in the weight of cecal contents (P = 0.059), and it was in agreement with the relatively short cecal mean retention time of DGSM (7.61 h) in the semipurified diet. Inclusion of 15% of DGSM in the basal diet did not affect (P > or = 0.20) mortality (10.1%) or cecal concentrations of VFA, NH3 N, or cecal pH either at 5 d (71.9 mM, 17.7 mM, and 5.75, respectively) or at 35 d after weaning (74.6 mM, 10.1 mM, and 5.66, respectively) but improved the sucrase activity in the ileum by 36% (P = 0.031). Digestibility of NDF of DGSM in the semipurified diet was 8.57%, which agrees with the low acidity and weight of cecal contents of animals fed this diet (6.26 and 3.63% BW, respectively). From these results, we conclude that DGSM has a relatively high DE concentration and its inclusion at moderate levels (15%) in the diet exerts a positive effect on ADFI, DE intake, and ADG with no impairment of cecal fermentation and mortality.     

Use of cecal bypass via side-to-side ileocolic anastomosis without ileal transection for treatment of cecocolic intussusception in three horses

CASE DESCRIPTION: 3 horses were evaluated for signs of colic; cecocolic intussusception was detected. CLINICAL FINDINGS: Abnormalities detected included diminished intestinal sounds, inflammatory leukogram, dehydration, unremarkable fi ndings via rectal palpation, and ultrasonographic evidence of large intestine intussusception. Laparotomy revealed cecocolic intussusception. TREATMENT AND OUTCOME: Cecal bypass via side-to-side ileocolic anastomosis without ileal transection was performed in each horse by use of an intraluminal anastomosis stapler device. Postoperative complications were minimal, and all horses recovered rapidly and were clinically normal at > 12 months after surgery. CLINICAL RELEVANCE: Cecal bypass via side-to-side ileocolic anastomosis without ileal transection seemed to offer 2 potential advantages over traditional surgical techniques for treating this condition. The risk of abdominal contamination was far less than with techniques in which the colotomy is needed to enable resection of the cecum or techniques in which the ileum is transected. Also, it was technically simpler to perform because there was no need to transect the ileum, oversew the ileal stump, perform cecal resection, or close the mesenteric space created by relocating the jejunal stump to the right ventral colon.     

Severe anemia caused by babesiosis in a maned wolf (Chrysocyon brachyurus)

An 8-yr-old, captive, spayed, female maned wolf (Chrysocyon brachyurus) developed progressive lethargy and weakness over a 24-hr period. Clinical signs included vomiting, recumbency, horizontal nystagmus, possible blindness, pale icteric mucus membranes, and port-wine colored urine. A complete blood cell count revealed severe anemia (packed cell volume [PCV], 6%) and intraerythrocytic piroplasms consistent with a Babesia species. Polymerase chain reaction testing later confirmed babesiosis. The wolf was treated with imidocarb dipropionate, antibiotics, and fluid therapy. A whole-blood transfusion from a sibling maned wolf also was performed. Despite aggressive treatment, the wolf failed to improve and was euthanized. To the authors' knowledge, this is the first documented case of babesiosis in a captive maned wolf in North America. Surveillance of infectious diseases in captive and wild maned wolf populations should be expanded to include screening for Babesia species. Tick control also should be implemented to prevent and decrease transmission of the disease to this endangered species.     

Simultaneous cecostomy and ileal cannulation with a modified flexible T cannula in gilts

A surgical procedure was developed for the simultaneous cannulation of the ileum and fistulation of the cecum in breeding-age gilts to study the effects of enteric microflora on the nutritional requirements and/or status of the pig. Flexible T-shaped cannulae were made from plastic tubing, placed surgically in the caudal part of the ileum, and exteriorized in the right paralumbar fossa. After the exteriorization of the cecal apex in the right flank area, a cecal fistual was made caudoventral to the ileal cannula. Prececocolonic contents could be collected from the ileal cannulae and/or substances could be infused into the cecum. The flexible cannulae were light weight (35 g), were easily replaced when dislodged with minimal tissue trauma and minimal discomfort to the animal, and had good animal tolerance and patency in long-term experiments. The cecal fistulae allowed the direct introduction of various substances into the cecum. There was little external projection from the abdominal wall, and the fistulae were subject to minimal leakage. The procedure did not adversely affect the subsequent health or performance of the 43 gilts used in the experiment. Postmortem examination of gilts euthanatized 12 to 26 weeks postoperatively revealed normal tissue adhesions around the surgical sites with no detrimental effects on the gastrointestinal tract.     

无氮饲粮对肉鸡盲肠微生物菌群结构及内源氨基酸基础损失量的影响

本试验旨在研究无氮饲粮对14日龄和35日龄肉鸡盲肠微生物菌群结构及内源氨基酸基础损失量的影响。分别选用10日龄和31日龄罗斯(Ross)308雄性肉鸡,随机分为2个组:常规饲粮组和无氮饲粮组,每组5个重复,其中10日龄时每个重复12只鸡,31日龄时每个重复6只鸡,试验期均为4 d。结果表明:肉鸡14日龄和35日龄时,收粪法所得大多数氨基酸内源基础损失量均显著或极显著高于回肠食糜法(P<0.05或P<0.01)。相对常规饲粮,无氮饲粮改变了14日龄和35日龄肉鸡盲肠微生物16S rDNA V3高变区变性梯度凝胶电泳图谱的优势条带,其中14日龄和35日龄发生变化的优势条带灰度值占其整个优势条带总灰度值的比例分别为72%、39%。与常规饲粮相比,无氮饲粮对14日龄肉鸡盲肠食糜重、氨态氮浓度没有显著影响(P>0.05),但极显著降低了盲肠食糜中丁酸浓度(P<0.01),显著降低了异丁酸和戊酸浓度(P<0.05),极显著增加了丙酸浓度(P<0.01)。无氮饲粮组35日龄肉鸡盲肠食糜重极显著高于常规饲粮组(P<0.01),盲肠食糜氨态氮、乙酸、异丁酸、戊酸、异戊酸浓度则极显著降低(P<0.01)。综上所述,采用无氮饲粮测定内源氨基酸基础损失量时,收粪法所得大多数氨基酸内源基础损失量显著高于回肠食糜法。饲喂无氮饲粮4 d后,肉鸡盲肠食糜原有微生物优势菌群发生改变。     

Ileocecal intussusception in horses: 26 cases (1981-1988)

The case records of 26 horses with ileocecal intussusception over a 7-year period were reviewed to determine clinical features of the disease and response to treatment. The median age of horses with ileocecal intussusception was 1 year and ranged from 2 weeks to 19 years. There was no apparent gender or breed predisposition to this disease. An acute form of ileocecal intussusception was diagnosed in 19 horses with signs of moderate to severe abdominal pain of less than or equal to 24 hours' duration, and a chronic form was diagnosed in 7 horses with signs of intermittent, mild to moderate abdominal pain of more than 3 days' duration. Horses with chronic ileocecal intussusception had a history of weight loss or failure to gain weight, slow growth, poor appetite, low-grade pyrexia, and postprandial signs of abdominal pain. At surgery, the involved segments of intestine (intussusceptum and intussuscipiens) in chronic cases were 2 to 10 cm long, and the ileum and much of the distal portion of the jejunum were flaccid, dilated, and thick walled. In the acute cases, the length of involved intestine ranged from 6 to 457 cm. Whereas only 1 of 7 chronic intussusceptions (14%) could be reduced, 9 of 19 (47%) acute intussusceptions were reducible. Surgical treatment included resection and jejunocecostomy (6 horses), partial resection through a cecotomy and a side-to-side jejunocecostomy (2 horses), and a side-to-side ileocecostomy or jejunocecostomy without resection (12 horses, 7 of which had chronic intussusception). Six horses with acute intussusception were euthanatized before or during surgery.(ABSTRACT TRUNCATED AT 250 WORDS)     

Neurologic signs and hyperammonemia in a horse with colic

A 23-year-old Thoroughbred gelding was referred for the evaluation of acute onset of ataxia and depression, and a 2-day history of fever. On physical examination, the gelding was profoundly depressed and 10-12% dehydrated. The horse appeared very unstable, with a wide-based stance in the hind limbs, severe symmetric ataxia in all 4 limbs, and proprioceptive deficits in both hind limbs. Nasogastric intubation produced 4 L of brown, fetid reflux, and rectal examination revealed mild small intestinal and cecal distention. Hematologic abnormalities included neutropenia with toxic change, compatible with acute inflammation and endotoxemia, and prolonged coagulation times. Serum biochemical abnormalities included prerenal azotemia. metabolic acidosis, and electrolyte abnormalities consistent with enteritis. Blood ammonia concentration was markedly increased (406 micromol/L; reference interval 4-49 micromol/L), however, serum bile acids concentration and hepatic enzyme activities were within reference intervals. Histopathologic examination of a liver biopsy revealed no abnormalities and results of tests for several infectious agents were negative. Clinical signs resolved with correction of the dehydration and electrolyte abnormalities and with antibiotic therapy. The horse was diagnosed with hyperammonemic neuropathy associated with gastrointestinal disease. In such cases, hyperammonemia is caused by increased production of ammonia by organisms in the gastrointestinal tract in combination with increased gut permeability that facilitates ammonia absorption.     

不同淀粉类型饲粮对育肥猪盲肠食糜主要微生物及其代谢产物的影响

本试验旨在研究不同淀粉类型饲粮对育肥猪盲肠食糜主要微生物及其代谢产物的影响。试验选取72头健康且初始体重相近的“杜×长×大”三元杂交阉公猪,随机分为3组,每组8个重复,每个重复3头猪。3组猪分别饲喂含有木薯淀粉、玉米淀粉和豌豆淀粉作为唯一淀粉来源配制的3种饲粮,饲粮的直链淀粉/支链淀粉分别为0.11、0.25和0.44。试验预试期4 d,正试期42 d。于正式试验的第42天,每个重复选取1头体重接近平均体重的猪进行屠宰,收集盲肠食糜进行相关指标的测定。结果表明:1)与木薯淀粉饲粮相比,豌豆淀粉饲粮显著降低育肥猪盲肠食糜的pH(P<0.05);2)与木薯淀粉饲粮相比,玉米淀粉和豌豆淀粉饲粮显著增加育肥猪盲肠食糜中乳酸的含量(P<0.05),同时豌豆淀粉饲粮显著增加食糜中乙酸、丁酸和总短链脂肪酸的含量(P<0.05);3)对于肠道微生物氮代谢产物而言,与木薯淀粉饲粮相比,玉米淀粉和豌豆淀粉饲粮显著降低育肥猪食糜中氨态氮、腐胺、总生物胺、吲哚和粪臭素的含量(P<0.05),同时豌豆淀粉饲粮显著降低食糜中尸胺和色胺的含量(P<0.05);4)对于微生物而言,与木薯淀粉饲粮相比,玉米淀粉和豌豆淀粉饲粮显著增加育肥猪盲肠食糜中普雷沃氏菌属的数量(P<0.05),而降低食糜中大肠杆菌的数量(P<0.05),同时豌豆淀粉饲粮增加了食糜中乳酸杆菌、双歧杆菌、梭菌Ⅳ和梭菌ⅩⅣ的数量(P<0.05)。由此可见,本试验条件下,给育肥猪饲喂含有高直链的豌豆淀粉改变了其盲肠食糜中微生物的组成和发酵模式,增加了部分有益菌的数量和碳水化合物代谢产物的含量,降低了潜在致病菌的数量和氮代谢产物的含量,这提示摄食含有高直链的淀粉有利于维持宿主肠道健康。     

Determination of the acid-base status in 50 horses admitted with colic between December 1998 and May 1999

The purpose of the present study was to investigate the acid-base status and the concentration of organic acids in horses with colic caused by various disorders. Blood samples were collected from 50 horses with colic and from 20 controls. No intravenous fluids had been given prior to sample collection. Identified causes of colic included gastric ulceration, small intestinal volvulus, cecal intussusception, cecal rupture, colonic impaction, left dorsal colon displacement, right dorsal colon displacement, colonic volvulus, colitis, peritonitis, and uterine torsion. Thirty-seven horses recovered from treatment of colic, 8 horses were euthanized, and 5 died. Most cases were not in severe metabolic acidosis. In previous studies, most horses presented for diagnosis and treatment of colic were in metabolic acidosis and in shock.     

Jejunocolic Anastomosis for the Surgical Management of Recurrent Cecal Impaction in a Horse

A 5-year-old Thoroughbred gelding with recurrent cecal impaction refractory to medical management was treated with a side-to-side jejunocolic anastomosis. Cecal impaction did not recur after surgery. The horse gained weight and performed successfully for 14 months, but experienced three episodes of mild abdominal pain between 14 and 20 months after surgery. Mild cecal gas distention and firm ingesta in the colon were detected on rectal examination. The horse's feces remained soft after surgery, except during the colic episodes when dry, firm feces were passed.     

Effect of dietary inclusion of sorghum milling waste on growth response,nutrient utilisation,gut characteristics and cecal microflora of weaner rabbits

Growth response, nutrient digestibility and cecal microflora of 80 male, mixed breed weaner rabbits fed with varying dietary inclusions of sorghum milling waste (SMW) was investigated. Four experimental diets were formulated such that SMW was included at 0 (control), 100, 200 and 300 g/kg, respectively. Each dietary treatment was performed on 20 rabbits. Feed intake increased (P < 0.05) while final live weight and feed conversion ratio of rabbits decreased (P < 0.05) following increased dietary inclusion of SMW. Rabbits fed with 100 and 200 g/kg SMW had similar feed conversion ratios, weight gain, crude fiber, dry matter and crude protein digestibility values. Rabbits fed with 300 g/kg SMW recorded the lowest (P < 0.05) hot carcass weight, dressing percentage and rack weight. Similar dressing percentage and rack weight were recorded for rabbits fed with control diet, 100 and 200 g/kg SMW. The weight of cecal content increased (P < 0.05) with increased dietary inclusion levels of SMW. Rabbits fed with 300 g/kg SMW recorded the lowest (P < 0.05) coliform and lactobaccillus counts. Dietary inclusion of up to 200 g/kg SMW supported improved growth response and carcass yield without imposing any detrimental effect on cecal microflora.     

Gastroduodenal intussusception in a young dog

A 21-month-old German shepherd crossbreed presented with a nine-month history of intermittent vomiting, anorexia and melaena interspersed with periods of clinical normality. Investigations suggested recurrent pancreatitis and the vomiting resolved with supportive therapy but recurred two weeks later. Abdominal radiographs revealed evidence of an intermittent abdominal mass which, on uitrasonography, had the typical appearance of an intussusception. At laparotomy, a gastroduodenal intussusception was found obstructing the pancreatic and bile duct outflows with perforation of the duodenal wail. The dog was euthanased. Postmortem examination and histology showed no obvious cause for the intussusception but confirmed pancreatic involvement. This is believed to be the first case of gastroduodenal intussusception reported in an animal.     

Surgical diseases of the equine cecum

Cecal impaction and cecal perforation, the two most common equine cecal diseases, are thought to develop after slowing or interruption of a single progressive motility pattern, which begins in a pacemaker area near the apex, occurs once every 3 minutes, and propels ingesta from the cecum to the right ventral colon. Rectal examination in horses with cecal impaction is the most useful technique to grade the severity of the condition. Medical treatment is undertaken if the impaction is judged to be mild to moderate. Surgical correction of cecal impaction in severe cases requires a ventral midline celiotomy, and exploration reveals a large ingesta-filled cecum and relatively empty large colon. Currently, the techniques of typhlotomy with manual evacuation of ingesta, combined with a complete bypass of the cecum by use of a jejunocolostomy, is the preferred method of surgical management. The use of a cecocolic anastomosis remains a viable alternative surgical procedure. Cecal perforation (CP), a uniformly fatal disease of horses, most often develops when the subtle signs of cecal impaction are missed or are masked by the administration of nonsteroidal antiinflammatory agents. CP can occur in mares around the time of foaling and, in this form, is not associated with cecal outflow dysfunction. Surgical management of cecocecal or cecocolic intussusception is required and involves resection of the diseased portion of cecum, either with extra- or intraluminal techniques. Both the side-to-side and end-to-side jejunocecal anastomoses are useful and successful techniques for bypass of simple or strangulating lesions of the ileum.     

Dexamethasone for treatment of multisystemic eosinophilic epitheliotropic disease in a horse

A 4-year-old Paint mare was examined because of respiratory tract infection, dermatitis, and weight loss of 2 months' duration. Initial examination revealed generalized pruritic dermatitis, ocular and nasal discharges, and stranguria. Laboratory abnormalities included leukopenia and hypoalbuminemia. Further examination of the respiratory tract revealed grade III of IV pharyngitis and pyogranulomatous pneumonia. Endoscopic examination of the bladder revealed a prolific mass at the junction of the bladder and urethra. Hypoproteinemia was suspected to be caused by protein-losing enteropathy. On histologic examination, skin, rectal, pharyngeal, and urethral biopsy specimens were characterized by infiltration of eosinophils and lymphocytes, and a diagnosis of multisystemic eosinophilic epitheliotropic disease was made. The horse improved following treatment with dexamethasone, trimethoprim-sulfamethoxazole, and an antihistamine and was discharged after 19 days of hospitalization. Treatment with dexamethasone was continued for 4 weeks after hospitalization but was then discontinued. Eight months after discharge, the horse was performing as a pleasure horse and did not require any medical treatment. Multisystemic eosinophilic epitheliotropic disease is typically associated with a poor prognosis in horses. The dermatitis, protein-losing enteropathy, and lower respiratory tract disease in this horse were consistent with previous reports; however, pharyngitis and urethritis have not, to our knowledge, been previously reported in horses with this disease.     

Pylorogastric intussusception in the dog: a case report and literature review

A 10-month-old, neutered male Saint Bernard presented for evaluation of acute, severe vomiting. A soft-tissue mass was noted within the stomach on survey abdominal radiographs. The diagnosis of pylorogastric intussusception was made during exploratory celiotomy. The intussusception was manually reduced at surgery, the pyloric antrum was enlarged, and the duodenum was permanently affixed to the abdominal wall in an attempt to prevent recurrence of the intussusception. The dog recovered, has gained weight (5 kg), and has had only one isolated episode of vomiting during the one year since discharge from the hospital. This report documents the fourth reported case of pylorogastric (i.e., duodenogastric, gastrogastric) intussusception in the veterinary literature and is the first report that details the surgical management of the disease.     

日粮添加水苏糖对肉仔鸡鼠伤寒沙门氏菌感染控制效果的研究

试验研究了添加不同梯度水苏糖对肉鸡鼠伤寒沙门氏菌攻毒的控制效果。试验选用1日龄体重相近(45.52±1.48)g的健康AA肉鸡公雏72只,随机分为3个处理,设6个重复,每个重复4只。在玉米-大豆浓缩蛋白日粮基础上分别添加0、0.4%和0.8%水平的水苏糖。结果表明:日粮添加水苏糖降低了肉鸡体重;肉鸡肠道沙门氏菌控制效果不显著,第19天时,0.4%水苏糖添加组的大肠杆菌数显著高于其他2组(P<0.05),乳酸菌各处理之间差异不显著;pH值与盲肠指数无差异(P>0.05)。以上研究表明,该梯度水苏糖不能控制肉鸡沙门氏菌感染,对肉鸡无保护作用。