Limits...
Transrectal ultrasonographic diagnosis of jejunoileal intussusception in a cow.

Karapinar T, Kom M - Ir Vet J (2007)

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Veterinary Medicine, Firat University, 23119, Elazig, Turkey. tolgakarapinar@yahoo.com.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Intussusception is defined as the invagination of a portion of bowel into the lumen of the adjacent segment of bowel... This case report describes a small intestinal intussusception in a cow and the transrectal ultrasonographic view of the lesion... Values for rectal temperature, pulse and respiratory rate were 38.2°C, 100 beats/minute and 20 breaths/minute, respectively... Ruminal contractions were markedly reduced (two contractions every five minutes)... The longitudinal ultrasound view of the firm mass revealed several echogenic parallel densities with a hypoechogenic central core representing the intestinal lumen of the intussusception (Figure 1)... Ultrasonographic examination of the right flank failed to reveal dilated loops of small intestine... The intussusception was found... However, it could not be reduced by manual traction... The resected bowel segment (Figure 2) was placed in formalin for subsequent histopathological examination... Histopathological examination confirmed that the intussusceptum was distal jejunum and that the intussucipiens was ileum... In the diagnosis of small intestinal obstruction, rectal palpation is considered valuable... The transrectal ultrasonographic pattern associated with the intussusception varies in respect to transducer placement... Lack of faecal output, signs of abdominal pain, the palpation of a firm mass on rectal examination and especially the transrectal ultrasonographic pattern of the lesion led to the suspect diagnosis of intussusception requiring immediate exploratory laparotomy... Small intestinal intussusceptions are surgically repaired by means of resection and end-to-end anastomosis in both cattle and horses, because end-to-end anastomosis causes less chance of stricture formation and leakage... This technique was preferred in this cow and no complications were observed.

No MeSH data available.


The view of the resected bowel segment.
© Copyright Policy
Related In: Results  -  Collection


getmorefigures.php?uid=PMC3113824&req=5

Figure 2: The view of the resected bowel segment.

Mentions: Based on the history and the results of physical, ultrasonographic and biochemical examination, a tentative diagnosis of intussusception was made and the cow was submitted for surgery. Surgery was performed by a right flank laparotomy with the cow in a standing position, under local infiltration analgesia using 2% lidocaine hydrochloride (Vilcain; Vilsan, Ankara, Turkey). The intussusception was found. However, it could not be reduced by manual traction. An end-to-end anastomosis was performed following the jejunoileal resection. Postoperative therapy included 0.9% sodium chloride (10 L iv, daily) (Eczacibasi-Baxter, Istanbul, Turkey) for two days and penicillin (Strepto-Veticilline; Eczacibasi-Baxter, Istanbul, Turkey) for five days. The cow became appetent one day post surgery and made steady improvement over the following ten days. The resected bowel segment (Figure 2) was placed in formalin for subsequent histopathological examination. Histopathological examination confirmed that the intussusceptum was distal jejunum and that the intussucipiens was ileum.


Transrectal ultrasonographic diagnosis of jejunoileal intussusception in a cow.

Karapinar T, Kom M - Ir Vet J (2007)

The view of the resected bowel segment.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3113824&req=5

Figure 2: The view of the resected bowel segment.
Mentions: Based on the history and the results of physical, ultrasonographic and biochemical examination, a tentative diagnosis of intussusception was made and the cow was submitted for surgery. Surgery was performed by a right flank laparotomy with the cow in a standing position, under local infiltration analgesia using 2% lidocaine hydrochloride (Vilcain; Vilsan, Ankara, Turkey). The intussusception was found. However, it could not be reduced by manual traction. An end-to-end anastomosis was performed following the jejunoileal resection. Postoperative therapy included 0.9% sodium chloride (10 L iv, daily) (Eczacibasi-Baxter, Istanbul, Turkey) for two days and penicillin (Strepto-Veticilline; Eczacibasi-Baxter, Istanbul, Turkey) for five days. The cow became appetent one day post surgery and made steady improvement over the following ten days. The resected bowel segment (Figure 2) was placed in formalin for subsequent histopathological examination. Histopathological examination confirmed that the intussusceptum was distal jejunum and that the intussucipiens was ileum.

View Article: PubMed Central - HTML - PubMed

Affiliation: Faculty of Veterinary Medicine, Firat University, 23119, Elazig, Turkey. tolgakarapinar@yahoo.com.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Intussusception is defined as the invagination of a portion of bowel into the lumen of the adjacent segment of bowel... This case report describes a small intestinal intussusception in a cow and the transrectal ultrasonographic view of the lesion... Values for rectal temperature, pulse and respiratory rate were 38.2°C, 100 beats/minute and 20 breaths/minute, respectively... Ruminal contractions were markedly reduced (two contractions every five minutes)... The longitudinal ultrasound view of the firm mass revealed several echogenic parallel densities with a hypoechogenic central core representing the intestinal lumen of the intussusception (Figure 1)... Ultrasonographic examination of the right flank failed to reveal dilated loops of small intestine... The intussusception was found... However, it could not be reduced by manual traction... The resected bowel segment (Figure 2) was placed in formalin for subsequent histopathological examination... Histopathological examination confirmed that the intussusceptum was distal jejunum and that the intussucipiens was ileum... In the diagnosis of small intestinal obstruction, rectal palpation is considered valuable... The transrectal ultrasonographic pattern associated with the intussusception varies in respect to transducer placement... Lack of faecal output, signs of abdominal pain, the palpation of a firm mass on rectal examination and especially the transrectal ultrasonographic pattern of the lesion led to the suspect diagnosis of intussusception requiring immediate exploratory laparotomy... Small intestinal intussusceptions are surgically repaired by means of resection and end-to-end anastomosis in both cattle and horses, because end-to-end anastomosis causes less chance of stricture formation and leakage... This technique was preferred in this cow and no complications were observed.

No MeSH data available.