Torsion of the spiral colon in cattle- a retrospective analysis of 58 cases.
Caecum
Cattle
Ileus
Spiral colon
Torsion
Journal
Acta veterinaria Scandinavica
ISSN: 1751-0147
Titre abrégé: Acta Vet Scand
Pays: England
ID NLM: 0370400
Informations de publication
Date de publication:
15 Apr 2024
15 Apr 2024
Historique:
received:
13
11
2023
accepted:
25
03
2024
medline:
16
4
2024
pubmed:
16
4
2024
entrez:
15
4
2024
Statut:
epublish
Résumé
Torsion of the spiral colon (TSC) describes twisting of the spiral colon around its mesentery. The present study reviewed the medical records of 58 cows and heifers with TSC and described the findings, treatment and outcome. All cases had an abnormal general condition, and the main vital sign abnormalities were tachycardia (72.4%), tachypnoea (67.2%) and decreased rectal temperature (51.8%). Signs of colic were seen in 62.1% of the cows. The most common intestinal abnormalities were an empty or almost empty rectum (96.6%), reduced or absent rumen motility (93.2%), positive ballottement and/or percussion and simultaneous auscultation on the right side of the abdomen (87.9%), reduced or absent intestinal motility (84.5%) and dilatation of the large intestines (spiral colon and/or caecum, 70.7%) diagnosed by transrectal palpation. The main biochemical changes were hypermagnesaemia (70.8%), hypocalcaemia (70.8%), and acidosis (66.7%). Haemoconcentration was found in 63.8%. The main ultrasonographic findings were reduced to absent small intestinal motility (83.3%), dilated small intestines (69.6%) and ascites (66.7%). The spiral colon was dilated in 44.0% of the cows and the caecum in 24.0%. The actual site of torsion could not be visualised. Based on the clinical findings, TSC was diagnosed in 22.4% and caecal dilatation in 50.0% of the cows. A tentative diagnosis of small intestinal ileus was made in another 10.3% of the cows, and a definitive diagnosis of small intestinal ileus in 17.3%. Fifty-three cows underwent right flank laparotomy, and the TSC could be reduced in 26. Twenty-six of the 58 (44.8%) cows were discharged and 32 (55.2%) were euthanased before, during or after surgery. Acute illness, a sparse amount of faeces in the rectum and dilated spiral colon and caecum are characteristic findings of TSC. The final diagnosis often relies on the surgical or postmortem findings. Cattle with TSC should be treated surgically without delay. The prognosis is guarded with a survival rate of 44.8%.
Sections du résumé
BACKGROUND
BACKGROUND
Torsion of the spiral colon (TSC) describes twisting of the spiral colon around its mesentery. The present study reviewed the medical records of 58 cows and heifers with TSC and described the findings, treatment and outcome.
RESULTS
RESULTS
All cases had an abnormal general condition, and the main vital sign abnormalities were tachycardia (72.4%), tachypnoea (67.2%) and decreased rectal temperature (51.8%). Signs of colic were seen in 62.1% of the cows. The most common intestinal abnormalities were an empty or almost empty rectum (96.6%), reduced or absent rumen motility (93.2%), positive ballottement and/or percussion and simultaneous auscultation on the right side of the abdomen (87.9%), reduced or absent intestinal motility (84.5%) and dilatation of the large intestines (spiral colon and/or caecum, 70.7%) diagnosed by transrectal palpation. The main biochemical changes were hypermagnesaemia (70.8%), hypocalcaemia (70.8%), and acidosis (66.7%). Haemoconcentration was found in 63.8%. The main ultrasonographic findings were reduced to absent small intestinal motility (83.3%), dilated small intestines (69.6%) and ascites (66.7%). The spiral colon was dilated in 44.0% of the cows and the caecum in 24.0%. The actual site of torsion could not be visualised. Based on the clinical findings, TSC was diagnosed in 22.4% and caecal dilatation in 50.0% of the cows. A tentative diagnosis of small intestinal ileus was made in another 10.3% of the cows, and a definitive diagnosis of small intestinal ileus in 17.3%. Fifty-three cows underwent right flank laparotomy, and the TSC could be reduced in 26. Twenty-six of the 58 (44.8%) cows were discharged and 32 (55.2%) were euthanased before, during or after surgery.
CONCLUSIONS
CONCLUSIONS
Acute illness, a sparse amount of faeces in the rectum and dilated spiral colon and caecum are characteristic findings of TSC. The final diagnosis often relies on the surgical or postmortem findings. Cattle with TSC should be treated surgically without delay. The prognosis is guarded with a survival rate of 44.8%.
Identifiants
pubmed: 38622685
doi: 10.1186/s13028-024-00738-w
pii: 10.1186/s13028-024-00738-w
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
17Informations de copyright
© 2024. The Author(s).
Références
Schummer A, Vollmerhaus B. Rumpfdarm der Wiederkäuer. In: Nickel R, Schummer A, Seiferle E, editors. Lehrbuch der Anatomie der Haustiere, Vol. II (Eingeweide). Berlin, Hamburg: Paul Parey; 1987. p. 158-94
Barone R. Gros Intestin et intestin des ruminants. In: Barone R, editor. Anatomie comparée des mammifères domestiques– tome 3, Splanchnologie I. Paris: Éditions Vigot; 2009. pp. 409–53.
König H, Sótonyi P, Ruberte J, Liebich HG. Mittel- und Enddarm (Intestinum). In: König H, Liebich HG, editors. Anatomie der Haussäugetiere. Lehrbuch und Farbatlas für Studium und Praxis. Stuttgart: Schattauer GmbH; 2015. p. 343–63.
Wölfl S. Nicht-integriertes Colon ascendens beim Rind. Variation oder Missbildung? Dissertation, Universität München, 2011. https://edoc.ub.uni-muenchen.de/13912/1/Woelfl_Stefanie.pdf .
Steiner A. Obstruction of the spiral colon. In: Fubini SL, Ducharme NG, editors. Farm animal surgery. St. Louis, Missouri: Elsevier; 2017. p. 324–5.
Pearson H. Intussusception in cattle. Vet Rec. 1971;89:426–37.
pubmed: 5167390
doi: 10.1136/vr.89.16.426
Hamilton GF, Tulleners EP. Intussusception involving the spiral colon in a calf. Can Vet J. 1980;21:32.
pubmed: 7363255
pmcid: 1789661
Strand E, Welker B, Modransky P. Spiral colon intussusception in a three-year-old bull. J Am Vet Med Assoc. 1993;202:971–2.
pubmed: 8468227
doi: 10.2460/javma.1993.202.06.971
Rademacher G, Gentile A. Anomalie der Grimmdarmspirale beim Rind. Tierärztl Umschau. 2008;63:133–41.
Hofmann W, Lanz E. Über die Klinik und Therapie der Verlagerungen im Magen-Darmtraktus beim Rind. Schweiz Arch Tierheilk. 1966;108:686–95.
Gentile A, Bolcato M, Militerno G, Rademacher G, Desrochers A, Grandis A. Heterotopy (Error loci) of the spiral loop of the ascending colon in cattle. PLoS ONE. 2019;14:e0215402.
pubmed: 30978255
pmcid: 6461275
doi: 10.1371/journal.pone.0215402
Gentile A, Grandis A, Bolcato M, Villotti S, Militerno G, Rademacher G. Eterotopia (error loci) dell’ansa spirale del colon ascendente nel bovino. Buiatria. J It Ass Buiatr. 2013;8:51–62.
Ness H, Leopold G, Müller W. Zur Genese des Angeborenen Darmverschlusses (Atresia coli et jejuni) des Kalbes. Monatsh Veterinärmed. 1982;37:89–92.
Schlegel F, Müller W, Willer S, Busch W. Die rektale Frühträchtigkeitsuntersuchung als auslösender Faktor f der partiellen Kolonaplasie beim Rind. Monatsh Veterinärmed. 1986;41:377–82.
Volz C. Klinische, labordiagnostische und sonographische Befunde sowie Therapie und Verlauf bei 168 Rindern mit Volvulus jejunalis, Torsio mesenterialis und Colonscheibentorsion. Dr Med Vet Thesis, University of Zurich, 2021. https://www.zora.uzh.ch/id/eprint/214620/1/214620.pdf .
Rosenberger G. Clinical examination of cattle. Berlin, Hamburg: Paul Parey; 1979.
Braun U, Gerspach C, Volz C, Boesiger M, Hilbe M, Nuss K. A retrospective review of small intestinal intussusception in 126 cattle in Switzerland. Vet Rec Open. 2023;10:e58.
pubmed: 37006917
pmcid: 10049975
doi: 10.1002/vro2.58
Braun U, Gerspach C, Volz C, Hilbe M, Nuss K. Dilated small and large intestines combined with a severely abnormal demeanor are characteristic of mesenteric torsion in cattle. J Am Vet Med Assoc. 2023;261:1531–8.
pubmed: 37451675
Braun U, Gerspach C, Loss S, Hilbe M, Nuss K. Small intestinal strangulation in 60 cattle– clinical, laboratory and ultrasonographic findings, treatment and outcome. BMC Vet Res. 2023;19:233.
pubmed: 37946229
pmcid: 10634025
doi: 10.1186/s12917-023-03797-9
Gründer HD. Kolik beim Rind. Prakt Tierarzt. 1984;66:CollegiumveterinariumXV–84.
Braun U, Nuss K, Reif S, Hilbe M, Gerspach C. Left and right displaced abomasum and abomasal volvulus: comparison of clinical, laboratory and ultrasonographic findings in 1982 dairy cows. Acta Vet Scand. 2022;64:40.
pubmed: 36539887
pmcid: 9764744
doi: 10.1186/s13028-022-00656-9
Braun U. Ultrasonography of the gastrointestinal tract in cattle. Vet Clin North Am Food Anim Pract. 2009;25:567–90.
pubmed: 19825434
doi: 10.1016/j.cvfa.2009.07.004
Braun U, Beckmann C, Gerspach C, Hässig M, Muggli E, Knubben-Schweizer G, Nuss K. Clinical findings and treatment in cattle with caecal dilatation. BMC Vet Res. 2012;8:75.
pubmed: 22656369
pmcid: 3391992
doi: 10.1186/1746-6148-8-75
Braun U, Amrein E, Koller U, Lischer C. Ultrasonographic findings in cows with dilatation, torsion and retroflexion of the caecum. Vet Rec. 2002;150:75–9.
pubmed: 11837590
doi: 10.1136/vr.150.3.75
Vogel SR, Nichols S, Buczinski S, Desrochers A, Babkine M, Veillette M, Francoz D, Doré E, Fecteau G, Bélanger AM, Badillo M. Duodenal obstruction caused by duodenal sigmoid flexure volvulus in dairy cattle: 29 cases (2006–2010). J Am Vet Med Assoc. 2012;241:621–5.
pubmed: 22916860
doi: 10.2460/javma.241.5.621
Nuss K, Lejeune B, Lischer C, Braun U. Ileal impaction in 22 cows. Vet J. 2006;171:456–61.
pubmed: 16040260
doi: 10.1016/j.tvjl.2005.02.024
Fubini SL, Smith DF, Tithof PK, Perdrizet JA, Rebhun WC. Volvulus of the distal part of the jejunoileum in four cows. Vet Surg. 1986;15:150–2.
doi: 10.1111/j.1532-950X.1986.tb00193.x
Anderson DE, Constable PD, St Jean G, Hull BL. Small-intestinal volvulus in cattle: 35 cases (1967–1992). J Am Vet Med Assoc. 1993;203:1178–83.
pubmed: 8244869
doi: 10.2460/javma.1993.203.08.1178
Dirksen G, Doll K. Dünndarmverschlingung. In: Dirksen G, Gründer HD, Stöber M, editors. Innere Medizin und Chirurgie des Rindes. Berlin: Parey Buchverlag; 2002. pp. 525–7.
Rademacher G, Lorenz I, Diagnose. Therapie und Prognose des Volvulus Intestini beim Rind. Tierärztl Umschau. 1998;53:93–105.
Anderson DE. Intestinal volvulus of cattle. In: Anderson DE, Rings DM, editors. Current veterinary therapy. Food Animal Practice. St. Louis: Saunders Elsevier; 2009. pp. 120–1.
doi: 10.1016/B978-141603591-6.10030-2
Smith DF. Surgery of the bovine small intestine. Vet Clin North Am Food Anim Pract. 1990;6:449–60.
pubmed: 2200575
doi: 10.1016/S0749-0720(15)30869-0
Rademacher G. Diagnose, Therapie und Prognose der Darmscheibendrehung beim Rind. Proc 25th Annual Conf Am Assoc Bov Pract. 1992;1:137–42.
Simkins KM. Surgical correction of mesenteric torsion in a Holstein Friesian cow. Vet Rec. 1998;142:48.
pubmed: 9481837
Anderson DE, Ewoldt JMI. Intestinal surgery of adult cattle. Vet Clin North Am Food Anim Pract. 2005;21:133–54.
pubmed: 15718090
doi: 10.1016/j.cvfa.2004.12.010
Fubini SL, Yeager AE, Divers TJ. Noninfectious diseases of the gastro-intestinal tract. In: Peek SF, Divers TJ, editors. Rebhun’s diseases of dairy cattle. St. Louis: Elsevier; 2018. pp. 168–248.
doi: 10.1016/B978-0-323-39055-2.00005-X
Francoz D, Guard CL. Volvulus of the large and small intestine around the mesenteric root. In: Smith BP, Van Metre DC, Pusterla N, editors. Large animal Internal Medicine. St. Louis: Elsevier; 2020. p. 896.
Braun U, Gerspach C, Volz C, Hilbe M, Nuss K. Small intestinal volvulus in 47 cattle. Can Vet J. 2024;65:267.
pubmed: 38434172
Dirksen G. Ileus beim Rind. In: Dirksen G, Gründer HD, Stöber M, editors. Innere Medizin und Chirurgie des Rindes. Berlin: Parey Buchverlag; 2002. pp. 514–7.
Braun U, Steiner A, Götz M. Clinical signs, diagnosis and treatment of duodenal ileus in cattle. Schweiz Arch Tierheilk. 1993;135:345–55.
Crymer J, Ames KN. Bovine abdominal pings: clinical examination and differential diagnosis. Comp Cont Educ Pract Vet. 1981;3:311–8.
Smith DF, Erb HN, Kalaher KM, Rebhun WC. The identification of structures and conditions responsible for right side tympanitic resonance (ping) in adult cattle. Cornell Vet. 1982;72:180–99.
pubmed: 7083866
Kerby M. Differential diagnosis and management of right-sided abdominal ping in dairy cattle. Pract. 2008;30:98–104.
doi: 10.1136/inpract.30.2.98
Steiner A. Blinddarmdilatation und -dislokation beim erwachsenen Rind. In: Dirksen G, Gründer HD, Stöber M, editors. Innere Medizin und Chirurgie des Rindes. Berlin: Parey Buchverlag; 2002. pp. 535–9.
Braun U, Amrein E. Ultrasonographic examination of the caecum and proximal and spiral ansa of the colon of cattle. Vet Rec. 2001;149:45–8.
pubmed: 11488341
doi: 10.1136/vr.149.2.45
Ruf-Ritz J, Braun U, Hilbe M, Muggli E, Trösch L, Nuss K. Internal herniation of the small and large intestines in 18 cattle. Vet J. 2013;197:374–7.
pubmed: 23473872
doi: 10.1016/j.tvjl.2013.01.020