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. 2023 Mar 28;10(1):e58.
doi: 10.1002/vro2.58. eCollection 2023 Jun.

A retrospective review of small intestinal intussusception in 126 cattle in Switzerland

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A retrospective review of small intestinal intussusception in 126 cattle in Switzerland

Ueli Braun et al. Vet Rec Open. .

Abstract

Background: Intussusception is a form of ileus of the intestines in which an oral intestinal segment slides into the adjacent aboral intestinal segment, causing obstruction of the bowel.

Methods: We analysed the medical records of 126 cattle with intussusception of the small intestine.

Results: Demeanour and appetite were abnormal in 123 cattle. Non-specific signs of pain occurred in 26.2%, signs of visceral pain in 46.8% and signs of parietal pain in 56.4%. Intestinal motility was decreased or absent in 93.7% of the cattle. The most common findings of transrectal palpation were rumen dilation (37.3%) and dilated small intestines (24.6%). In 96% of the cattle, the rectum was empty or contained little faeces. The principal laboratory findings were hypokalaemia (89.6%), hypocalcaemia (76.5%), base excess (72.9%), hypochloraemia (71.8%), azotaemia (62.1%) and haemoconcentration (61.1%). The main ultrasonographic findings were reduced or absent intestinal motility (98.2%) and dilated small intestines (96.0%). A diagnosis of ileus was made in 87.8% and a diagnosis of ileus attributable to intussusception was made in another 9.8%. Right-flank laparotomy was carried out in 114 cattle. Fifty-six (44.4%) cows were discharged.

Conclusions: Clinical findings of intussusception in cattle are often non-specific. Ultrasonography may be required to diagnose ileus.

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Conflict of interest statement

The authors declare they have no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Treatment flowchart for 126 cattle with intussusception of the small intestines.
FIGURE 2
FIGURE 2
Normalisation of demeanour, appetite and defaecation in 56 cows after surgical treatment of small intestinal intussusception.

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