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      Treatment of 503 cattle with traumatic reticuloperitonitis

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          Abstract

          Background

          The treatment of traumatic reticuloperitonitis (TRP) in cattle has a long and impressive history that goes back more than 100 years. This study describes treatment for TRP in 503 cattle. Initial treatment was based on radiographic findings; cattle with a foreign body attached to a magnet were treated conservatively using antibiotics, anti-inflammatory drugs and intravenous fluids. Cattle with a foreign body lying on the ventral aspect of the reticulum or penetrating or perforating the reticulum received a magnet in addition to medical treatment. Cattle were radiographed again the next day. When the foreign body was completely attached to the magnet, medical treatment was continued. When the foreign body was not attached or still penetrated/perforated the reticulum, a rumenotomy was carried out.

          Results

          Of the 503 cattle, 232 were treated conservatively, 206 underwent surgery, 61 were slaughtered or euthanased and four were treated after discharge at home with a magnet and antibiotics. Surgical treatment was significantly more successful than conservative treatment; 90% of 206 operated and 82% of 232 medically-treated cattle were discharged.

          Conclusions

          For practical purposes, cattle suspected of having traumatic reticuloperitonitis should initially be treated with a magnet and antibiotics and re-evaluated, ideally radiographically, when response to treatment does not occur within 3 or 4 days. Surgery is limited to cases in which the foreign body fails to completely attach to the magnet.

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          Most cited references35

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          Clinical and laboratory findings in 503 cattle with traumatic reticuloperitonitis

          Background The study evaluated the results of clinical examination and haematological and serum biochemical analyses in 503 cattle with traumatic reticuloperitonitis (TRP). Results The most common clinical findings were abnormal demeanour and general condition (87%), decreased rumen motility (72%), poorly digested faeces (57%), decreased rumen fill (49%), fever (43%) and tachycardia (26%). In 58% of the cattle, at least one of three tests for reticular foreign bodies (pinching of the withers, pressure on the xiphoid and percussion of the abdominal wall) was positive, and in 42% all three tests were negative. The most common haematological findings were decreased haematocrit in 45% of cattle and leukocytosis in 42%. An increase in the concentration of fibrinogen in 69% of cattle and total protein in 64% were the main biochemical findings. The glutaraldehyde test time was decreased with coagulation occurring within 6 min in 75% of cattle. Conclusions In many cases, a diagnosis of TRP is not possible based on individual clinical or laboratory findings because even the most common abnormalities are not seen in all cattle with TRP.
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            Radiography as an aid in the diagnosis of traumatic reticuloperitonitis in cattle.

            Radiographs of the reticulum, the medical records and the surgical and post mortem findings for 151 cattle were evaluated, and the radiographic findings in animals which had no pathological changes in the cranioventral abdomen were compared with those in animals with traumatic reticuloperitonitis. Features that were found to be reliable in the diagnosis of the condition included atypically positioned foreign bodies, abnormal gas shadows in the region of the reticulum, and depressions in the cranioventral margin of the reticulum. In addition to the reticulum, the remainder of the cranioventral abdomen was also assessed radiographically. An accumulation of gas or a gas-fluid interface outside the gastrointestinal tract, and intra-abdominal masses were typical findings in cattle with traumatic reticuloperitonitis. Various parameters were used to determine the reliability of radiography of the reticulum in the diagnosis of the condition; its prevalence was 50 per cent, the sensitivity of the radiographic diagnosis was 76 per cent, the specificity was 93 per cent, the accuracy was 85 per cent, the positive predictive value was 92 per cent and the negative predictive value was 80 per cent.
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              New types of foreign bodies and the effect of magnets in traumatic reticulitis in cows.

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                Author and article information

                Contributors
                ubraun@vetclinics.uzh.ch
                swarislohner@vetclinics.uzh.ch
                cgerspach@vetclinics.uzh.ch
                sohlerth@vetclinics.uzh.ch
                knuss@vetclinics.uzh.ch
                Journal
                Acta Vet Scand
                Acta Vet. Scand
                Acta Veterinaria Scandinavica
                BioMed Central (London )
                0044-605X
                1751-0147
                17 September 2018
                17 September 2018
                2018
                : 60
                : 55
                Affiliations
                [1 ]ISNI 0000 0004 1937 0650, GRID grid.7400.3, Department of Farm Animals, Vetsuisse Faculty, , University of Zurich, ; Zurich, Switzerland
                [2 ]ISNI 0000 0004 1937 0650, GRID grid.7400.3, Clinic of Diagnostic Imaging, Vetsuisse Faculty, , University of Zurich, ; Zurich, Switzerland
                Author information
                http://orcid.org/0000-0002-2573-687X
                Article
                410
                10.1186/s13028-018-0410-8
                6142694
                30223863
                34b34341-e615-4a5e-89b7-7564519a25a5
                © The Author(s) 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 22 June 2018
                : 11 September 2018
                Categories
                Research
                Custom metadata
                © The Author(s) 2018

                Veterinary medicine
                cattle,traumatic reticuloperitonitis,treatment,rumenotomy
                Veterinary medicine
                cattle, traumatic reticuloperitonitis, treatment, rumenotomy

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