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Surgical Management of Intestinal Eventration in a Ewe.

Introduction

Evisceration of abdominal viscera may be congenital (Veena et at., 2011) or acquired (Sharma et al., 2010). Acquired traumatic injuries to abdominal wall often encountered in Veterinary practice which may be resultant of infighting, accidents, malicious attempts, etc. The present communication, reports successful surgical management of traumatic intestinal eventration in a Nellore brown ewe.

History and Clinical Observations

A six year old Nellore brown ewe weighing about 30kg was presented with protrusion of intestines from abdominal wall defect resultant of horn gore injury by buffalo last night. Since then, animal was anorectic and feeling severe pain. Few loops of small intestine were found protruding from a lacerated wound in ventral abdominal wall cranial and right paramedian to umbilicus. The loops were almost dry, ischaemic, dark and soiled with dirt (Fig 1).

Treatment and Discussion

The ewe was prepared for aseptic surgery and administered with Ringers lactate 500 ml and 3 ml Meloxicam (Melone[x.sup.a]) for rehydration and pre emptive analgesia respectively. General anaesthesia and local analgesia were achieved using Xylazine hydrochloride @ 0.01 mg/kg b. wt. and 2% Lignocaine hydrochloride respectively. Protruded viscera were found to be jejunal folds which were thoroughly and carefully irrigated with Normal saline. Mild adhesions at protruded site were separated, vitality of loops was checked and wound edges were widened cranio-caudally to reposition the loops in to abdominal cavity. Oxytetracycline liquid was poured into abdominal cavity and muscles were closed in overlapping pattern using chromic catgut no. 2. Skin wound was sutured in horizontal mattress pattern using black braided silk no. 1 and protected with Tincture benzoin seal. Post-operatively administered with inj. Intace[f.sup.a] (Ceftriaxone) 1g, inj. Tribive[t.sup.a] (Vitamin [B.sub.1], [B.sub.6] and [B.sub.12]) 3ml, inj. Calcium gluconate 20 ml I/V and inj. Intavit[a.sup.a] H (Vitamin A, [D.sub.3], E and H) 1ml I/M for five days. Skin sutures were removed on twelfth post operative day and ewe recovered uneventfully. Sharp horns and severe blow results in eventration of abdominal viscera (Sharma et al., 2010) which is life threatening and must be attended immediately. As it was difficult to reposition the oedematous intestines through the narrow muscular opening, wound edges were widened craniocaudally which facilitated easy repositioning in to abdominal cavity.

References

Sharma, A.K., Kumar, S. and Dass, L.L. (2010). Bull horn injury induced intestinal protrusion in a calf and its management. Intas Polivet. 11: 216-17.

Veena, P., Sankar, P., Kokila, S., Kumar, R.V.S., and Lakshmi, D.N. (2011). Congenital umbilical defect with visceral eventration in a buffalo calf - A case report. Buff. Bull. 30: 165-67.

G. Kamalakar (1), K. Rambabu (2) and N. Sumiran (1)

Department of Veterinary Surgery and Radiology College of Veterinary Science Sri Venkateswara Veterinary University (SVVU) Dist. Y.S.R. Kadapa - 516360 (Andhra Pradesh)

(1.) Corresponding author.

E-mail: drkamal_vet@yahoo.co.in

(a) - Brand of Intas Animal Health, Ahmedabad

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Article Details
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Title Annotation:Short Communication
Author:Kamalakar, G.; Rambabu, K.; Sumiran, N.
Publication:Intas Polivet
Article Type:Clinical report
Date:Jul 1, 2017
Words:494
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