Traumatic reticulo -peritonitis in cattle and buffaloes Prof Dr Hamed Attia

1. 4-Traumatic reticulo-peritonitis (TRP)
in Cattle & buffaloes( hardware disease)
‫والجاموس‬ ‫األبقار‬ ‫فى‬ ‫الوخزي‬ ‫البريتوني‬ ‫الشبكي‬ ‫التهاب‬

2. ‫ا‬
.
‫د‬
‫عطية‬ ‫حامد‬
‫الحيوان‬ ‫طب‬ ‫استاذ‬
–
‫البيطرى‬ ‫الطب‬ ‫كلية‬
‫الزقازيق‬ ‫جامعة‬
-
‫مصر‬
‫الخبربالرياض‬ ‫اوميجا‬ ‫بمؤسسة‬ ‫الفنى‬ ‫المستشار‬
‫البيطرية‬ ‫لألدوية‬
4
-
‫والجاموس‬ ‫األبقار‬ ‫فى‬ ‫الوخزي‬ ‫البريتوني‬ ‫الشبكي‬ ‫التهاب‬

4. biphasic contractions
‫الكرش‬ ‫انقباض‬ ‫طريقة‬
• In the primary cycle, rumino-reticular contractions begin from
the reticulum as biphasic contractions :
• The first contraction known as mixing contraction.
• It then relaxes.
• The second contraction with strong force is called as
evacuation contraction.
• During feeding, the contractions occur at 75 seconds
intervals.

5. 1-Definition
• and Etiology:
• It is the perforation of the wall of the reticulum by a sharp
foreign body.
• It is a common disease of adult dairy cattle but rarely seen in
small ruminants.

6. 2-Pathophysiology
• (1) The ingestive techniques of cattle with their tongue allow
sharp nonfood items such as wire or nails to be prehended
and swallowed in prepared food. Most cases are sporadic.
• (2) The swallowed foreign object of high specific gravity settle
to the bottom of the ventral sac of the rumen.

7. 2-Pathophysiology
• (3) Contraction cycles of the forestomach dump those objects
from the rumen into the reticulum, contractions of the
reticulum are sufficient to push a sharp-pointed object
through the wall giving rise to TRP.

8. Sequala of the foreign body

10. ‫الشبكية‬ ‫لجدار‬ ‫الحاد‬ ‫االختراق‬ ‫مصير‬
.1
‫مصير‬
‫معتاد‬
Common Sequellae
❖
‫اختراق‬
‫جدار‬
‫الشبكية‬
❖
‫التهاب‬
‫بريتوني‬
‫حاد‬
‫موضعي‬
❖
‫التهاب‬
‫حاد‬
‫بريتوني‬
‫منتشر‬
❖
‫التهاب‬
‫موضعي‬
‫بريتوني‬
‫مزمن‬
❖
‫التهاب‬
‫غشاء‬
‫القلب‬

11. .2
‫مصير‬
‫غير‬
‫معتاد‬
Uncommon Sequellae
❖
‫انفجار‬
‫الشريان‬
‫المعدي‬
‫مما‬
‫يؤدي‬
‫إلى‬
‫وفاة‬
‫من‬
‫نز‬
‫يف‬
‫داخلي‬
❖
‫خراريج‬
‫الكبد‬
,
‫الطحال‬
,
‫الحجاب‬
‫الحاجز‬
‫وخراريج‬
‫بوسط‬
‫الصدر‬
‫وفوق‬
‫الغشاء‬
‫البريتوني‬
❖
‫التهاب‬
‫رئوي‬
❖
‫التهاب‬
‫غشاء‬
‫البلورا‬
❖
‫التهاب‬
‫كلوي‬

12. Clinical signs
• (1) Abrupt onset of anorexia and hypogalactia.
• (2) Decreased or absent rumen contractions recurrent
tympany and constipation.
• (3) Affected cattle may stand with an arched back, grunting
spontaneously during walking or when defecate or urinate, or
abducted elbows and evidence of cranial abdominal pain.
•
‫يبدأ‬
‫المرض‬
‫فجأة‬
‫حيث‬
‫يحدث‬
‫نقص‬
‫فجائي‬
‫وحاد‬
‫للشهية‬
‫وإدرار‬
‫اللبن‬
‫خالل‬
12
‫ساعة‬
.
•
‫اإلصابة‬
‫في‬
‫الكرش‬
‫والبريتون‬
‫يؤدي‬
‫إلى‬
‫توقف‬
‫حركة‬
‫الكرش‬
‫ونفاخ‬
‫وإمساك‬
‫مصحوبا‬
‫بآالم‬
‫في‬
‫التبول‬
‫والتبرز‬
.
•
‫عدم‬
‫الميل‬
،‫للحركة‬
‫وتباعد‬
‫القوائم‬
،‫األمامية‬
‫والوقوف‬
‫لمدة‬
‫طويلة‬
‫مع‬
‫تقوس‬
‫الظهر‬
.

13. Clinical signs
• (4) Some cows regurgitate rumen fluid
• (5) Fever, tachycardia, weight loss, rough hair coat.
• (6) Dyspnea may occur if left-sided failure is also present.
• (7) Sudden death has occurred as a result of the laceration of
a coronary blood vessel or puncture of the heart by the
foreign body.
•
‫آالم‬
‫عند‬
‫السير‬
‫في‬
‫المنحدر‬
‫ألسفل‬
‫وعند‬
‫شد‬
‫جلد‬
‫الحيوان‬
‫من‬
‫منطقة‬
‫الحارك‬
‫وعند‬
‫الض‬
‫غط‬
‫أو‬
‫الجس‬
‫أو‬
‫القرع‬
‫الشديد‬
‫على‬
‫منطقة‬
‫الشبكية‬
(
‫اختبارات‬
‫األلم‬
(
•
‫تقلص‬
‫بطن‬
‫الحيوان‬
‫إلى‬
‫الداخل‬
‫لقلة‬
‫محتويات‬
‫الكرش‬
‫وأحيانا‬
‫يرفس‬
‫الحيوان‬
‫بطنه‬
‫بأرجله‬
.

14. Diagnosis
• (1) History and symptoms.
• (2) Pain tests .
• 3-Metal detector
• 4- Clinical pathology
• 5- Ultrasonography
• 6- Exploratory rumenotomy

15. (2) Pain tests
• Pain tests is necessary to exaggerate pain and the animal
may grunt on expiration such as:
• 1) Downward walking on a slope (pain).
• 2) Turning in a narrow circle (pain).
• 3) Elevating by a bar on xiphoid cartilage (pain).

16. Diagnosis
• 4) Percussion on line of attachment of diaphragm (pain).
• 5) Sharp blow over the reticular area (pain, resonant).
• 6) Forceful pinching of withers will cause grunting

17. Clinical pathology
• (1) Increase of total leucocytic count between 8,000 to
12000/cmm.
• (2) Total neutrophils rising from 30-35 to 50-70 %.
• (3) Increase of plasma proteins to 10 g/dl or greater.

18. Pain Tests

19. 3-Metal Dector
It is positive with sharp
or blunt iron metal only)

20. Mine detector

21. ‫المعادن‬ ‫عن‬ ‫الكشف‬

22. Convex prob (15-20 cm)
Ideal frequency for examination of abdominal organs is 3.5-
5 Mh
4- Ultrasonography

23. 4- Ultrasonography

24. Site of reticulum(behind zyphoied
cartilage)

25. Normal Reticular contraction by sonar
‫والبريتون‬ ‫الشبكية‬ ‫فحص‬ ‫خطوات‬
‫بالسونار‬
1
-
‫البروب‬ ‫على‬ ‫جل‬ ‫ضع‬
2
-
‫الى‬ ‫الشمال‬ ‫الحيوان‬ ‫رجل‬ ‫قدم‬
‫األمام‬
3
-
‫خلف‬ ‫البروب‬ ‫ضع‬
Zyphoid
dorso - ventral )cartilage
)
4
-
‫لمدة‬ ‫البروب‬ ‫تترك‬
4
‫دقائق‬
4
-
‫هالل‬ ‫نصف‬ ‫شكل‬ ‫تظهر‬ ‫الشبكية‬
‫مراد‬ ‫محمد‬ ‫بالدكتور‬ ‫فيديوخاص‬

26. Normal Reticular
contraction by sonar
Reticulum
Reticulum
Diaphragm

27. Ultrasonogram of the normal reticulum viewed from
the left ventral thorax
‫خاص‬ ‫فيديو‬
‫باالستاذ‬
‫أحمد‬ ‫الدكتور‬
‫العال‬ ‫عبد‬

29. . Moderate to severe corrugation of
the reticular wall was observed.
Deposits of fibrinous tissue
interspersed with fluid pockets
were seen between the reticulum,
dorsal ruminal sac and diaphragm.
P
‫صورة‬
‫السونار‬
‫فى‬
‫حالة‬
‫التهاب‬
‫الكرش‬
‫البريتونى‬
‫الوخزى‬
1
-
‫حركة‬
‫الكرش‬
‫متوقفة‬
2
-
‫الجدار‬
‫سميك‬
‫ومتعرج‬
3
-
‫جدار‬
‫الكرش‬
‫بعيد‬
‫عن‬
‫الحجاب‬
‫الحاجز‬
4
-
‫وجود‬
‫نسبة‬
‫فيبرين‬
‫وسوائل‬
‫بين‬
‫جد‬
‫ار‬
‫الكرش‬
‫والحجاب‬
‫الحاجز‬
‫واحيانا‬
‫وجود‬
‫صديد‬
‫الدكتور‬ ‫باالستاذ‬ ‫خاص‬ ‫فيديو‬
‫ثروت‬ ‫محمد‬

31. Abdominal ultrasonograms in buffaloes with traumatic
reticulpretonitis
(a) Severe degree of corrugation of the reticular wall.
(b) Deposits of fibrinous tissue interspersed with fluid pockets located among the reticulum
(R), dorsal ruminal sac and diaphragm.
(c) Deposits consisting solely of fibrinous tissue are homogeneously echogenic.
(d) Perireticular abscess where the contents of the lesion are partitioned by echogenic septa.

32. Case Study

33. ‫احصائية‬
:
‫السونار‬ ‫فحص‬ ‫باستخدام‬
:
30
%
‫من‬ ‫الواردة‬ ‫الحاالت‬ ‫من‬
(
‫واألبقار‬ ‫الجاموس‬
)
‫الى‬
‫وال‬ ‫الزقازيق‬ ‫بجامعة‬ ‫البيطرى‬ ‫الطب‬ ‫كلية‬ ‫مستشفى‬
‫شكوي‬
‫وخذى‬ ‫التهاب‬ ‫من‬ ‫تعانى‬ ‫المتكرر‬ ‫والنفاخ‬ ‫الهضم‬ ‫عسر‬
‫فى‬
‫والبريتون‬ ‫الشبكية‬
.

34. ‫السونار‬ ‫فحص‬
10
%
‫الكرش‬ ‫فى‬ ‫خراج‬ ‫من‬ ‫تعانى‬
(
‫مع‬ ‫الشكوي‬ ‫نفس‬
‫االستجابة‬ ‫وعدم‬ ‫الحرارة‬ ‫درجة‬ ‫فى‬ ‫مستمر‬ ‫ارتفاع‬
‫الحيوية‬ ‫للمضادات‬
.

35. Differential diagnosis
• 1- Traumatic pericarditis
• Engorgement of jugular vein
• Edema in brisket
• Abnormal heart sound(muffled sound)

36. Treatment
• A rumenotomy to remove the foreign object from the
reticulum.
•
‫العــــالج‬
:
•
‫الغريب‬ ‫الجسم‬ ‫وإزالة‬ ‫الكرش‬ ‫فتح‬
.
‫شـار‬ٍ‫ع‬‫ال‬ ‫الحيوانات‬
:
•
‫لمدة‬ ‫المؤخرة‬ ‫عن‬ ‫المقدمة‬ ‫عالي‬ ‫الحيوان‬ ‫ويقف‬ ،‫الكرش‬ ‫مغناطيس‬ ‫يجرع‬
2
-
3
‫حتى‬ ‫أسابيع‬
‫المعدني‬ ‫الجسم‬ ‫يستقر‬
.
•
‫األكل‬ ‫كميات‬ ‫من‬ ‫ويقلل‬ ‫للقلب‬ ‫ومنشط‬ ‫للبول‬ ‫ومدر‬ ‫حيوي‬ ‫مضاد‬ ‫إعطاء‬

37. Prophylaxis
• (1) Drenching of special magnetic tube.
• (2) Special care during feeding & grazing
to avoid any sharp foreign bodies.
• (3) Use nylon thread instead of wire to
roll rice straw.
•
‫تجريع‬
‫مغناطيس‬
‫الكرش‬
(
‫طوله‬
8
‫سم‬
‫وقطره‬
2
‫سم‬
)
‫لجذب‬
‫المواد‬
‫الحديدية‬
‫عليه‬
‫لتقليل‬
‫اختراقها‬
‫للكرش‬
‫والشبكية‬
.
•
‫تنظيف‬
‫المزرعة‬
‫والعالئق‬
‫من‬
‫المواد‬
‫الصلبة‬
‫والمدببة‬
‫مثل‬
‫المسامير‬
‫واألسالك‬
.
•
‫عدم‬
‫لف‬
‫باالت‬
‫قش‬
‫األرز‬
‫باألسالك‬
‫وربطها‬
‫بخيوط‬
‫نايلون‬
.

38. ‫ا‬ ‫واي‬ ‫مسامير‬ ‫بلع‬ ‫بسبب‬ ‫األضرار‬ ‫من‬ ‫وعالج‬ ‫كوقاية‬ ‫يستخدم‬ ‫المواشي‬ ‫في‬ ‫المغناطيس‬ ‫تجريع‬
‫جسام‬
‫والجاموس‬ ‫االبقار‬ ‫فى‬ ‫سنة‬ ‫عمر‬ ‫من‬ ‫المغناطيس‬ ‫تجريع‬ ‫يفضل‬ ‫األبقارو‬ ‫كرش‬ ‫في‬ ‫أخرى‬ ‫معدنية‬

39. Prophylaxis

40. ‫االجابة‬
‫على‬
‫األسئلة؟‬
‫هللا‬ ‫شاء‬ ‫ان‬ ‫القادمة‬ ‫المحاضرة‬
Traumatic Pericarditis