Evisceration of umbilical content with extensive adhesion: A surgical approach

Mishra, Pravin; Yadav, Vivek Kumar; Hasan, Moinul

doi:10.1002/ccr3.3217

Cited by 1 publication

(1 citation statement)

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“…Ruptured omphaloceles in calves have been previously described in veterinary literature. [23][24][25][26][27] These reports detail a surgical approach similar to the one employed in this case report: thorough lavage, reduction of the exteriorised viscera, apposition of the rent margins with absorbable suture and skin closure with nonabsorbable suture. The described patients were medically managed postoperatively with various antibiotics, nursing care and surgical site monitoring.…”

Section: Discussionmentioning

confidence: 99%

Surgical repair of ruptured omphalocele in a high genetic merit neonatal Holstein bull calf

Koebel

Pearson

Radcliffe

2023

Vet Record Case Reports

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A neonatal Holstein bull calf presented emergently for abdominal evisceration. Calving was unassisted. Ninety minutes postpartum, farm staff noted the defect and brought the patient to the hospital. On presentation, the calf was recumbent, dull, and in hypovolemic shock with uncompensated hyperlactatemic metabolic acidosis. Multiple organs were identified through a 4–5 cm defect in the caudoventral midline. Differentials included a ruptured omphalocele, gastroschisis, trauma and schistosomus reflexus. This presentation was consistent with a ruptured omphalocele. Following triage and haemodynamic stabilisation, the eviscerated abdominal contents were lavaged, surgically replaced and an umbilical resection with partial cystectomy performed to remove a patent urachus. Postoperatively, the patient was hospitalised with aggressive nursing care. Pharmacotherapy included prophylactic antibiotics, gastroprotectants and anti‐inflammatory medication. The calf developed mild postoperative pneumonia, but was discharged after 6 days. This report details management of omphalocele evisceration in a calf and the pathology of congenital midline anomalies in neonatal ruminants.

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Section: Discussionmentioning

confidence: 99%