Investigation of preinguinal approach for removal of urachal abscess in three Japanese black cattle older than 18 months of age

This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the abdominal floor or paralumbar fossa are typically considered for accessing the urachus and bladder in calves and heifers, the distance is...

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Published inJournal of Veterinary Medical Science Vol. 86; no. 5; pp. 512 - 517
Main Authors SATO, Reiichiro, HAYASHI, Jun, FUKE, Naoyuki, SAITO, Eren, HIDAKA, Kanako, SAKA, Hideki, SATOH, Hiroyuki, STEINER, Adrian
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LanguageEnglish
Published Japan JAPANESE SOCIETY OF VETERINARY SCIENCE 2024
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Abstract This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the abdominal floor or paralumbar fossa are typically considered for accessing the urachus and bladder in calves and heifers, the distance is too great to perform the procedure under direct vision in adult cows. Therefore, a novel preinguinal approach was used for access in cows with urachal abscesses after 18 months. Access was successfully achieved in all the three cows through a preinguinal incision to the urachal abscess at the apex of the bladder. However, in cases wherein the abscess and adhesions are severe, removal may be challenging or may necessitate a combined median or paramedian approach.
AbstractList This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the abdominal floor or paralumbar fossa are typically considered for accessing the urachus and bladder in calves and heifers, the distance is too great to perform the procedure under direct vision in adult cows. Therefore, a novel preinguinal approach was used for access in cows with urachal abscesses after 18 months. Access was successfully achieved in all the three cows through a preinguinal incision to the urachal abscess at the apex of the bladder. However, in cases wherein the abscess and adhesions are severe, removal may be challenging or may necessitate a combined median or paramedian approach.
This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the abdominal floor or paralumbar fossa are typically considered for accessing the urachus and bladder in calves and heifers, the distance is too great to perform the procedure under direct vision in adult cows. Therefore, a novel preinguinal approach was used for access in cows with urachal abscesses after 18 months. Access was successfully achieved in all the three cows through a preinguinal incision to the urachal abscess at the apex of the bladder. However, in cases wherein the abscess and adhesions are severe, removal may be challenging or may necessitate a combined median or paramedian approach.This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the abdominal floor or paralumbar fossa are typically considered for accessing the urachus and bladder in calves and heifers, the distance is too great to perform the procedure under direct vision in adult cows. Therefore, a novel preinguinal approach was used for access in cows with urachal abscesses after 18 months. Access was successfully achieved in all the three cows through a preinguinal incision to the urachal abscess at the apex of the bladder. However, in cases wherein the abscess and adhesions are severe, removal may be challenging or may necessitate a combined median or paramedian approach.
ArticleNumber 24-0011
Author HIDAKA, Kanako
SATO, Reiichiro
SAKA, Hideki
STEINER, Adrian
SAITO, Eren
SATOH, Hiroyuki
HAYASHI, Jun
FUKE, Naoyuki
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  fullname: SATO, Reiichiro
  organization: Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan
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  fullname: HAYASHI, Jun
  organization: Miyazaki Agricultural Mutual Aid Association, Miyazaki, Japan
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  fullname: FUKE, Naoyuki
  organization: Faculty of Agriculture, University of Miyazaki, Miyazaki, Japan
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  fullname: SAITO, Eren
  organization: Faculty of Agriculture, University of Miyazaki, Miyazaki, Japan
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  fullname: HIDAKA, Kanako
  organization: Miyazaki Agricultural Mutual Aid Association, Miyazaki, Japan
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  fullname: SAKA, Hideki
  organization: Miyazaki Agricultural Mutual Aid Association, Miyazaki, Japan
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  fullname: SATOH, Hiroyuki
  organization: Graduate School of Medicine and Veterinary Medicine, University of Miyazaki, Miyazaki, Japan
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  fullname: STEINER, Adrian
  organization: Vetsuisse Faculty, Clinic for Ruminants, University of Bern, Bern, Switzerland
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Cites_doi 10.1136/vr.159.22.750
10.1292/jvms.15-0153
10.1016/j.cvfa.2008.06.005
10.1055/s-0038-1623184
10.1111/j.1939-1676.1995.tb01083.x
10.5455/OVJ.2022.v12.i5.6
10.2460/javma.1994.204.11.1801
10.17221/61/2019-VETMED
10.2460/javma.1995.206.01.77
10.1354/vp.38-5-547
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Keywords preinguinal approach
cattle
surgical management
ultrasonography
urachal abscess
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References 2. Baird AN. 2008. Umbilical surgery in calves. Vet Clin North Am Food Anim Pract 24: 467–477, vi.
8. Diefenderfer DL, Brightling P. 1983. Dysuria due to urachal abscessation in calves diagnosed by contrast urography. Can Vet J 24: 218–221.
13. Sato R, Yamada K, Shinozuka Y, Ochiai H, Onda K. 2019. Gas-filled urachal abscess with a pinging sound in a heifer calf. Vet Med (Praha) 64: 362–366.
14. Schultz LG, Tyler JW, Moll HD, Constantinescu GM. 2008. Surgical approaches for cesarean section in cattle. Can Vet J 49: 565–568.
11. Lischer CJ, Iselin U, Steiner A. 1994. Ultrasonographic diagnosis of urachal cyst in three calves. J Am Vet Med Assoc 204: 1801–1804.
4. Braun U, Nuss K, Wapf P, Lischer C. 2006. Clinical and ultrasonographic findings in five cows with a ruptured urachal remnant. Vet Rec 159: 780–782.
19. Trent AM, Smith DF. 1984. Pollakiuria due to urachal abscesses in two heifers. J Am Vet Med Assoc 184: 984–986.
15. Smart ME, Ferguson JG, Vaillancourt D. 1978. Sequela to a urachal abscess in a Hereford heifer (a case report). Vet Med Small Anim Clin 73: 1557–1558.
12. Otomaru K, Fujikawa T, Saito Y, Ando T, Obi T, Miura N, Kubota C. 2015. Diagnostic imaging of intra-abdominal cyst in heifer using the computed tomography. J Vet Med Sci 77: 1191–1193.
20. Trent AM, Smith DF. 1984. Surgical management of umbilical masses with associated umbilical cord remnant infections in calves. J Am Vet Med Assoc 185: 1531–1534.
17. Steiner A, Baumann D, Flückiger M. 1988. [Urachal abscess without pathologic changes in the extra-abdominal navel in a cow. Case report]. Tierarztl Prax 16: 33–36.
3. Baxter GM. 2004. Calf surgery. pp. 477–484. In: Farm Animal Surgery, 1st ed. (Fubini SL, Ducharme NG eds.), Saunders Elsevier, St. Louis.
6. Clinical and Laboratory Standards Institute (CLSI). 2009. Performance standards for antimicrobial disk susceptibility tests; approved standard. 10th ed. CLSI document M02-A10. Wayne (PA).
9. Hassel DM, Tyler JW, Tucker RL, Sondhof AF. 1995. Clinical Vignette: Urachal abscess and cystitis in a calf. J Vet Intern Med 9: 286–288.
18. Starost MF. 2001. Haemophilus somnus isolated from a urachal abscess in a calf. Vet Pathol 38: 547–548.
5. Bruderer A, De Brot S, Nuss K. 2013. [Tenesmus and stranguria in a heifer caused by a urachal cyst in the bladder wall]. Tierarztl Prax Ausg G Grosstiere Nutztiere 41: 326–329.
1. Abdelhadi JM, Shalgum AA, Abushhiwa M. 2022. A rare urachal abscess in a young bull with conservative management. Open Vet J 12: 628–631.
16. Staller GS, Tulleners EP, Reef VB, Spencer PA. 1995. Concordance of ultrasonographic and physical findings in cattle with an umbilical mass or suspected to have infection of the umbilical cord remnants: 32 cases (1987-1989). J Am Vet Med Assoc 206: 77–82.
7. Dean PW, Robertson JT. 1988. Urachal remnant as a cause of pollakiuria and dysuria in a filly. J Am Vet Med Assoc 192: 375–376.
10. Kasari TR, Roussel AJ Jr. 1999. Neonatal disease and disease management. pp. 62–65. In: Current veterinary therapy food animal practice, 4th ed. (Howard JL, Robert AS eds.), Saunders Elsevier, Philadelphia.
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References_xml – reference: 16. Staller GS, Tulleners EP, Reef VB, Spencer PA. 1995. Concordance of ultrasonographic and physical findings in cattle with an umbilical mass or suspected to have infection of the umbilical cord remnants: 32 cases (1987-1989). J Am Vet Med Assoc 206: 77–82.
– reference: 3. Baxter GM. 2004. Calf surgery. pp. 477–484. In: Farm Animal Surgery, 1st ed. (Fubini SL, Ducharme NG eds.), Saunders Elsevier, St. Louis.
– reference: 5. Bruderer A, De Brot S, Nuss K. 2013. [Tenesmus and stranguria in a heifer caused by a urachal cyst in the bladder wall]. Tierarztl Prax Ausg G Grosstiere Nutztiere 41: 326–329.
– reference: 4. Braun U, Nuss K, Wapf P, Lischer C. 2006. Clinical and ultrasonographic findings in five cows with a ruptured urachal remnant. Vet Rec 159: 780–782.
– reference: 11. Lischer CJ, Iselin U, Steiner A. 1994. Ultrasonographic diagnosis of urachal cyst in three calves. J Am Vet Med Assoc 204: 1801–1804.
– reference: 17. Steiner A, Baumann D, Flückiger M. 1988. [Urachal abscess without pathologic changes in the extra-abdominal navel in a cow. Case report]. Tierarztl Prax 16: 33–36.
– reference: 13. Sato R, Yamada K, Shinozuka Y, Ochiai H, Onda K. 2019. Gas-filled urachal abscess with a pinging sound in a heifer calf. Vet Med (Praha) 64: 362–366.
– reference: 19. Trent AM, Smith DF. 1984. Pollakiuria due to urachal abscesses in two heifers. J Am Vet Med Assoc 184: 984–986.
– reference: 12. Otomaru K, Fujikawa T, Saito Y, Ando T, Obi T, Miura N, Kubota C. 2015. Diagnostic imaging of intra-abdominal cyst in heifer using the computed tomography. J Vet Med Sci 77: 1191–1193.
– reference: 15. Smart ME, Ferguson JG, Vaillancourt D. 1978. Sequela to a urachal abscess in a Hereford heifer (a case report). Vet Med Small Anim Clin 73: 1557–1558.
– reference: 18. Starost MF. 2001. Haemophilus somnus isolated from a urachal abscess in a calf. Vet Pathol 38: 547–548.
– reference: 9. Hassel DM, Tyler JW, Tucker RL, Sondhof AF. 1995. Clinical Vignette: Urachal abscess and cystitis in a calf. J Vet Intern Med 9: 286–288.
– reference: 7. Dean PW, Robertson JT. 1988. Urachal remnant as a cause of pollakiuria and dysuria in a filly. J Am Vet Med Assoc 192: 375–376.
– reference: 10. Kasari TR, Roussel AJ Jr. 1999. Neonatal disease and disease management. pp. 62–65. In: Current veterinary therapy food animal practice, 4th ed. (Howard JL, Robert AS eds.), Saunders Elsevier, Philadelphia.
– reference: 1. Abdelhadi JM, Shalgum AA, Abushhiwa M. 2022. A rare urachal abscess in a young bull with conservative management. Open Vet J 12: 628–631.
– reference: 6. Clinical and Laboratory Standards Institute (CLSI). 2009. Performance standards for antimicrobial disk susceptibility tests; approved standard. 10th ed. CLSI document M02-A10. Wayne (PA).
– reference: 8. Diefenderfer DL, Brightling P. 1983. Dysuria due to urachal abscessation in calves diagnosed by contrast urography. Can Vet J 24: 218–221.
– reference: 2. Baird AN. 2008. Umbilical surgery in calves. Vet Clin North Am Food Anim Pract 24: 467–477, vi.
– reference: 14. Schultz LG, Tyler JW, Moll HD, Constantinescu GM. 2008. Surgical approaches for cesarean section in cattle. Can Vet J 49: 565–568.
– reference: 20. Trent AM, Smith DF. 1984. Surgical management of umbilical masses with associated umbilical cord remnant infections in calves. J Am Vet Med Assoc 185: 1531–1534.
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Snippet This study investigated the diagnostic and surgical management of urachal abscessation involving the urinary bladder in three cattle aged >18 months. While the...
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SubjectTerms Abscess - surgery
Abscess - veterinary
Abscesses
Animals
Cattle
Cattle Diseases - surgery
Female
preinguinal approach
Surgery
surgical management
ultrasonography
urachal abscess
Urachus - surgery
Urinary bladder
Urinary Bladder Diseases - surgery
Urinary Bladder Diseases - veterinary
Title Investigation of preinguinal approach for removal of urachal abscess in three Japanese black cattle older than 18 months of age
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