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Comparison between generalised peritonitis and parietal fibrinous peritonitis in cows after caesarean section
Author(s) -
Djebala Salem,
Evrard Julien,
Moula Nassim,
Gille Linde,
Bayrou Calixte,
Eppe Justine,
Casalta Hélène,
Sartelet Arnaud,
Bossaert Philippe
Publication year - 2020
Publication title -
veterinary record
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 99
eISSN - 2042-7670
pISSN - 0042-4900
DOI - 10.1136/vr.105867
Subject(s) - medicine , peritonitis , perioperative , peritoneal fluid , peritoneal cavity , abdominal cavity , caesarean section , gastroenterology , surgery , abdominal fluid , pregnancy , biology , genetics
Background Parietal fibrinous peritonitis (PFP) and generalised peritonitis (GP) are two postoperative complications in cows, characterised by fluid and fibrin accumulation throughout the peritoneum (GP) or in an encapsulated cavity (PFP). Unlike GP, PFP is scarcely documented. Methods Twenty‐one GP cases and 12 PFP cases were confirmed by ultrasound in cows referred to the Veterinary Clinic (Liège University) for complications after caesarean section. All cows underwent a standardised examination protocol. Blood samples were analysed for metabolic and inflammatory markers. Bacteriology was performed on peritoneal fluid samples. Treatment consisted of surgical drainage of the abdominal cavity (GP) or the encapsulated cavity (PFP). Variables concerning anamnesis, clinical findings and treatment outcomes were compared. Results Perioperative complications had occurred in 9/21 GP cows but 0/12 PFP cows (P<0.05). Biochemical analysis indicated pronounced inflammation and did not differ between groups. Peritoneal fluid samples of both groups were contaminated and contained similar bacteria ( Trueperella pyogenes and Escherichia coli ). While 11/12 PFP cows were discharged, all patients with GP died or were euthanased (P<0.05). Conclusions We hypothesise that PFP and GP are two different manifestations of perioperative peritoneal contamination. The severity and spread of the contamination determine the clinical presentation and the prognosis.