Laparotomy and Peritoneal Lavage for Management of Diffused and Purulent Peritonitis in a Buffalo Raghunath M.1,*, Sagar P. Vidya2, Kumar P. Ravi2 Department of Veterinary Clinical Complex, NTR College of Veterinary Science Sri Venkateswara Veterinary University (SVVU), Gannavaram-521101 (Andhra Pradesh) 1Professor/Head Department of Veterinary Surgery and Radiology 2Assistant Professor, Department of Veterinary Surgery and Radiology *Corresponding author. E-mail: drraghupau@gmail.com
Online published on 18 April, 2018. Abstract A buffalo was referred with symptoms of anorexia, hard and scanty faeces since last ten days. Clinical observation revealed recurrent tympany, abdominal pain during palpation, ruminal atony and absence of rumination. Per-rectal examination revealed gas filled distended rumen. Haematology revealed leukocytosis and severe neutrophilia with shift to left, indicative of active infection. Abdominocentesis revealed straw coloured free fluid from peritoneum, which on staining revealed gram positive cocci and gram negative rod organisms and was diagnosed as peritonitis. Exploratory laparotomy was performed under local infiltration anaesthesia. Upon opening of peritoneum, severe adhesions between rumen with peritoneum and spleen which were fibrino-purulent in nature were noticed. An opening was made on the ventral left abdominal floor and a fenestrated tube was fixed to drain about forty litres of purulent fluid from the peritoneum. Peritoneum was lavaged with normal saline followed by Metronidazole infusion. Flank incision was closed in routine manner, with a gap of 5 cm left for daily lavage and cleaning of peritoneum. Post-operatively, peritoneum was lavaged with RO water for following five days after which flank incision was closed completely. On thirteenth post-operative day, the fenestrated tube was removed and lower abdominal wound was closed. Animal had an uneventful recovery. Top Keywords Abdominocentesis, lavage, peritonitis, peritoneal drainage. Top |