title: Marsupialization of umbilical vein abscesses with involvement of the liver in 13 calves.
abstract: Omphalophlebitis with liver involvement was diagnosed by ultrasonography in 13 calves. In the initial surgical procedure, the infected umbilical vein was marsupialized by cranial translocation in a median celiotomy and was flushed daily until healing occurred. In a second surgical procedure, the contracted umbilical vein was removed. Nine calves were clinically healthy after treatment. One had reformation of two abscesses because of inadequate post-surgical treatment. One calf was euthanatized because of an intussusception of the small intestine, and two calves had adverse reactions and developed septic shock when some of the lavage fluid, which was applied under pressure, entered the systemic circulation. It was concluded that umbilical vein abscesses should not be flushed under pressure in calves younger than 2 months of age. The principal advantages of cranial translocation of the umbilical vein in a median celiotomy are that only one abdominal incision is required and that the infected umbilical vein tissue does not have to be passed intraabdominally to a paramedian position.
authors.affiliation: Clinic of Veterinary Surgery, University of Zürich, Switzerland.
authors.forename: A
authors.initials: A
authors.lastname: Steiner
authors.forename: C J
authors.initials: CJ
authors.lastname: Lischer
authors.forename: C
authors.initials: C
authors.lastname: Oertle
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000601:surgery / Q000662:veterinary*; D000818:Animals; D002417:Cattle; D002418:Cattle Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D008100:Liver Abscess / Q000000981:diagnostic imaging / Q000601:surgery / Q000662:veterinary*; D008137:Longitudinal Studies; D008297:Male; D010689:Phlebitis / Q000000981:diagnostic imaging / Q000601:surgery / Q000662:veterinary*; D014463:Ultrasonography; D014471:Umbilical Veins / Q000000981:diagnostic imaging / Q000601:surgery*