Acase of perosomus elumbis concurrent with visceral ... · this complication in the future....
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Iranian Journal of Veterinary Medicine
IJVM (2014), 8(2):143-145 143
Acase of perosomus elumbis concurrent with visceralabnormalities in a Holstein calfEslami, M.1, Gharagozloo, F.2*, Rahimi Feyli, P.3, Vojgani, M.2, Soroori, S.4
1Department of Theriogenology and Poultry, Faculty of Veterinary Medicine, University of Urmia, Urmia, Iran2Department of Theriogenology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran3Department of Clinical Sciences, Faculty of Veterinary Medicine, Razi University, Kermanshah, Iran4Department of Surgery and Radiology, Faculty of Veterinary Medicine, University of Tehran, Tehran, Iran
Case History
Perosomus elumbis, which occurs in ruminantsand swines, is characterized by hypoplasia or aplasiaof the spinal cord, which ends in the thoracic region.The regions of the body including the hindlimbs,which are normally supplied by the lumbar and sacralnerves, exhibit muscular atrophy, and joint move-ment does not develop. The rigidity of the posteriorlimbs may then cause dystocia (Noakes et al, 2009).This abnormality is a fairly common congenitaldefect in cattle (Roberts, 1986). It usually includesarthrogryposis of the hind limbs, characterized byankylosis of the joints, with associated malform-ations of the musculature (Roberts, 1986). This
abnormality occurs in both sexes (Jones, 1999).Perosomus elumbis in a calf was first reported in theveterinary literature in 1832 by Ernst Gurlt, and sincethen cases have been reported (Jones, 1999).Congenital abnormalities may cause obstetricalproblems and economic losses; hence, reportingmore of these cases accompanied with other defectsmay help us to identify the exact etiology and preventthis complication in the future.
Perosomus elumbis with visceral abnormalities isless reported worldwide. This paper describes theclinical, necropsy, and radiographic evaluation ofperosomus elumbis concurrent with a lot of visceralabnormalities in a Holstein calf.
Key words:
congenital abnormality, Holsteincalf, perosomus elumbis, vertebralcolumn
Correspondence
Gharagozloo, F.Department of Theriogenology,Faculty of Veterinary Medicine,University of Tehran, Tehran, IranTel: +98(21) 61117164Fax: +98(21) 66933222Email: [email protected]
Received: 10 November 2013Accepted: 22 January 2014
Abstract:
Perosomus elumbis is an occasional congenital anomaly ofcattle, swine, sheep, and dogs with unknown etiology. Thiscongenital abnormality occurs in both sexes. A dead Holsteincalf characterized by musculoskeletal and external genitaliaabnormalities was referred to the large animal hospital ofUniversity of Tehran. Radiographic evaluation and subsequentdissection revealed that the vertebral column was truncated at thelevel of first lumbar vertebra (L1). Moreover, L2-L5, sacrum andcoccygeal vertebrae were absent. The dorsum of the lumbosacralregion contained only soft tissues. Urogenital tract wasincomplete, and it contained agenesis of the ovaries, uterinetubes, cervix, and vulva concurrent with unilateral umbilicalartery agenesis. Small and large intestine contained blind-endedsacs. No testes, scrotum, and penis were found. The intact ureterwas attached to a thin-walled fluid fill sac. The laboratory findingshowed that the pH of the fluid was 6 and contained hemoglobin,white blood cells, bacteria, a few red blood cells, oxalatecrystalline, and epithelial cells. It was concluded that thecollected fluid was urine. This is the first report of perosomuselumbis in a Holstein calf having a lot of visceral abnormalitiesin Iran.
Clinical Presentation
A dead Holstein calf characterized by angularhind limb and lumbar deformities, atresia of anus,rectum, vulva, and tail, and distended abdomen wasreferred to the animal hospital of University of Tehran(Figure 1). The calf was born alive but died after 2days. The calf's birth weight was 27.3 kg.
Diagnostic Testing
Radiographic analysis and subsequent necropsyrevealed that the vertebral column was truncated atthe first lumbar (L1) level (Figure 2) with attachediliac wings, narrowed pelvic canal, and agenesis ofthe L2-L5, sacral and coccygeal vertebrae (Figure 3).The femurs were malformed. Spinal cord continueduntil L1. Thoracic vertebrae and ribs were normal.The back of the lumbosacral region was composed ofonly soft tissues.
Abdominal dissection showed a plenty ofabnormalities. Agenesis of the ovaries, uterine tubes,cervix, and vulva concurrent with unilateral agenesisof renal and adrenal gland, ureter and umbilical arterywere observed (Figure 4). No testes, scrotum, andpenis were found. The intact ureter was attached to athin-walled sac. The sac was instead of the urinarybladder and was passed by a vestibule like structurethrough the narrowed pelvic canal then fused toperianal region to excrete the urine. The fluid insidethe sac was evacuated to analyze its component. Thelaboratory finding showed that the pH of the fluid was6 and contained hemoglobin, white blood cells(WBC), bacteria, a few red blood cells (RBC),oxalate crystalline, and epithelial cells. As a result,the collected fluid was considered urine, as wasexpected.
The spiral and distal colon composed ofmoderately distended thin-walled blind-ending sacs.The blind sacs fused with narrow connective tissue toeach other and filled with brown-yellow materials.The distal portion of the distal colon was dead-endedand the calf showed anal and rectal atresia.
Assessments
Congenital defects can result from disruptive
events at one or more stages during the complextransitions of embryonic and fetal development(Greene, 1973). Bovine inbreeding has increased thepercentage of congenital defects in this species
A case of perosomus elumbis concurrent with... Gharagozloo, F.
IJVM (2014), 8(2):143-145144
Figure 1. APerosomus Elumbis calf with angular hind limb andlumbar deformities.
Figure 2. Radiographic region of vertebrae indicating the lackof L2-L5 lumbar vertebras.
Figure 3. Ventrodorsal radiograph showing narrowed pelviccanal with attached iliac wings.
compared to the others. Although heredity has beenshown to contribute to a number of well documenteddefects, environmentally induced defects can and dooccur in any genotype (Jones, 1999).
Malformation or improper migration of the neuraltube during the tail-bud stage, accompanied by partialagenesis of the caudal spinal cord, appears to be thecause of this abnormality (Gentile, 2006). Abnormaldevelopment usually occurs when a threshold ofgenetic and environmental insults is attained and thefetal compensatory mechanisms are overcome. Thus,purely genetic defects can originate from the dam, thesire or both, and environmental teratogens are usuallynumerous, as are nutritional imbalances, chemicals,drugs, and biotoxins (Rousseaux and Ribble, 1998).However, the accurate etiology of purely geneticdefects is still unknown.
The laboratory finding showed that the pH of fluidevacuated from the sac (instead of the bladder) was 6and contained hemoglobin, WBC, bacteria, a fewRBC, oxalate crystalline, and epithelial cells. Thecollected fluid was found to be urine contaminatedwith blood and/or the presence of ascending infectionin the incomplete urinary system after birth.
To the authors' best knowledge, anal atresia,Cryptorchidism, testicular agenesis (Williams, 1931),unilateral, intestinal malformation, vaginal anduterine malformation (Hirago, 1983), and bilateralrenal agenesis (Gurlt, 1832) have been reported inperosomus elumbis cases; however, unilateralumbilical artery agenesis concurrent with all of theseabnormalities has not been reported yet.
Acknowledgement
The authors would like to express their sinceregratitude to Mr. Noshahri for his kind assistance.
Iranian Journal of Veterinary MedicineGharagozloo, F.
IJVM (2014), 8(2):143-145 145
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Figure 4. Unilateral aplasia of kidney, ureter and umbilicalartery.
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Abstracts in Persian Language
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