COMPARATIVE ULTRASONOGRAPHIC MORPHOMETRY OF RETICULUM FROM SIX WINDOWS IN WATER BUFFALOES WITH DIAPHRAGMATIC HERNIA

Ultrasonography of reticulum in diaphragmatic hernia Buffaloes

Abstract

The study was aimed to compare the ultrasonographic morphometry of the reticulum (reticular wall thickness, reticular wall depth from body wall, type and amplitude of reticular motility) via six windows (chest, lateral and ventro-lateral abdomen from either side) on B and B+M modes in 61 water buffaloes (60 females and one male) suffering from reticular diaphragmatic hernia.
The morphometry was compared to predict the side of herniation and severity of reticular adhesions in the chest. Among 61 buffaloes, ultrasonography confirmed the side of herniation in 53 buffaloes (86.89%); 51 buffaloes had herniation on the right side (83.61%) and 2 had on the left of hemi-diaphragm (3.28%), whereas, in 8 buffaloes (13.11%) the site of herniation could not be ascertained, ultrasonographically. The significantly (p ≤ 0.01) less depth of reticular wall in the right chest (3.84 ± 1.12 cm) in comparison to the left chest (11.81 ± 2.78 cm) was diagnostic for right-sided herniation and it was vice versa for the left; however, in buffaloes (n=8) with reticular wall close to thoracic wall from both right and left sides were inconclusive for the side of herniation.
The reticular wall was recorded as thickest (0.99 ± 0.46 cm) from the left chest window. The absence of reticular motility (41.93% buffaloes) and reduced amplitude of the 2nd phase of reticular motility (2.58 ± 1.78 cm) was also recorded in maximum per cent cases via left chest window.
In conclusion, ultrasonography can diagnose the side of reticular herniation, using a criterion of comparative superficial scanning of the reticulum on the respective side using chest window. Besides, the severity of adhesions on the herniated reticulum can be predicted using ultrasonography based on; wall thickness, type and amplitude of the reticular motility in the chest.