Clinical, laboratory and ultrasonographic findings in 94 cows with type-1 abomasal ulcer

This study included 94 cows aged 2.1 to 12.0 years (5.2 +/- 2.05 years) that were examined at a referral clinic because of type-1 abomasal ulcer. The most common clinical findings were poor general health status (94%), partial or complete anorexia (93 %), congested scleral vessels (89 %), decreased skin surface temperature (76%), decreased or absent faecal output (72 %), abdominal guarding (59%), tachypnoea (56%), rumen atony (53%) and positive percussion and simultaneous auscultation and/or ballottement and simultaneous auscultation on the right side (53%). The most common laboratory findings were hypokalaemia (68%), positive base excess (60%) and azotaemia (51%). The chloride concentration of rumen fluid was increased in 48 % of the cows. The diagnosis of type-1 ulcer was made during laparotomy and/or postmortem examination. One or more concurrent diseases were diagnosed in 97 % of the cows. Seventy-eight (83%) cows were euthanased immediately after the initial examination, during laparotomy or after unsuccessful treatment, and eight (8.5 %) cows died, and all were examined postmortem. Eight (8.5 %) cows were discharged and six of these made a complete recovery.