Serum-Peritoneal creatinine ratio in the diagnosis of Uroperitoneum in a Gir bull: Serum-Peritoneal creatinine ratio

M. Saravanann; Keerthana R.; Ramkumar P. K.; Venkatesan M.; Yogeshpriya S.; Veeraselvam M.; Karthika K.

Authors

Saravanann, M. Assistant Professor and Head, Department of Veterinary Medicine, VCRI, Orathanadu, Tamil Nadu INDIA
Keerthana R. UG Scholar, VCRI, Orathanadu, Tamil Nadu INDIA
Ramkumar P. K. Assistant Professor, Department of Veterinary Medicine, VCRI, Orathanadu, Tamil Nadu INDIA
Venkatesan M. Assistant Professor, Veterinary Clinical Complex, VCRI, Salem, Tamil Nadu INDIA
Yogeshpriya S. Assistant Professor, Department of Veterinary Medicine, VCRI, Orathanadu, Tamil Nadu INDIA
Veeraselvam M. Assistant Professor, Department of Veterinary Medicine, VCRI, Orathanadu, Tamil Nadu INDIA
Karthika K.

Keywords:

Cattle, Anuria, Uroabdomen, Abdominocentesis, serum-peritoneal creatinine ratio

Abstract

A 6-year-old Gir bull was referred to the Veterinary Clinical Complex, Veterinary College and Research Institute Orathanadu, Thanjavur with the history of anuria and anorectic for the past 5 days. Clinical examination revealed distended abdomen with fluid thrill, shrunken eyeball and pale conjunctival mucus membrane. On rectal examination, slightly distended urinary bladder and no feces in the rectum. Trans-rectal ultrasonographic examination revealed thickened urinary bladder and around the bladder anechoic fluid content was noticed. On trans-abdominal ultrasonographic examination anechoic fluid and floating of the abdominal viscera. Serum biochemistry revealed elevated BUN (40 mg/dl) and creatinine (2.6 mg/dl) were noticed. Similarly, in peritoneal fluid also increased BUN (112 mg/dl) and creatinine (15 mg/dl) were observed.The peritoneal-serum creatinine ratio was greater than 5, which clearly indicates presence of urine in the peritoneum. Based on the ultrasound and serum-peritoneal creatinine ratio the present case was diagnosed as uroperitoneum in a gir bull.

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