Healthy and Unhealthy Rumen Wall

 

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Large animal section: No. 13

THE HEALTHY AND UNHEALTHY RUMEN WALL

RUMEN MUCOSA

Development of rumen papillae depends mainly on type of diet.

Hyper- and parakeratosis does not develop in animals fed adequate levels of coarse roughage: approximately 15%

Dystrophic lesions are reversible when adequate roughage is fed.

Roughage removes keratinaceous debris and food particles from mucosal surface.

Hyperkeratosis also occurs in calves deficient in Vit A.

 

1.       Adequate roughage:

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Long, slender, white to grey ruminal papillae

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Pillars lack papillae

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Histology: papillae covered by thin layer of keratinized squamous epithelial cells.

 

2.   High concentrate rations:

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Black, club- and tongue-shaped papillae

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Tendency to form clumps, nodules & rosettes

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Over entire mucosa except small area dorsal sac where gas cap will be located.

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Most prominent changes in atrium ruminis & ventral caudal sac

 

    Histology:

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Marked acanthosis, hyper- and parakeratosis and hyper-pigmentation of papillary epithelial cells.

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Hyperplasia of secondary papillae = prominent. Form rosettes and clumps.

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Wall is thickened due to fibroplasia of lamina propria and submucosa.

 

3.   Barley containing rations = similar changes plus:

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Vegetable hairs adhere to mucosa especially in interpapillary areas giving distinct matted appearance

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Large numbers of hairs are seen in sections of mucosa.

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Penetrate mucosa & lamina propria and cause leukocytic inflammatory reaction often causing micro-abscesses.

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Diffuse pleocellular reaction in thickened fibrotic wall.

 

PM CHANGES

Ruminal mucosa sloughs in few hours after death

Separates from lamina propria in large grey patches.

 

PERSISTENT FIRM MUCOSAL ATTACHMENT = ABNORMAL

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In dystrophic changes as described earlier

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Acute rumenitis especially with fungi

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Healed lesions of necrobacillary rumenitis.

Note: acute acidosis = no adhesion.

 

SPECIFIC DISEASE CONDITIONS

 

Ruminal tympany

Distended rumen

Marked erythema beneath rumen mucosa especially ventral sacs.

Rumen could have ruptured.

Dead several hours:

Exfoliation of cornified epithelium

Marked congestion of submucosa.

 

Traumatic reticuloperitonitis

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Incomplete penetration:

Sometimes a suppurative or granulomatous inflammation in wall of reticulum with minor overlying peritonitis.

 

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Penetration / perforation:

Local fibrinous peritonitis

Later = adhesion between reticulum and adjacent structures.

Chronic granulation tissue with the foreign body inflammation, purulent exudate, and bacterial peritonitis

Penetration of side of reticulum leads to suppurative inflammation of grooves between reticulum, omasum and abomasum, which may cause vagus indigestion (“vagus nerve paralysis”).

 

Vagus indigestion

Abomasum may be distended and impacted with dry ingesta.

Omasum can be very large & impacted with dehydrated ingesta.

Rumen is distended with enough fluid to cause sloshing

No ruminal fermentation or odor.

 

Rumenitis

Inflammation of the rumen wall

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Urea = congestion or coagulative necrosis of cranioventral rumen

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pH of rumen high (>7) with excessive urea in feed

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Rumenitis is common with kikuyu poisoning

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Ruminal atony, distortion and fluid contents found in rumen

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Nodular foci of rumenitis and necrosis found with lumpy skin disease in cattle

 

Acidosis

Cause : too high grain component in feed

Early stage: copious amounts of porridge-like rumen contents which may visibly contain increased grain (finely ground).

Rumenitis and low rumen pH (<5).

May be slight, poorly defined bluish discoloration of ventral sac of rumen and in omasum visible through serosa.

When epithelium is detached = hyperaemia of lamina propria in patches.

Histology:

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Marked cytoplasmic vacuolization of epithelial cells leading to vesiculation.

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Mild to marked neutrophilic reaction in mucosa and submucosa.

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Focal areas of erosion or ulceration may be present.

 

Note: remember acidosis may predispose to cerebrocortical necrosis (cerebral poliomalacia)

 

Necrobacillary rumenitis

Fusobacterium necrophorum

Affects papillated areas of ventral sac and occasionally pillars.

Inner surface: Early lesions = multiple irregular patches 2-15cm across

Papillae are swollen, dark, slightly mushy and matted together by fibrinocellular inflammatory exudate.

Affected papillae are necrotic

Ulceration is delayed if there is ruminal atony or stasis.

If animal recovers:

Affected epithelium sloughs

Ulcer contracts

Epithelial regeneration starts at margins

Regenerated epithelium is flat and white & papillae does not return   completely

A stellate scar often remains

Perforation of omasal leaves is common.

Histology:

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Mucosal necrosis, ulceration and sloughing

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Small band of leukocytes at reaction zone – minimal exudation

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Filamentous Fusobacterium organisms visible at reaction zone

 

Mycotic rumenitis

Inflammation extends to the serosa and is haemorrhagic. Can extend to peritoneum = haemorrhagic and fibrinous peritonitis.

 

Mucor, Rhizopus and Absidia spp.

Fatal cases most of ventral sac, parts of reticulum and/or omasum are affected

Margins well demarcated by narrow zone of congestive swelling.

Red to black, thickened to 1cm or more, firm and leathery.

Acute fibrinohaemorrhagic peritonitis and in grooves bloodstained inflammatory oedema.

Thrombosis as result of vasculitis = basis of this lesion.

 

Inner surface rumen lesions are more haemorrhagic and more irregular in outline than in necrobacillosis.

Necrotic epithelium is difficult to detach.

 

Histology:

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Rumenitis with haemorrhagic necrosis of all structures in wall

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Copious fibrinous exudate

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Scant leukocytic reaction

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Severely necrotizing vasculitis

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Fungi readily visible in necrotic tissues and lumina of blood vessels

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More chronic lesions = granulomatous inflammation in submucosa.

Parasitic diseases

Conical flukes (Paramphistomum) = non-pathogenic adult parasites in rumen

 

Neoplasia

Fibropapillomas = Bovine papilloma virus (BPV) 2 (rare)

Squamous cell carcinoma in association with BPV 4 (rare)

 

(Courtesy of Jubb, Kennedy,  Radostis, Gay & Hinchcliff. Compiled with help of Dr Thelma Meiring)

For further information contact:

VetPath Veterinary Pathologists
P.O. Box 8464
Pretoria 0001
Tel: (012) 529 8345/6
e-mail: info@vetpath.co.za

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Copyright © 2004 Bill Robb & Associates
Last modified: Friday June 25, 2004