Omphalophlebectomy with partial hepatectomy in a Holstein heifer calf presented for concurrent septic arthritis of the shoulder.

Abstract

Debilitated calves are often presented with an umbilical remnant infection, septic arthritis, or both. These comorbidities, frequently caused by similar bacteria, must be addressed surgically. In cases of omphalophlebitis where the infection reaches the liver, the clinician generally has 1 option: marsupialization of the vein. This case report describes an alternative method whereby extensive omphalophlebitis can be successfully managed by "en bloc" resection and partial hepatectomy. Using this technique, we optimized cost-benefits for the client and overall outcome for our calf patient. Key clinical message: Omphalophlebitis in calves with infection that extends within the liver parenchyma can be completely excised by performing a partial liver resection, thereby eliminating the risks and challenges associated with marsupialization. The technique described is accessible to most veterinary practitioners.