Tube cystostomy for management of uroperitoneum (water belly) in a weaned Brahma bull-calf

Objective: This study highlights a case of uroperitoneum from urinary bladder rupture in a bovine calf and further describes the surgical interventions. Materials and Methods: A 7-month-old weaned Brahma bull-calf was presented with a distended abdomen alongside a history of complete absence of urination for 9 days. Previously, the animal suffered from urinary inconsistence and dribbling-type urination. Physical palpation on the ventral aspect of the distended abdomen revealed a fluid-filled condition, and further needle aspiration confirmed the fluid to have a slightly alkaline pH resembling that of urine. The preputial manipulation and urinary catheterization were of no use for the obstruction. A light uremic smell was found in the animal’s breathing. Elevated blood urea nitrogen and creatinine were also detected. Clinically, it was assumed to be a ruptured urinary bladder (cystorrhexis) and subsequently diagnosed as a case of uroperitoneum (water belly). Paramedian laparotomic exploration was carried out to detect the ruptured part (perforation) of the bladder, and simultaneous expulsion of the accumulated peritoneal urine was done. A tube cystostomy was performed with Foley’s catheter to handle the case after repairing the perforated bladder (cystorrhaphy). In the postoperative phase, supportive medications and good management were ensured. Results: The calf recovered within 2 weeks of surgery and was found to maintain unremitting urine flow through the surgically fixed catheter. However, the calf was culled after 1 month of surgery. Conclusions: Tube cystostomy can be an effective approach for the management of water bellies in calves to save lives.