_1785389829 20260730053709000 Rovedar Daryoushbabazadeh@gmail.com Rovedar Journal of Veterinary Physiology and Pathology J. Vet. Physiol. Pathol. 2821-0328 06 04 2026 5 2 Oluwatimilehin David Durojaiye https://orcid.org/0009-0009-4477-2794 Iliya Paul Sambo https://orcid.org/0009-0002-9292-7761 Idris Abubakar https://orcid.org/0009-0009-5665-0997 Introduction: Rumen impaction in ruminants constitutes one of the numerous factors that can lead to losses in livestock if not appropriately addressed. The present study aimed to diagnose and resolve a case of rumen impaction in an adult ram. Case report: A 3-year-old Balami ram weighing 40.4 kilograms was presented to the veterinary teaching hospital, University of Jos, Nigeria, with a one-week history of coughing and severe inspiratory dyspnea. Clinical examination revealed rectal temperature (40.7 °C), tachycardia (120 beats/min), tachypnea, congested ocular mucous membranes, bruxism due to pain, rough hair coat, absent rumen motility, and a firm palpable mass was felt in the rumen following palpation of the left abdominal wall. Hematological parameters were evaluated upon arrival at the veterinary hospital and were within normal reference values. Based on the clinical findings, a diagnosis of rumen impaction with suspected indigestible foreign material was made. An emergency left-flank rumenotomy was performed following intravenous sedation with 4 mg xylazine at 0.1 mg/kg and local anesthesia with local infiltration of 80 mg lidocaine at 2 mg/kg. A large compacted polythene bag weighing 3.1 kilograms was carefully removed after exteriorization of the rumen, followed by thorough lavage with normal saline. The rumen was closed with a Cushing suture pattern and returned to the abdominal cavity. The peritoneum and musculature, subcutaneous tissues, and the skin were routinely closed. Postoperative management included 4 mL of amoxicillin, 1.6 mL of diclofenac, and wound dressing. The ram recovered uneventfully without complications, and sutures were removed on postoperative day 15. Normal appetite, rumination, and respiratory pattern were restored by day 3 post-surgery. Conclusion: A successful outcome was achieved through rumenotomy. The present study highlighted polythene-induced rumen impaction as an emerging and potentially life-threatening condition in small ruminants living in urban and rural areas of developing countries, where the careless disposal of plastic waste increased the risk of ingestion. 06 09 2026 26 30 https://creativecommons.org/licenses/by/4.0 10.58803/jvpp.v5i2.84 https://jvpp.rovedar.com/index.php/JVPP/article/view/84 https://jvpp.rovedar.com/index.php/JVPP/article/download/84/121 https://jvpp.rovedar.com/index.php/JVPP/article/download/84/121 Akinrinmade JF, and Akinrinde AS. Foreign body rumen impaction with indigestible materials in ruminants in Nigeria: A review. Bull Anim Health Prod Afr. 2013; 61(4): 629-642. Available at: https://www.ajol.info/index.php/bahpa/article/view/105300 Priyanka M, and Dey S. Ruminal impaction due to plastic materials - An increasing threat to ruminants and its impact on human health in developing countries. Vet World. 2018; 11(9): 1307-1315. DOI: 10.14202/vetworld.2018.1307-1315 Musewe VO, Gillespie JR, and Berry JD. Influence of ruminal insufflation on pulmonary function and diaphragmatic electromyography in cattle. Am J Vet Res. 1979; 40(1): 26-31. DOI: 10.2460/ajvr.1979.40.01.26 Niehaus AJ. Rumenotomy. Vet Clin North Am Food Anim Pract. 2008; 24(2): 341-347. DOI: 10.1016/j.cvfa.2008.02.011 Fielder SE. Normal rectal temperature ranges. Merck Veterinary Manual. Merck & Co., Inc. 2024. Available at: https://www.merckvetmanual.com/reference-values-and-conversion-tables/reference-guides/normal-rectal-temperature-ranges Radostits OM, Gay CC, Hinchcliff KW, and Constable PD. Veterinary medicine: A textbook of the diseases of cattle, horses, sheep, pigs, and goats. 10th ed. USA: Saunders Elsevier; 2007. p. 1300-1315. Available at: https://www.researchgate.net/publication/47241720_Veterinary_Medicine_A_Textbook_of_the_Diseases_of_Cattle_Horses_Sheep_Pigs_and_Goats_10th_edition Jones ML, and Allison RW. Evaluation of the ruminant complete blood cell count. Vet Clin North Am Food Anim Pract. 2007; 23(3): 377-402. DOI: 10.1016/j.cvfa.2007.07.002 Sambo IP. Surgical management of external hernia with entero-mesenteric incarceration in an Uda ewe. J Vet Physiol Pathol. 2025; 4(4): 69-73. DOI: 10.58803/jvpp.v4i4.79 Plumb DC. Plumb’s veterinary drug handbook. 9th ed. John Wiley & Sons, 2018. p. 63. Available at: https://dl.ojocv.gov.et/admin_/book/Veternary%20Drug%20Handbook.pdf Sato A, Sugiura T, Kosenda K, and Murakami T. Preoperative protocol for right flank laparotomy affects postoperative serum cortisol concentrations in dairy cows. J Am Vet Med Assoc. 2023; 261(9): 1374-1379. DOI: 10.2460/javma.23.02.0062 Martin S, López AM, Morales M, Morales I, Tejedor-Junco MT, et al. Rumenotomy in small ruminants – a review. J Adv Vet Anim Res. 2021; 8(1): 104-108. DOI: 10.1080/09712119.2021.1894156 Hailat N, Al-Darraji A, Lafi S, Barakat SA, Al-Ani F, El-Magrhaby H, et al. Prevalence and pathology of foreign bodies (plastics) in the rumen of small ruminants in Jordan. Small Rumin Res. 1998; 30(1): 77-83. DOI: 10.1016/S0921-4488(98)00114-8⁠ Igbokwe IO, Kolo MY, and Egwu GO. Rumen impaction in sheep with indigestible foreign bodies in the semi-arid region of Nigeria. Small Rumin Res. 2003; 49(2): 141-146. DOI: 10.1016/S0921-4488(03)00074-9 Sala G, Crosta F, Gazzola E, Ucci L, Ferrulli V, Boccardo A, et al. Retrospective clinical study of rumen foreign body syndrome in small ruminants: Diagnostic approach and outcomes from a veterinary teaching hospital case series (2016-2022). Large Anim Rev. 2025; 31: 235-243. Available at: https://www.largeanimalreview.com/index.php/lar/article/view/1033 Constable PD, Hinchcliff KW, Done SH, and Grunberg W. Veterinary medicine. A textbook of the diseases of cattle, horse, sheep, pigs and goats. 11th ed. Missouri: Saunders Elsevier; 2017. DOI: 10.1016/B978-0-7020-5246-0.00027-9 Asrat M, Melkamu S, and Nazir S. Surgical management of ruminal impaction due to indigestible foreign bodies in Cattle. J Anim Res. 2015; 5(4): 927-929. DOI: 10.5958/2277-940X.2015.00153.9 Koller U, Lischer CL, and Auer JA. Implantation of synthetic mesh for the closing of abdominal wall ruptures in the ventral flank of cows: A retrospective study of 16 cases. Schweiz Arch Tierheilkd. 2001; 143(7): 351-358. Available at: https://pubmed.ncbi.nlm.nih.gov/11476041/ Islam MA, Juyena NS, Ferdousy RN, and Mamun MA. Effects of different suture patterns and materials on healing of incised skin wounds in cattle. Bangladesh Vet. 2014; 31(1): 27-37. DOI: 10.3329/bvet.v31i1.22840 Duresa LA, Kitessa JD, and Feyissa CT. Prevalence of indigestible foreign bodies and its associated potential risk factors in rumen and reticulum of domestic ruminants at Bishoftu Elfora Export Abattoir. Vet Med Sci. 2022; 8(6): 2623-2630. DOI: 10.1002/vms3.952 Hartnack AK, Niehaus AJ, Rousseau M, Pentecost RL, Miesner MD, and Anderson DE. Indications for and factors relating to outcome after rumenotomy or rumenostomy in cattle: 95 cases (1999-2011). J Am Vet Med Assoc. 2015; 247(6): 659-664. DOI: 10.2460/javma.247.6.659 Ogbuewu IP, OdoemenamVU, Omede AA, Durunna CS, Emenalom OO, Uchegbu MC, et al. Livestock waste and its impact on the environment. Sci J Rev. 2012; 1(2): 17-32. ⁠Available at: https://www.sjournals.com/index.php/sjr/article/view/684/665 Bhanuprakash AG, Bindhuja BV, and Dey S. Effect of plastic foreign body impaction on rumen function and heavy metal concentrations in various body fluids and tissues of buffaloes. Ecotoxicol Environ Saf. 2020; 189: 109972. DOI: 10.1016/j.toxlet.2019.10.021