Cecal Tympany

Cecal Tympany



Basic Information image



Definition


Accumulation of gas in the cecum



Synonym(s)


Cecal dilation



Clinical Presentation



Disease Forms/Subtypes


Cecal tympany can be separated into primary and secondary subtypes. Cecal tympany occurs most commonly secondary to obstructions of the large colon such as feed or sand impactions, large colon displacements, large colon tympany, and large colon intraluminal obstructions. The history, clinical signs, diagnostic findings, treatment, and prognosis for cecal tympany secondary to nonstrangulating obstructions of the large colon are related to the primary disease (see entries on respective conditions). This entry focuses on the less common primary cecal tympany.



History, Chief Complaint


Abdominal pain and distension (primarily right sided)



Physical Exam Findings




• Cardiovascular parameters are generally stable. Elevations of heart rate may be associated with pain, abdominal distension, decreased or absent borborygmi, and signs of mild dehydration.


• Uncommonly, severe distension may result in compromise to the cardiovascular and respiratory systems.



Etiology and Pathophysiology


Overproduction of gas because of diet changes, changes in bacterial flora, or alterations in motility resulting in decreased passage of gas through the cecum may result in increased gas accumulation in the cecum.



Diagnosis image



Differential Diagnosis




• Other causes of mild to moderate abdominal pain are simple or nonstrangulating obstructions of the gastrointestinal tract such as feed or sand impaction of the large colon, enterolithiasis, large colon displacements, large intestinal intraluminal obstructions, cecal impaction, small colon impactions, and ileal impactions.


• Other causes of cecal distension on examination per rectum include typhlitis; nonstrangulating infarction of the cecum; and nonstrangulating obstructions of the large colon, such as feed or sand impaction, enterolithiasis, large colon tympany, other large colon displacements, large colon volvulus, and other intraluminal obstructions resulting in secondary distension of the cecum.

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Jul 24, 2016 | Posted by in SMALL ANIMAL | Comments Off on Cecal Tympany

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