Typically these cases are recognised late in the course of disease and euthanasia is often the most economical option.
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If the condition is diagnosed early in the course of disease then treatment can be medical or surgical.
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Medically antibiotics can be administered in order to treat the peritonitis and also a magnet should be administered to prevent further metal penetration. A broad spectrum antibiotic such as oxytetracycline is a good choice. Restricting the movement of the animal may prevent further penetration of the foreign object.
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Surgery involves a rumenotomy allowing removal of the object. If an abscess is adhered to the reticulum, it should be drained into the reticulum. Antibiotics should also be given perioperatively.