Granulomatous inflammation

  • Mucor, a fungi, invades the rumen wall, e.g. after damage caused by rumenal acidosis.
  • Produces chronic ongoing granulomatous rumenitis.
  • Difficult to diagnose in life.
  • May produce pain and poor growth
  • Infective process may penetrate wall and produce peritonitis.

Pathology

Gross
  • Thickening and ulceration of mucosal surface of rumen.
    • Feels like thick leather.
  • Rumen wall becomes fibrosed.
Histological
  • Classical granulomatous inflammation
    • May have giant cells in addition to sheets of macrophages.
  • Can visualise fungal hyphae in tissue using special stains (PAS),
    • Often grow along blood vessels.
      • May cause thrombosis of small blood vessels, leading to further necrosis (infarction) of rumen wall.