Surgical management of umbilical masses with associated umbilical cord remnant infections in calves.

Intra-abdominal umbilical cord remnant infections were diagnosed in 21 calves during a 5-year period. The urachal remnant alone was involved in 15 calves, umbilical artery remnant alone in 1 calf, and the umbilical vein remnant alone in 4 calves. Both urachus and umbilical vein were involved in 1 calf. All cases were managed surgically by ventral celiotomy. Infected urachal remnants not extending to the bladder, infected umbilical artery remnant, and infected umbilical vein remnants not extending to the liver were dissected free of surrounding adhered structures, ligated proximal to the infected segment, transected, and removed. Infected urachal remnants extending to the bladder were similarly isolated and removed after resection of the attached bladder apex. Infected umbilical vein remnants extending to the liver were marsupialized. Of 19 calves available for follow-up from 1 to 32 months after surgery, 15 recovered without any postoperative complications, 3 had short-term complications, and 1 calf developed an incisional hernia.