A 2-month-old boy with a single ventricle underwent cardiac catheterisation. Inferior vena cava angiography at the end of the examination revealed local stenosis, flexion, and connection to the right hepatic vein. Six hours after catheterisation, he went into haemorrhagic shock. CT revealed contrast extravasation into the liver with ascites. A precise diagnosis of vascular anomalies is mandatory, especially in patients with heterotaxy syndrome.

Constrictive pericarditis is rare in children and can be difficult to diagnose. It has been described in adults after sclerotherapy of oesophageal varices but not in children. We report two cases of chronic constrictive pericarditis after sclerotherapy of oesophageal varices in children with portal cavernoma. Constrictive pericarditis should be considered as a cause of refractory ascites.

Stenosis of the Inferior Caval Vein is rarely encountered in the paediatric setting. A 5-year-old male sustained severe injuries secondary to a fall from a three story balcony and was subsequently found to have severe stenosis of the inferior caval vein resulting in extensive lymphatic drainage with chylothorax, chyloperitoneum, and severe abdominal ascites. This was successfully treated with transcatheter stent placement resulting in complete resolution of the stenosis and significant clinical improvement allowing for transfer to a rehabilitation centre and eventual discharge home.

The importance of ascites in the poultry industry warrants a comprehensive systematic review and in-silico modelling to explain responses seen in previous studies in this field. By identifying the genes which are effective and relevant to different indicator traits of ascites in poultry, genes were separated base on chromosomes to determine the most effective chromosome in ascites. Consequently, 12 chromosomes have been discovered as containing effective regions on ascites incidence. Meanwhile, 24 genes including MPPK2, AT1, RhoGTPase, MC4R, CDH6, NOS3, HIF-1A, OSBL6, CCDC141, BMPR2, LEPR, AGTR1, UTS2D, 5HT2B, SST, CHRD, TFRC, CDH13, ACVRL1, ARNT, ACE, ACVRL1, MEF2C, and HTR1A affect ascites according to published studies. The results show that chromosome 9, with the presence of six related genes, chromosomes 1, 2 and 7 with three related genes and Z containing two genes have the most influence on the sensitivity to the ascites syndrome, respectively.

Intensive selection of broilers for faster growth and better feed efficiency resulted in greater susceptibility to metabolic disorders such as ascites syndrome, which is one of the major causes of mortality and economic loss in broiler industry. Whereas cool temperature is one of the primary triggers for ascites, early feed restriction (FDR) significantly alleviates its incidence and mortality. However, little is known about effects of FDR, cold environmental temperature and their interaction on physiological responses in broiler chickens. For this purpose, 320 one-day-old male broilers were divided into two treatment groups of Ad libitum (Ad) and feed restricted (FR) with eight pen replicates each. Chickens in FR group underwent feed access limitation from days 7 to 14 of age. On day 21 half of the birds (four pens) in each group exposed to the cold temperature (CT) and the other half (four pens) continued at normal temperature (NT). Average daily feed intake, average daily weight gain and feed conversion ratio (FCR) were measured at days 7, 14, 21, 28 and 42. At 39 and 46 days of age two chicks with a BW around the pen average were selected from each pen and slaughtered after collecting blood samples. Then, relative weight of internal organs and right ventricle weight per total ventricle weight (RV : TV) ratio were calculated. Compared with NT group, CT birds had higher daily feed intake and FCR (P<0.05) from day 28 to 42. Cumulative ascites mortality in CT chickens was higher (P<0.001) than NT chicks. Within the CT group, ascites mortality in FR chickens was reduced (P<0.001) to 1.25% compared with 8.75% in Ad chicks. Birds in CT group had significantly (P<0.05) thicker right ventricle and greater relative weight of heart, hematocrit and triiodothyronine concentration. However, none of these parameters were affected by FDR. Under cold stress conditions, FDR reduced activity of alanine aminotransferase and aspartate aminotransferase (P<0.05). Serum triglyceride, cholesterol, high-density lipoprotein and total protein were not influenced by either temperature or feeding regimen. In conclusion, these findings suggest that FDR reduces ascites incidence mainly by allowing better development of internal organs, which helps them to cope with the high metabolic pressure and suffer less damage.

Broiler ascites, first seen in the form of a high altitude disease, has increased in importance world-wide in direct proportion to the improvement in growth performance of modern broilers. At the same time, the incidence has spread gradually from high altitude (above 2000 m) down to sea level, which gave rise to proposals of alternative causes including infections, toxins and metabolic disorders. Our work centred on anatomical and physiological aspects and included hypoxia models, chemotherapy and selection for genetic resistance. The latter led to the development of ascites-resistant lines, which allowed resistant stock to become commercially available in South Africa.

The closure of the Poultry Section of the Onderstepoort Veterinary Institute brought ongoing ascites research to an abrupt end and some of the completed work was never published. This review of completed, ongoing and planned ascites work was at the time compiled as final report to the Director of the Institute in 1990. It came to light again recently and has been edited for publication. It also includes a new hypothesis on the reasons for the susceptibility of the domestic fowl and particularly broilers to hypoxic ascites.

In the cold, arid Himalayan region of India, where the altitude is 3048-3658 m above mean sea level (MSL) and the temperature ranges from +35°C to -35°C, poultry farming is very difficult. Poultry farming in Leh-Ladakh has been a venture that has generally taken a back seat in this cold, arid region for a number of reasons. In this region, the Buddhist community makes up most of the population, and, because of their largely vegetarian lifestyle; they generally avoid killing animals in principal. Another reason is the lack of availability of any specific high yielding variety of layer or broiler breed in this high altitude region. Typically, the existing local poultry breeds exhibit very poor egg and meat production. Further factors which have influenced poultry production are the unavailability of poultry feed and the existence of harsh climatic conditions. The status of poultry rearing in this region is not encouraging, with the current total population of poultry birds limited to just a few thousand. There are many constraints contributing to this, including limited availability of feed, lack of subsidies, religious sentiments, lack of availability of suitable germ plasm, limited poultry feed ingredients, and poor knowledge regarding poultry farming. Furthermore, the housing of poultry is difficult in this cold, arid climate. Maintaining the optimum temperature of 25 to 35°C inside brooder and 15 to 20°C inside grower and layer housing requires modifications to the design of traditional poultry housing. The different types of housing available for use in this area are above- ground mud walled poly sheds, semi-underground mud or stone walled houses, trombay wall sheds and solar poultry houses. Fertility and hatchability are therefore the main problems in this area. The problems of poultry farming in high altitude and their solutions have been addressed in this paper.

A previous study by this group demonstrated that a high carbon dioxide tension in venous blood (pvCO2) of juvenile broiler chickens is a reliable predictor for ascites susceptibility.

In a new experiment with five highly selected genetic stocks and two ascites resistant old breeds we studied levels and variability of pvCO2 within each stock at an early age. Effects of different selection traits (principally growth rate) between fast growing sire lines and slower growing dam lines and a commercial hybrid on blood gas (pCO2, pO2) tensions, pH and haematocrit in venous and arterial blood were examined at different ages and compared to values found in ascites resistant breeds. All birds were housed in floor pens in a climate controlled room and subjected to an ascites-predisposing cold environment.

From each stock, 16 birds with the highest (high risk: HRc) and 16 birds with the lowest (low risk: LRc) pvCO2 values were selected at 12 days of age. These birds were marked for future blood sampling to determine changes in haematological characteristics with age and to relate these values to ascites susceptibility. At day 14, eight non-selected birds from each stock were randomly chosen for dissection to determine initial pulmonary arterial pressure index (API) values. Subsequently, all birds were allotted to 8 floor pens (13 birds per pen including two HRc and two LRc birds) per stock. Production performances from 104 birds per stock were measured from 16 to 33 days of age (feed intake (FI); feed conversion ratio (FCR); body weight (BW) at day 33). Mortality was recorded during the complete experimental period. At 5 wk of age, all HRc and LRc birds were necropsied and API values were recorded, which was used to classify the severity of the ascites syndrome.

A convincing effect of pvCO2 values in juvenile chickens on API at 5 wk of age in modern lines confirmed results obtained in the previous study. At an early age, pvO2 values were much less predictive for high pulmonary pressure induced ascites at wk 5 than pvCO2 values. Hypercapnia combined with low blood pH values and followed by hypoxemia (inducing high haematocrit values) provoked a marked high incidence of ascites and high API values in modern breeds.

A total absence of ascitic symptoms within native breeds corresponded with unchanged low API values during ageing from 12 to 33 days of age and with lower pCO2 values in venous and arterial blood compared to modern breeds at all ages. The pvCO2 difference (mean values) between HRc and LRc groups were similar for all modern lines irrespective of age and showed no relationship to growth rate. API, as a reliable indicator for ascites susceptibility, of modern breed chickens correlated with pvCO2 values, but not with growth rate. The high correlation between pvCO2 in juvenile chickens and API values at 5 wk of age indicated that a strong genetic selection pressure on low pvCO2 values at an early age will be an effective method to reduce decisively the occurrence of the ascites syndrome at sea level.