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Ceacal dilatation is characterized by a long cylindrical dilated viscus with a blind end, commonly near the pelvic inlet. Case presented with history of not passing feaces from 6 days, anorexia, colic. Ruminal motility was ceased. Right flank typhlotomy me was performed by giving a right mid ventral flank incision on standing animal under linear infiltration of local anaesthesia using 2% lignocaine hydrochloride. After incising muscles and peritoneum, greater omemntum was retracted cranially for the exterioization of the dilated ceacum. A 4-5 cm long incision was made on the apex of ceacum and the content were retrieved. After washing with normal saline the ceacal Incision was closed with catgut no 2-0 in in a double layer using a simple simple continuous suture pattern followed by Cushing pattern. After that intestine was examined for any intussusception or intestinal torsion or adision. Intestinal motility started mmediately after evacuation of ceacal content. After all examination done intestine washed with NS and placed into the abdominal cavity. Muscle and skin closed in usual manner On 2nd day cow started passing black and watery stools. On 3rd day onwards cow passes normal stools. Thank you team for all the procedure, Dr. Sujay Chafekar, Arya mahashabde, intership students. #caecaldilatation #cattle