Uterine prolapse in a mare leading to metritis,systemic inflammatory response syndrome,septic shock and death

This Case Report describes severe complications associated with uterine prolapse in a mare. A 6‐year‐old Trakehner mare was examined for depression, moderate pain and vaginal discharge 3 days after correction of a uterine prolapse. The clinical examination and haematology revealed that the mare had an infection with systemic inflammatory response syndrome and shock. Due to the uncontrollable, persistent pain, an exploratory celiotomy was performed which revealed severe metritis. During anaesthesia, the mare developed severe cardiovascular compromise and died in recovery. In previously reported cases of uterine prolapse in the mare, the authors warn of uterine injury, broad ligament haemorrhage, metritis, endotoxaemia and laminitis but often have a successful outcome with conventional therapy. This case describes a mare that developed severe complications and death after uterine prolapse. Mares with uterine prolapse require appropriate treatment and vigilant monitoring post treatment to prevent life threatening complications.     

Packed cell volume (PCV) in connection with uterine prolapse and in parturient paresis in cows.

Packed cell volume was determined in 317 cows with uterine prolapse, the condition being in more than half of these cases associated with varying degrees of hypocalcaemia, in 133 cows with parturient paresis and in 73 clinically healthy newly calved cows. Independently of each other uterine prolapse and fall in plasma calcium were associated with a significant rise in PCV. The present investigation demonstrated a marked fall in circulating blood volume in a considerable number of cows suffering from uterine prolapse. The risk of irreversible hypovolemic shock developing in connection with uterine prolapse is not to be neglected, and may be aggravated by the simultaneous occurrence of hypocalcaemia, as several of the compensatory mechanisms are calcium dependent.     

Partial uterine prolapse associated with uterine foreign body in a cow

After correction of partial uterine prolapse in a Holstein cow, a 6-cm-long twig was found deep in the affected uterine horn. The twig was removed, and calcium-dextrose and penicillin G were administered. Recovery was unremarkable. Other reports of uterine foreign bodies in cows are scarce and do not describe uterine foreign bodies associated with uterine prolapse or invagination.     

The relationships between vaginal collagen, plasma oestradiol and uterine prolapse in turkeys.

Uterine and vaginal collagen content and plasma oestradiol concentration were measured in traditional, male-line and prolapsed male-line turkeys to investigate the higher incidence of uterine prolapse in the male-line strain. The effect of exogenous oestradiol on vaginal collagen and plasma oestradiol was also tested in the traditional and male-line strains. Vaginal collagen was significantly lower in the male-line compared to the traditional-line, while it was lowest in prolapsed male-line turkeys. Plasma oestradiol concentration was higher in the traditional-line than the male-line. No difference in plasma oestradiol concentration was found between prolapsed and non-prolapsed male-line turkeys. Administration of oestradiol for 7 days significantly raised plasma oestradiol concentration but had no effect on vaginal collagen. Decreased vaginal collagen content was associated with uterine prolapse and may predispose the male-line strain to uterine prolapse. There was no evidence from these results to support an involvement of oestradiol in uterine prolapse in male-line turkeys.     

Rectal prolapse in two rabbits (Oryctolagus cuniculi) with rectal neoplasia

Rectal prolapse is rarely reported in rabbits and it has been historically described in association with infectious conditions of the gastrointestinal tract. Two adult pet rabbits (Oryctolagus cuniculus) were independently presented for rectal prolapse. The rabbits appeared healthy, with no medical history of consequence, and were still able to feed and defecate. Clinical examination revealed a firm and apparently non-painful rectal mass in both rabbits. Abdominal ultrasound and whole-body radiographs revealed no abnormality. Complete blood count and serum chemistry panels were within the normal range. Surgery was performed in both cases which involved resection of the mass for the first rabbit, and mass excision with partial rectal resection for the second. Postoperatively, the rabbits defecated normally and showed no complications. The histopathological conclusions were an inflammatory rectal polyp for the first rabbit and a rectal leiomyosarcoma for the second. Two and three years after initial presentation, both rabbits are alive, in good health with no signs of tumor recurrence. Neoplasia of the digestive tract should be considered as a differential for rabbits presenting with rectal prolapse.     

Uterine prolapse with associated rupture in a Podengo bitch

A case of uterine prolapse coexisting with uterine horn rupture in a 3-year-old Portuguese Podengo bitch, which is an uncommon occurrence, is described. The female was presented with a history of recent parturition, with delivery of four healthy puppies that were normally tended and nursed. The situation developed after an uneventfully pregnancy, and no direct causative factor was identified. The duration of the prolapse was unknown, but considered to be recent because of the swollen reddish appearance of the tubular everted mass. No foetus was found in the uterus or the abdominal cavity. The female was presented in good physical condition, without signs of shock or haemorrhage. During surgical treatment, the uterus was replaced to its normal position followed by ovary-hysterectomy at 12 h from admittance.     

Survival and fertility after uterine prolapse in dairy cows

Sixty-eight cases of uterine prolapase in pastured dairy cows were treated in 2 consecutive spring calving seasons in East Gippsland, Victoria. Fifty cows survived (73.5%). Of 43 cows available for followup, 36 (84%) conceived in the mating period following the prolapse, taking 10 d longer to conceive than herd mates that calved on the same day. Three of the 36 cows (8%) that conceived, aborted, this occurring in the middle trimester of pregnancy. No prolapses occurred at the following calving but one case had suffered uterine prolapse 2 years previously. The conclusions drawn from these observations are that cows with uterine prolapse have a good chance of surviving if treated, that treatment is cost-effective, that uterine prolapse is unlikely to reoccur and treated cows have a good chance of conceiving. The veterinarians involved in this investigation were reasonably accurate in their ability to predict long term survival but not as good in predicting ability to conceive again.     

Uterine prolapse in 2 dromedary camels

Two cases of uterine prolapse in dromedary camels in a herd with concomitant cases of white muscle disease are described. Serum selenium and glutathione peroxidase in whole blood were investigated in both patients and showed statistical difference compared with a control group. Results suggest that selenium deficiency could promote uterine prolapse in dromedary camels.     

Survival and fertility of dairy cows following uterine prolapse

During the springs of the 1990-91 and 1991-92 dairying seasons, 103 cases of uterine prolapse in dairy cows were treated and then followed to determine the survival rate and the pregnancy rate of the remaining cows. It was found that 19 (18.4%) cows died within 24 hours of treatment and a further 16 (15.5%) died or were lost to the study during the course of the season. The 68 cows that remained were mated, and of these 53 (77.9%) were found to be pregnant and six (8.8%) aborted later. No cows suffered a repeat prolapse during the season. Cases were seen in all age groups, with the highest incidence in this study occurring in the 4 year-olds. All cases that survived went on to milk satisfactorily until the end of the season, indicating that prompt attention to uterine prolapse gives a reasonable survival rate and an acceptable conception rate.     

Observations on Uterine Prolapse in Beef Cattle

Serum samples were obtained from 26 beef cows with uterine prolapse and from 15 with minor dystocia (controls). The serum of animals with uterine prolapse had significantly lower calcium concentration (mean ± S.D. = 8,22 ± 0,69 mg/dL, P≤0,01), higher phosphorus concentration (mean ± S.D. = 4,78 ± 1,75 mg/dL, P≤0,05) and lower calcium to phosphorus ratios (mean ± S.D. = 1,99 ± 0,88, P≤0,01) than for the control animals (means ± S.D. = 8,91 ± 0,75 mg/dL, 3,54 ± 1,41 mg/dL and 2,99 ± 1,41 respectively). Mild hypocalcemia (6,9 mg/dL-7,9 mg/dL) was present in 11 (42,3%) of the cows with prolapse as compared to only one (6,7%) of the controls. Hypophosphatemia was present in 11 (42,3%) of the animals with prolapse and in ten (66,7%) of the controls.

Eighteen (69,2%) of the animals with prolapse were alert and ambulatory when treated and 15 (57,7%) were known to have required help to deliver the calf. Of the cattle group with uterine prolapse, 14 (53,8%) were two years old, six (23,1%) were three years old, and six (23,1%) were four years of age or older.

It was concluded that mild hypocalcemia and some degree of dystocia were associated with the uterine prolapses. The phosphorus results were equivocal but the high incidence of hypophosphatemia may reflect a phosphorus deficient diet.

     

Idiopathic prolapse of 1 uterine horn in a yearling filly

A yearling filly was presented for protrusion of a mass at the vulvar margins. A diagnosis of prolapse of the right uterine horn was made after vaginoscopy, transrectal palpation, and ultrasonography. It was confirmed later by biopsy of the tissue. Recovery was uneventful after easy replacement of the uterine horn.     

Prospective survey of neoplastic and non-neoplastic uterine disorders in 116 domestic rabbits (Oryctolagus cuniculus)

BackgroundEarlier studies indicate that the risk for uterine tumours in rabbits may be as high as 60–80%. This high occurrence and the need for routine neutering of non-breeding pet rabbits have recently been in the spotlight.MethodsThis study aimed to describe and compare macroscopic and histopathological alterations in uteri collected from domestic rabbits of various ages that were neutered, deceased, or euthanized without a suspected uterine disorder (NoUD; n = 94) and from rabbits with a suspected uterine disorder (UD; n = 22).ResultsIn the NoUD group, uteri of 41 rabbits (44%) displayed histopathological findings and 12 rabbits (13%) had neoplasms. Samples from thirteen rabbits (14%) evinced histopathological findings with no macroscopic alterations. The most frequent diagnoses were cystic endometrial hyperplasia (26% of the 41 uteri), adenocarcinoma (9%), and polyps (5%). In the UD group, uteri from 21 (95%) out of 22 rabbits exhibited pathological alterations; in 2 (10%) of these, the changes (cystic endometrial hyperplasias) were seen only in histology. The most frequent diagnoses in the uteri of the UD group were cystic endometrial hyperplasia (77%) and adenocarcinoma (54%). Uterine malignant neoplasia affected 40% of all rabbits aged over 3 years, and the odds of a malignant uterine tumour in these rabbits were approximately 19-fold higher than in rabbits aged under 3 years.Conclusions and clinical relevanceUterine disorders are common in domestic rabbits, even without a suspected uterine disease, and the risk of uterine neoplasia markedly increases after 3 years of age. A macroscopically normal uterus may have pathological changes and ovariohysterectomy should be therefore preferred over ovariectomy at least in older rabbits.     

4种常见家畜子宫疾病的治疗与预防

主要对治疗和预防胎衣不下、子宫内膜炎、子宫积水、子宫脱出4种常见的家畜子宫疾病的方法进行介绍。治疗方法主要有采用中西药全身用药和针对子宫进行冲洗、灌注以及手术复位,以达到缓解或治愈子宫疾病的目的。在日常的饲养管理中,为母畜提供优质、营养均衡的日粮以及宽敞的运动场,保持圈舍卫生,在助产时注意做好消毒工作,可有效预防子宫疾病的发生。     

Hysterotomy by a colpotomy approach for treatment of foetal mummification in a cow

A 7-year-old Brahman cow was diagnosed as suffering from chronic foetal mummification of unknown aetiology, concurrent cystic ovarian disease, prolapse of the 2nd cervical ring and chronic cervicitis. Repeated treatment with prostaglandin F2alpha and oestrogen failed to resolve the mummification. A hysterotomy was performed via an incision in the dorsolateral vaginal wall. Good exposure of the uterine horn was achieved and mild post-operative complications were observed. Colpotomy can be regarded as an alternative surgical approach to the moderately enlarged bovine uterus.     

Spontaneous vaginal rupture in pregnant ewes

Seventeen cases of spontaneous, partial or total vaginal rupture, in pregnant ewes, involving the dislocation and herniation of the intestines and uterus, were studied. Four of them also had a uterine torsion, and three of these recovered after treatment. In the remaining 13 cases the condition of the uterus was unknown. The lesion always consisted of a dorsolateral tear in the vagina with a partial or total perforation of the wall close to the uterine cervix. The affected animals were all in normal body condition. Their average age was just under five years, and most were carrying twins. Most cases occurred approximately one week before expected lambing. None of the cases was observed to have a vaginal prolapse before the vaginal rupture. Histological examination of one case revealed scar formation in the vaginal wall close to the rupture, which appeared to be due to an earlier inflammatory process or injury. The circulatory disturbance in the reproductive organs caused by the uterine torsion potentially weakens the vaginal wall. This weakness, in combination with excessive tenesmus resulting from increased tension in the uterine ligaments, and in some cases possibly with a lower vaginal resistance due to previous scarring, may be of aetiological significance in spontaneous vaginal rupture.     

Successful resolution of a preputial prolapse in an alpaca using medical therapy

A 2-year-old intact male alpaca was presented for a post-breeding preputial prolapse of 5 days duration. The internal lamina of the prepuce was prolapsed approximately 6 cm and the exposed preputial epithelium was edematous and necrotic. Following 7 days of medical treatment, resolution of the preputial prolapse was achieved.     

肉牛子宫脱出产科病的综合治疗

为了对肉牛子宫脱出产科病进行综合治疗,提高治疗的效果。本文分析了引起肉牛子宫脱出的因素、发病的临床症状。针对临床症状进行了手术治疗、西药治疗、中药辅助治疗以及加强饲养管理,治愈效果明显提高。采用手术法、中西结合综合治疗肉牛子宫脱出。     

Ventral midline caesarean section for dystocia secondary to failure to dilate the cervix in three alpacas

Three alpacas that presented with dystocia characterised by failure of the cervix to dilate, underwent caesarean section. Surgery on each animal was performed through a ventral midline incision under general anaesthesia. Two live crias were delivered and one cria was dead at delivery. All three alpacas had retained foetal membranes for a period of 12 h to 4 d and one developed uterine prolapse, which was replaced using sedation and epidural anaesthesia. There were no complications associated with the surgical procedure and all three alpacas went on to have confirmed pregnancies. Caesarean section through a ventral midline incision should be considered an alternative for treatment of difficult dystocias in alpacas.     

A note on post partum utero vaginal prolapse in Gir cows: estimation of serum calcium, phosphorus, proteins, and cholesterol

Reported are results obtained from determination of calcium, phosphorus, protein, and cholesterol in blood serum of 10 Gir cows with uterine prolapse. Particular reference is made to possible adverse effects of hypocalcaemia in conjunction with physiological stress resulting from pregnancy and parturition.     

Implantation in both of the uterine horns after the unilateral intrauterine insemination in rabbits.

Artificial insemination was carried out by injecting semen into the upper part of the left uterine horn in rabbits with a duplex uterus. Ovulation was then induced by administration of hCG. As a result, implanted fetuses were observed not only in the left uterine horn but also in the right uterine horn. However, when similar insemination was carried out after ligation of the right utero-tubal junction, fertilization did not occur in the right oviduct. From these finding, we conclude that some of the spermatozoa injected into the left uterine horn was discharged into the vagina, entered the right uterine cervical canal, and reached the right oviduct to fertilize the ova.