Haemodynamic perspective of middle uterine artery in relation to delayed case of uterine torsion in Jersey cow

Pururava Sharma, Akshay Sharma, Pankaj Sood, Pravesh Kumar, Jahanvi Sharma, Dawa Yangka, Alisha Dhiman
In: Veterinary Record Case Reports · 2024 · vol. 13(1) · doi:10.1002/vrc2.1042 · W4404833951
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This case report details a Jersey cow with a week-old uterine torsion, highlighting haemodynamic compromise of the middle uterine arteries and successful surgical intervention via celiotomy and caesarean section.

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Abstract

Abstract Uterine torsion is a severe obstetric complication in cattle that poses significant challenges requiring prompt diagnosis and intervention to mitigate maternal and fetal risks. This case report investigates a week‐old uterine torsion in a Jersey cow, emphasising haemodynamic assessment and celiotomy. A 7‐year‐old Jersey cow in her third pregnancy presented with clinical signs suggestive of uterine torsion. Haemato‐biochemical parameters revealed normocytic‒normochromic anaemia, mild neutrophilia and elevated creatinine levels. Trans‐rectal palpation confirmed post‐cervical (anterior vagina) right side (clockwise) uterine torsion (>180°), trans‐rectal sonography demonstrated degenerative changes in placentomes, increased endometrial echogenicity and uterine adhesions. Additionally, haemodynamic assessment via Doppler ultrasonography of middle uterine arteries revealed compromised vascular perfusion. Surgical intervention via celiotomy involved a left paramedian approach, revealing fibrous adhesions and uterine haemorrhages. Caesarean section facilitated the removal of the deceased calf, followed by uterine repair. Following a caesarean section, the cow recovered without any complications.

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License: CC0 · commercial use OK