A novel case report of clockwise and counterclockwise uterine torsions during the same gestation period in a mare

IF 0.8 4区农林科学 Q3 VETERINARY SCIENCES

Equine Veterinary Education Pub Date : 2024-08-08 DOI:10.1111/eve.14036

M. Derbala, Marwa H. Hassan, A. Abu-Seida

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引用次数: 0

Abstract

Uterine torsion (UT) is a common obstetrical problem in Straight Egyptian Arabian mares, causing a medical emergency for both the mare and the fetus. This case report describes, for the first time, the management of a case of UT in both directions during a single gestation period in a 5‐year‐old Straight Egyptian Arabian mare. The mare was 8 months pregnant and experienced intermittent unresponsive colic signs. Rectal examination revealed clockwise 180° UT and ultrasonography showed a viable fetus. The haematological findings were within the normal range. The mare was surgically treated immediately by standing flank laparotomy (SFL) on the right side. 4 days later, the mare was returned to the clinic with the same complaint. Rectal and ultrasonography examinations revealed counterclockwise 180° UT and a viable fetus. The animal was subjected again to SFL on the left side. After surgeries, the mare recovered well, foaled at term and gave birth to a viable filly. She was bred again and conceived. This case is documented to demonstrate the occurrence of a UT in both directions during the same gestation period in mares, as well as the efficacy of SFL in rectifying the condition and allowing both the mother and foal to survive.

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母马在同一妊娠期发生顺时针和逆时针子宫扭转的新病例报告

子宫扭转（UT）是埃及阿拉伯直系母马常见的产科问题，对母马和胎儿都会造成紧急医疗情况。本病例报告首次描述了一例 5 岁埃及阿拉伯直系母马在单胎妊娠期间双向子宫扭转的治疗情况。该母马怀孕 8 个月，出现间歇性无反应绞痛症状。直肠检查发现顺时针方向 180° UT，超声波检查显示胎儿存活。血液检查结果在正常范围内。母马立即接受了右侧立位腹腔镜手术（SFL）。4 天后，该母马因同样的主诉返回诊所。直肠和超声波检查显示逆时针UT 180°，胎儿存活。该母马再次接受了左侧膀胱输尿管切开术。手术后，母马恢复良好，足月受胎，并产下一匹存活的雌马。母马再次配种并受孕。本病例的记录证明了母马在同一妊娠期内发生双侧UT的情况，以及SFL在纠正这种情况并使母马和胎儿存活方面的功效。

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来源期刊

Equine Veterinary Education 农林科学-兽医学

CiteScore

2.40

自引率

22.20%

发文量

132

审稿时长

18-36 weeks

期刊介绍： Equine Veterinary Education (EVE) is the official journal of post-graduate education of both the British Equine Veterinary Association (BEVA) and the American Association of Equine Practitioners (AAEP). Equine Veterinary Education is a monthly, peer-reviewed, subscription-based journal, integrating clinical research papers, review articles and case reports from international sources, covering all aspects of medicine and surgery relating to equids. These papers facilitate the dissemination and implementation of new ideas and techniques relating to clinical veterinary practice, with the ultimate aim of promoting best practice. New developments are placed in perspective, encompassing new concepts and peer commentary. The target audience is veterinarians primarily engaged in the practise of equine medicine and surgery. The educational value of a submitted article is one of the most important criteria that are assessed when deciding whether to accept it for publication. Articles do not necessarily need to contain original or novel information but we welcome submission of this material. The educational value of an article may relate to articles published with it (e.g. a Case Report may not have direct educational value but an associated Clinical Commentary or Review Article published alongside it will enhance the educational value).