A Protracted Case of Pre-Cervical Uterine Torsion Associated with Fetal Maceration in a Buffalo

Brijesh Kumar,Abhishek Kumar,Wahengbam Pipelu,Rohit Kurhe,Swapna C.R,Harendra Kumar,R Sasikala,Ishfaq Hajam,Asif Majid

doi:10.17582/journal.jahp/2019/7.1.17.20

Abstract

A Protracted Case of Pre-Cervical Uterine Torsion Associated with Fetal Maceration in a Buffalo

Highlights

Uterine torsion is a maternal cause of dystocia usually defined as the rotation or spiral twisting of the pregnant uterus on its longitudinal axis (Roberts, 1971)
Higher incidence of uterine torsion in buffaloes than cattle is due to anatomical differences like attachment of broad ligaments on the ventro-lateral side of uterus (Noakes et al, 2001), relatively longer and weak musculature of broad ligaments (Ghuman, 2010)
Bos indicus cattle is more prone to pre-cervical torsions occurring during the last trimester (Prabhakar et al, 1994; Prasad et al, 2000); while in Bos taurus cattle, cross-bred cattle (56– 99%) and buffaloes (87–99%), there is preponderance of post-cervical uterine torsions (Ghuman, 2010; Srinivas et al, 2007).The diagnosis of post cervical uterine torsions by per-vaginal examination and pre-cervical torsions by both per-vaginal and per-rectal examinations becomes essential for making rightful detorsion attempts for correction

Summary

Introduction

Uterine torsion is a maternal cause of dystocia usually defined as the rotation or spiral twisting of the pregnant uterus on its longitudinal axis (Roberts, 1971). Limited arterial blood inflow and venous outflow in the twisted uterus leads to ischemia, hypoxia and cell death causing irreversible damage to the endometrium, myometrium and death of the fetus (Prabhakar et al, 1994) It results in loss of uterine wall elasticity and uterine wall becomes necrosed, fragile and prone to rupture (Noakes et al, 2001). Bacterial infections and inflammation may spread to dead fetus, fetal fluid, fetal membranes and uterine wall if gained entrance through cervix (Frazer et al, 1996). These inflammatory reactions in uterine wall, tissue anoxia and serosal injury all leads to adhesions of the uterus with the adjoining abdominal viscera or omentum (Ghuman, 2010). The condition was not dictated as earliest, but therapeutic management and removal of macerated fetus was done as early as possible to avoid life threatening condition in dam due to septicaemia or toxaemia caused by uterine infections

Conflict of Interest

Findings

Discussion