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Herniation of the gravid uterus through a mesoduodenal defect an concurrent omental hernia in a cow


Muggli, Evelyne; Lesser, Maren; Braun, Ueli; Nuss, Karl (2014). Herniation of the gravid uterus through a mesoduodenal defect an concurrent omental hernia in a cow. Veterinary Surgery, 43(1):91-94.

Abstract

OBJECTIVES: To describe surgical treatment of herniation of the gravid uterus through the mesoduodenum, displacement of the descending duodenum around the gravid uterus, and concurrent herniation of the small and large intestines into the omental bursa in a cow.
STUDY DESIGN: Clinical report.
ANIMAL: Three-year-old, five-month-pregnant Swiss Braunvieh cow.
METHODS: Repositioning of the displaced uterus and descending duodenum without transection and anastomosis of the duodenum was performed through a right flank laparotomy. Concurrent displacement of a large portion of the small and large intestines into the omental bursa was not associated with intestinal strangulation and was corrected manually. The defects in the omentum and mesoduodenum were sutured.
RESULTS: There were no postoperative complications, and the cow was healthy at discharge from the clinic 1 week after surgery. Telephone follow-up revealed that the cow had delivered a live calf and was producing a normal amount of milk. The cow was slaughtered 14 months after the surgery because of an udder problem.
CONCLUSIONS: Herniation of the gravid uterus through a tear in the mesoduodenum with subsequent displacement of the descending duodenum around the uterus combined with internal omental herniation caused nonspecific clinical signs and no ileus. Exploratory laparotomy in an early stage of pregnancy facilitated reduction of the displaced uterus without transection of the descending duodenum.

Abstract

OBJECTIVES: To describe surgical treatment of herniation of the gravid uterus through the mesoduodenum, displacement of the descending duodenum around the gravid uterus, and concurrent herniation of the small and large intestines into the omental bursa in a cow.
STUDY DESIGN: Clinical report.
ANIMAL: Three-year-old, five-month-pregnant Swiss Braunvieh cow.
METHODS: Repositioning of the displaced uterus and descending duodenum without transection and anastomosis of the duodenum was performed through a right flank laparotomy. Concurrent displacement of a large portion of the small and large intestines into the omental bursa was not associated with intestinal strangulation and was corrected manually. The defects in the omentum and mesoduodenum were sutured.
RESULTS: There were no postoperative complications, and the cow was healthy at discharge from the clinic 1 week after surgery. Telephone follow-up revealed that the cow had delivered a live calf and was producing a normal amount of milk. The cow was slaughtered 14 months after the surgery because of an udder problem.
CONCLUSIONS: Herniation of the gravid uterus through a tear in the mesoduodenum with subsequent displacement of the descending duodenum around the uterus combined with internal omental herniation caused nonspecific clinical signs and no ileus. Exploratory laparotomy in an early stage of pregnancy facilitated reduction of the displaced uterus without transection of the descending duodenum.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:05 Vetsuisse Faculty > Veterinary Clinic > Department of Farm Animals
Dewey Decimal Classification:570 Life sciences; biology
630 Agriculture
Language:English
Date:2014
Deposited On:16 Oct 2014 09:13
Last Modified:08 Dec 2017 07:31
Publisher:Wiley-Blackwell Publishing, Inc.
ISSN:0161-3499
Publisher DOI:https://doi.org/10.1111/j.1532-950X.2013.12087.x
PubMed ID:24304443

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