Uterine Rupture
Uterine Rupture
Uterine Rupture
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uterine rupture
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Vijay Kumar
Riyadh Zoo Saudi Arabia
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Clinical diagnosis ofuterine rupture is very rare in cage without movement. Animal was
and most of the cases remain undiagnosed anaesthesized with xylazine @ 2 mg and
(Hayes, 2004). Several etiological factors'may be ketamine @ IO mg per kg bw. On clinical
responsible for uterine rupture, which include examination no any external evidence of injury
trauma, uterine over distension, uterine was found. in the vulvar area. On per vaginal
anomalies, placenta percreta, late pregnancy, examination by vaginal spatula only blood mixed
dystocia and pyometra (Claydon, 2003). Various with mucoid was found. On physiological
authors have reported repair of uterine rupture examination there was slight increase in rectal
by various methods, either per vaginum, by temperature as well as respiration rate. Blood
everting the uterus or by laparotomy (Pascoe, samples were collected for haematological and
1968; Pearson and Denny, 1975) in various p arasitological examinations.
animals. The present communication describes
diagnosis and management of uterine rupture A decision was made to go for intra-
by laparoscopy. abdominal laparoscopic examination of the
affected animal to diagnose the cause of the
Materials and Methods vulvar bleeding.
A 16 year-old female rheusus macaque weighting After preparing surgical site pre-umbilical
about 7 kg was captured during the sterilization incision was given on ventral midline and a
programme. The animal was seen with signs of veress needle was inserted through this incision.
bleeding from vulvar area along with signs of Pneumoperitonium was achieved by carbon
dehyderation, depression, inappetance and lying dioxide with a pressure gradient of 10 mmHg.
Fig. I Laparoscopic examination of ruptured uterus Fig. 2 Laparoscopic examination of uterine wound healing
on 3d day
Veress needle was pulled out and a trocar along lactate @ 50ml ilv and Metronidazole@ 1b mI i/v
with canula was inserted in this incision. A daily for three occasions. The animal responded,
telescope was connected to a light source inserted to the symptomatic treatment and bleeding from
through the canula. the vagina was stopped on the second day of
treatment. On repeated laparoscopy on B.d day
Results and Discussion there was initiation ofwound healing on the body
of uterus. On 5th day of laparoscopic examination
Laparoscopic examination showed a longitudinal
there was complete uterine wound healing. In
lacerated wound of about 6-8cm in diameter on
the present case there was mild peritonitis which
the midline dorsal surface of the body of uterus
recovered with antibiotics. In this case either
and blood was oozing out from the ruptured
transportation or group fighting could have been
uterus into the peritoneum cavity. HaematologSr
the possible cause ofuterine rupture. The present
revealed Hb 10.4 grdl, PCV BB o/o, TEC +.6xf06/
laparoscopic assisted technique was found useful
mm3, TLC 9.2x103mm3 and DLC N B4o/o, L6Bo/o,
in diagnosis and management of ruptured uterus
M}L%, F,02%, B0%. Haematological examination
in a female rhesus macaque.
showed anaemia with leucocytosis, while no
parasitic infestation was found.. After thorough
References
examination of ruptured uterus the decision was
rnade to keep animal on parenteral medication. Claydon, C.S and Pernoil, M.L (2003) Third{rimester vaginat
bleeding. n: DeCherney AH, Nathan L (Eds). Current Obsietric
I
Animal was given inj Enrofloxacin @ 10 mg/kg and Gynaecologic Diagnosis and Treatment, 9th ed., New
bw, Inj Meloxicam @ 0.25 mg/kg bw i/m for S days York,354.
along with inj Revici @ 0.bml, i/m for two Hayes, c. (2004) VeL Rec.134:438.
occasions and inj Tribivet O.bml, i/m for three Pascoe, R.R. (1968) Aust. Vet. J. 44: 329-330.
occasions. The supportive therapy was started Pearson, H and Denny, H.R. (1975) Vet. Rec.97:240-244.
with Dextrose solution @ 100m1, i/v Ringer,s