CASE REPORT: A SUCCESSFUL TREATMENT STRATEGY FOR CYSTIC OVARIAN DISEASE IN A DAIRY COW

Yu-Jhe Liu, Hao Huang, Cheng-Yan Li, Jacky Peng-Wen Chan
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Abstract

A 5-year-old multiparous lactating Holstein cow was reported to have cystic ovarian disease with a history of whitish vaginal discharge on the 80th day postpartum. On the 83rd day postpartum, transrectal ultrasonography revealed a thick-walled cystic structure with visible cobwebs in the cavity, measuring 4.2[Formula: see text]cm × 3.4[Formula: see text]cm in diameter on the right ovary. The serum progesterone (P 4 ) concentration was 6.82[Formula: see text]ng/mL, leading to a diagnosis of luteinized follicular cyst. Transvaginal aspiration of the cyst was performed to decrease the compression of ovarian stroma by the cyst, followed by intramuscular administrations of cloprostenol and buserelin. A 1.9[Formula: see text]cm diameter corpus luteum was detected on the right ovary nine days after aspiration, with a serum P 4 concentration of 1.29[Formula: see text]ng/mL. Continual hormone treatment was followed, consisting of an injection of buserelin and an intravaginal progesterone-releasing device inserted for seven days. After seven days, two corpora lutea were noted on the right ovary with an average diameter of 2.8[Formula: see text]cm and 1.8[Formula: see text]cm, respectively. The device was removed and the cow showed a P 4 concentration of 11.22[Formula: see text]ng/mL on that day. Estrus induction was conducted with two low doses of cloprostenol followed by an injection of gonadorelin, to induce a complete luteolysis and the following ovulation to fit a fixed-timed artificial insemination (AI). Pregnancy was confirmed 33 days after AI. Although the number of days open was 102 in this case, it took a total of 19 days from treatment to pregnancy.
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病例报告:奶牛囊性卵巢疾病的成功治疗策略
一例5岁多产哺乳期荷斯坦奶牛在产后第80天出现囊性卵巢疾病,伴有白色阴道分泌物。产后第83天经直肠超声示右侧卵巢为厚壁囊性结构,腔内可见蜘蛛网,直径4.2[公式:见文]cm × 3.4[公式:见文]cm。血清孕酮(p4)浓度为6.82 ng/mL,诊断为黄体黄素性卵泡囊肿。经阴道抽吸囊肿以减少囊肿对卵巢间质的压迫,随后肌注氯前列醇和布西林。抽吸后第9天右侧卵巢检出直径1.9 cm的黄体,血清中p4浓度为1.29 ng/mL。随后进行持续激素治疗,包括注射布瑟林和插入阴道内孕激素释放装置7天。7 d后,右侧卵巢可见2个黄体,平均直径分别为2.8[公式:见文]cm和1.8[公式:见文]cm。取下装置后,当天奶牛的4浓度为11.22 ng/mL。采用低剂量氯前列醇2次诱导发情,然后注射促性腺激素,诱导黄体完全溶解,随后排卵,以适应固定时间人工授精(AI)。AI后33天确认怀孕。虽然在这个病例中开放的天数是102天,但从治疗到怀孕总共花了19天。
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