1只2岁洋卡母羊胎儿畸形并发阴道脱垂致难产的处理

H. Bodinga, E. I. Oviawe, S. Buhari, B. Idris, I. Kabir, U. Adamu, A. Abubakar, A. Yakubu, N. Abubakar
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摘要

小反刍动物的难产多发生在第一或第二阶段分娩延迟时。当第一阶段不能在30分钟内进入第二阶段时,可能会发生这种情况。在本报告中,一只体重40公斤的2岁Yankasa母羊在索科托的Usmanu Danfodiyo大学兽医教学医院就诊,在就诊前12小时发现外阴周围有紧张和突出的肿块。临床检查发现阴部麻木、紧张、粉红色突出肿块,妊娠晚期。实验室检查未见寄生虫、白细胞增多、嗜中性粒细胞增多、嗜酸性粒细胞增多及贫血。采用手工产科手法分娩胎儿,但失败。羔羊通过剖宫产分娩,脱垂的阴道通过手术处理。难产被强烈认为发生在这种情况下,由于胎儿的错误处置,随后导致阴道脱垂,由于不成功的紧张,试图交付。本病例报告指出,阴道脱垂可能发生的后遗症,长期不成功的紧张。治疗成功,无手术内、术后并发症及复发。
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Management of dystocia due to faulty fetal disposition complicated with vaginal prolapse in a 2-year-old Yankasa ewe
Dystocia in small ruminants mostly occurs when the first or second stage of parturition is delayed. It may occur when the first stage could not progress to the second stage within 30 minutes. In this report, a 2-year-old Yankasa ewe weighing 40 kg was presented at the Usmanu Danfodiyo University Veterinary Teaching Hospital Sokoto with complaints of straining and protruded mass around the vulva which was noticed 12 hours prior to presentation. Clinical examination revealed dullness, straining, a pinkish protruded mass through the vulva and pregnancy in the last trimester. Laboratory results indicated no parasite, leukocytosis, neutrophilia, eosinophilia and bandemia. Manual obstetrical maneuvers were applied to deliver the fetuses but failed. The lambs were delivered through cesarean section and the prolapsed vagina was surgically managed. The dystocia was strongly believed to have occurred in this case due to faulty fetal disposition which subsequently led to vaginal prolapse as a result of unsuccessful straining in attempt to deliver. This case report indicated that vaginal prolapse may occur as a sequela to prolonged unsuccessful straining. The conditions were managed successfully without intra and postoperative complications and relapse.
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