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首页> 外文期刊>Equine Veterinary Education >Cose Report: Uterine torsion diagnosed in a mare at 515 days' gestation
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Cose Report: Uterine torsion diagnosed in a mare at 515 days' gestation

机译：剂量报告：妊娠515天在母马中诊断出子宫扭转

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摘要

A pregnant mare with a history of prolonged gestation (-515 days) and suspected diagnosis of fetal mummification was examined. Rectal palpation revealed that the left broad ligament of the uterus was dorsal and medial to the right uterine ligament andit was not possible to observe the cervix during vaginal examination. Transabdominal ultrasound revealed fluid in the uterus, fetal membranes and the uterine walls defined and thickened. Free fluid was not seen in the peritoneal cavity. Laboratory tests(blood cell count and clinical chemistry) were normal. Based on clinical history, physical examination and ultrasound findings, a chronic uterine torsion with fetal death was diagnosed and the mare was subjected to exploratory celiotomy. The uterus wasstrongly adhered to the peritoneum of the ventral abdominal wall and there were multiple adhesions to the colon. Hysterotomy was performed to remove the fetus and to permit repositioning of the uterus. When the fetus was removed, a large devitalised greytissue area of the right ventral uterine horn was observed. Multiple adhesions prevented a rescue hysterectomy and euthanasia of the patient was performed. During the necropsy, a 180° cranial cervix clockwise uterine torsion was observed. This rare case of uterine torsion appears to be the most chronic case reported in the equine literature.
机译：检查了妊娠历史较长（-515天）并怀疑诊断为胎儿木乃伊的母马。直肠触诊显示，子宫左宽韧带位于右子宫韧带的背侧和内侧，在阴道检查时无法观察到子宫颈。腹腔超声检查发现子宫，胎儿膜和子宫壁明显增厚。在腹膜腔内未观察到游离液体。实验室检查（血细胞计数和临床化学）正常。根据临床病史，体格检查和超声检查结果，诊断出患有胎儿死亡的慢性子宫扭转，并对母马进行了探索性开腹手术。子宫牢固地附着在腹腹壁腹膜上，并且对结肠有多次附着。进行子宫切开术以去除胎儿并允许子宫重新定位。取出胎儿后，观察到右腹子宫角大的灰暗的灰色组织区域。多次粘连阻止了抢救性子宫切除术并实施了安乐死。尸检期间，观察到180°的子宫颈顺时针子宫扭转。这种罕见的子宫扭转病例似乎是马文献中报道的最慢性的病例。

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