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The Pharma Innovation Journal 2018; 7(11): 540-541
ISSN (E): 2277- 7695
ISSN (P): 2349-8242
NAAS Rating: 5.03
TPI 2018; 7(11): 540-541
© 2018 TPI
www.thepharmajournal.com
Received: 02-09-2018
Accepted: 03-10-2018
Abhishek Kumar
PhD Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Brijesh Kumar
Scientist, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Nitish Singh Kharayat
PhD Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Sushobhit Singh
PhD Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Muzamil Rashid
PhD Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Balamurugan B
PhD Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Athanas Alex Ngou
MVSc Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Rohit Kurhe
MVSc Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Harendra Kumar
Principal Scientist and Head,
Division of Animal Reproduction,
ICAR-IVRI, Izatnagar, Bareilly,
Uttar Pradesh, India
Correspondence
Abhishek Kumar
PhD Scholar, Division of Animal
Reproduction, ICAR-IVRI,
Izatnagar, Bareilly, Uttar Pradesh,
India
Uterine torsion associated with posterior longitudinal
presentation and lumbo-sacral position of the fetus in a
buffalo
Abhishek Kumar, Brijesh Kumar, Nitish Singh Kharayat, Sushobhit
Singh, Muzamil Rashid, Balamurugan B, Athanas Alex Ngou, Rohit
Kurhe and Harendra Kumar
Abstract
A 7 years old buffalo in its 4
th
parity was presented to Referral Veterinary Polyclinic with the history of
completed gestation, inappetance and unable to proceed into calving inspite of straining and discomfort
for the last 24-30 hours. The per-vaginal examination revealed post-cervical, right sided (clock-wise)
uterine torsion greater than 180
°
but, lesser than 360°. Animal was casted in right lateral recumbency and
detorsion attempt was made by modified schaffer’s method and after two rolls, torsion was relieved.
Cervix was opened as revealed by per-vaginal examination and fetal disposition was checked. Fetus was
in posterior longitudinal presentation, lumbo-sacral position with both hindlimbs extended in the birth
canal as sole of the hooves was palpable, confirmed by palpating tail and anus of fetus and no fetal reflex
was felt when finger was put in anus. However, with the help of obstetrical rope and hook, forced
extraction was applied and a dead male fetus was extracted out. The animal was discharged on the same
day after the treatment.
Keywords: Buffalo, uterine torsion, fetal maldisposition, posterior longitudinal presentation
Introduction
Uterine torsion is the spiral twisting of the pregnant uterus on its longitudinal axis
[1]
. It has
been reported in various species like cattle
[2]
, buffalo
[3]
, doe
[4]
, ewe
[5]
, llama
[6]
, camel
[7]
,
mare
[8]
, bitch
[9]
and queen
[10]
with maximum reports in cattle and buffaloes. The anatomical
differences of genital structures and alignment of pregnant uterus on pelvic brim predispose
cattle and buffaloes to uterine torsion
[11]
. Cervix is found to be partially or completely dilated
immediately after the correction of torsion due to its՚ association with process of parturition i.e.
late 1
st
stage or early 2
nd
stage of labor
[12]
. Uterine torsion is the single most common cause of
maternal causes of dystocia and reported to be more common in the buffaloes
[3, 13]
. Direction
of torsion can be either in clockwise (right sided) or in anticlockwise (left sided) direction. It
can be either pre-cervical (cranial to the cervix) or post-cervical (caudal to the cervix) with the
most reported occurrence of post-cervical right sided uterine torsions in buffaloes
[14]
.
Correction is done by rolling the animal while uterus is fixed by either plank method (>180
°
torsion) or by grasping cervical folds and fetal parts per-vaginal if accessible (<180
°
torsion).
Fetal maldisposition as fetal cause of dystocia is the abnormal presentation, position or posture
of fetus often associated with uterine torsion generally occur due to weak, succumb or dead
fetus which cannot exhibit righting reflex or normal disposition. Fetal death in delayed cases
of uterine torsion or when degree of torsion is greater is mostly due to compromised blood
supply to the fetus.
History and Clinical Examination
A 7 years old buffalo in its 4
th
parity was presented to the Veterinary Gynaecology and
Obstetrics section of the Referral Veterinary Polyclinic (Indian Veterinary Research Institute,
Izatnagar) with the history of completed gestation, inappetance and unable to proceed into
calving inspite of straining and discomfort for the last 24-30 hours. The animal was in good
body condition and gross observation revealed relaxation of sacro-sciatic ligaments, relaxation
of perineum, vulva along with teat engorgement and udder enlargement. The per-vaginal
examination revealed post-cervical, right sided (clock-wise) uterine torsion greater than 180
°
but, lesser than 360
°
and cervical so was not palpable.