Difference between revisions of "Small Animal Emergency and Critical Care Medicine Q&A 11"
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Prolapsed uterus. | Prolapsed uterus. | ||
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Ovariohysterectomy is recommended with amputation of the external segment if there is uterine engorgement and necrosis. | Ovariohysterectomy is recommended with amputation of the external segment if there is uterine engorgement and necrosis. | ||
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|q3=What serious, life-threatening complication may result from this problem, and how can it be managed? | |q3=What serious, life-threatening complication may result from this problem, and how can it be managed? | ||
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Blood transfusion and pelvic counterpressure may be necessary to stabilize the patient before exploratory laparotomy to locate the bleeder and remove the ovaries and uterus. | Blood transfusion and pelvic counterpressure may be necessary to stabilize the patient before exploratory laparotomy to locate the bleeder and remove the ovaries and uterus. | ||
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Revision as of 11:43, 17 August 2011
[[Image:|centre|500px]]
This one-year-old cat had three healthy kittens. Following parturition, the owners noticed a large red mass protruding from the vagina.
| Question | Answer | Article | |
| What is your diagnosis? | Prolapsed uterus. |
[[|Link to Article]] | |
| What is your management plan? | The cat should be anesthetized and reduction attempted with lubrication, external pressure and flushing sterile saline into the uterine horns. In this case, external reduction would be unlikely because of the extreme tissue edema and trauma. Ovariohysterectomy is recommended with amputation of the external segment if there is uterine engorgement and necrosis. |
[[|Link to Article]] | |
| What serious, life-threatening complication may result from this problem, and how can it be managed? | Rupture of an ovarian or uterine artery resulting in hemorrhagic shock. Blood transfusion and pelvic counterpressure may be necessary to stabilize the patient before exploratory laparotomy to locate the bleeder and remove the ovaries and uterus. |
[[ |Link to Article]] | |
