Prolapse of the Intestine in Animals

At the time of parturition, a rupture or laceration in the uterus, cervix, or cranial portion of the vagina leads to prolapse of the intestine and may only enter the uterus or may pass into the vagina and out the vulva.

Prolapse of the intestine in animals should be differentiated from:

• Schistosomus reflexus
• A ruptured umbilical hernia of the fetus

Prognosis

• Invariably poor
• Dystocia causing the rupture usually is severe, contamination and infection of the intestines and abdominal cavity is probable, and it is difficult to control the intestines to prevent their injury during removal of the fetus.

Treatment

• Slaughter is usually recommended.
• If infection or trauma to the intestines is minimal, replacing the intestines, suturing the rupture and removing the fetus might be possible.
• Uterine rupture may be closed pervaginum, or better through the laparotomy incision after a cesarean operation.
• If the intestine is traumatized or severely contaminated resection of a portion of it after a laparotomy may be necessary.
• Perforating lacerations or ruptures of the cervix and anterior vagina are sutured through the birth canal.
• Aftercare consists of carefully suturing the rupture, and administering local and parenteral antibiotic treatment to control peritonitis, as recommended for the handling of uterine rupture.