Causes of cat intussusception and prevention methods!Every pregnancy of pets is a test of vitality. Not only are dystocia caused by various factors threatening the life of pets, but also various postpartum Complications can also affect your pet's health. Especially elderly pets who have passed the best reproductive period are more likely to suffer from dystocia and postpartum diseases. Last month, our hospital admitted an elderly ordinary domestic cat that had just given birth. The owner described that the female cat showed obvious abdominal pain symptoms such as bowing and shaking after giving birth. After various examinations, it was confirmed that the cat had postpartum uterine horns. Nested.

1. Animal disease conditions

Ordinary domestic cat, 8 years old, prenatal The spirit and appetite are all normal. The cat gave birth on the afternoon of March 20 and gave birth to a litter. Three hours later, no second kitten was born. The veterinarian in another pet hospital checked that there was still a kitten in the pregnant cat's abdomen. In order to help the mother cat give birth , The pet doctor in the hospital injected oxytocin into the mother cat and reached into the birth canal with his hand to pull the kitten. After about ten minutes of midwifery, the kitten was pulled out. The female cat is currently in poor spirits, has no appetite, has hunched back and abdominal pain, and has foul-smelling and brown secretions from the birth canal.

II. Overall and General Examination

Lie down and hold down, gently palpate the abdomen of the sick cat. Calling, with the cry of the sick cat, a small amount of brown secretions flowed from the birth canal, the eyes of the sick cat were sunken, and the conjunctiva and oral mucosa were light red. The body temperature was 40 degrees Celsius, the respiration rate was 35 times/min, and the pulse rate was 144 times/min. On auscultation, the cat had an arrhythmia, and the peristalsis sounds disappeared.

1. Abdominal palpation: The sick cat is placed on the right side and restrained. The examiner uses both hands to palpate from the left and right abdominal walls of the sick cat. , the sick cat screamed in pain, and a large amount of foul-smelling brown contents flowed from the birth canal.

2. For vaginal exploration, the sick cat should be kept in the front high and back low, clean the vulva of the sick cat with pet vaginal cleaning solution, disinfect the right hand, and insert the index finger of the right hand into the birth canal. For inspection, the left hand gently squeezes the uterus from the lower part of the abdomen to the entrance of the pelvis, only one index finger can pass through the cervix, and the right index finger continues to extend forward into the uterine cavity for inspection. There is no fetus in the uterine cavity, but there are A lot of liquid content; continue to insert the right index finger into the uterine horn for examination, the right uterine horn is normal, and there is a solid object in the left uterine horn, which is like a sausage when touched from the outside with the left hand, the initial diagnosis may be Uterine intussusception.

3. Laboratory examinations

1. Blood examinations

After blood collection, blood routine and blood biochemical examinations were carried out. The value is basically in the normal range, and it is judged that the bacterial infection of the birth canal has not been caused because of the short onset time.

2. Sampling and inspection of birth canal secretions

Take the birth canal excreta for smearing and staining, and a small amount of Staphylococcus aureus can be seen in the final microscopic examination. Indicates no obvious infection of the birth canal.

IV. Instrumental examination

Finally, the cat was diagnosed with postpartum intussusception through B-ultrasound and X-ray examination.

V. Treatment measures

There are generally two treatment measures for cat postpartum intussusception: conservative treatment and surgical treatment. Considering that the cat's intussusception is more serious, and conservative treatment is taken in time, there is a possibility of recurrence. With the consent of the pet owner, we decided to take surgical treatment.

1. Preoperative preparation

(1) Infusion of 5% GS, adenosine triphosphate, COA, Vc during the operation; The patient was placed in the lateral recumbency; the left abdominal wall was used as the surgical entrance, and the surgical area was sheared and shaved, disinfected with iodophor, and the wound was isolated; local anesthesia was performed with 0.5% procaine hydrochloride.

(3) Surgical instruments: Routine obstetric surgical instruments such as scalpels, surgical scissors, and hemostatic forceps must be sterilized by high temperature steam.

(4) Preparation and disinfection of surgical staff: Sterilize the arm by immersion in 0.1% neotericin solution.

2. Surgical procedure

The skin and subcutaneous tissue were incised, the abdominal wall muscles were separated, and the peritoneum was incised with a reverse pick to expose the abdominal cavity. Exploration of the abdominal cavity and extraction of sausage-like organs: Insert the index finger and middle finger of the left hand into the abdominal cavity for exploration, and pull the sausage-like organs out of the incision. After inspection, the left uterine horn is invaginated, and the invaginated uterine horn is measured. It is three centimeters long and two centimeters in diameter, with a small amount of congestion and weak uterine contractions. The right hand holds the left uterine horn near the end of the fallopian tube, the left hand holds the invaginated uterine horn near the uterine body, and the right hand gently pulls outward. The uterine wall was injected with oxytocin at multiple points, the uterine wall was washed with warm saline, and the uterus was returned to the abdominal cavity. Perform spiral suture on the peritoneum and abdominal wall muscles; perform nodular suture on the skin and arrange the skin wound margin. Sterilize the skin incision with a 5% iodine tincture cotton ball and tie a bandage. Surgery is over.

3. Postoperative care

After three consecutive days of infusion therapy to prevent and control infection, and the pet washed the vagina with vaginal cleaning solution, the cat recovered well after two weeks.

6. Summary

Feline intussusception and uterine prolapse It is the same pathological process, but the degree of prolapse of the two is different. In veterinary clinics, intussusception and uterine prolapse can occur in a variety of animals, especially in elderly multiparous animals. cause.