Text book of veterinary medicine, Volume 3 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 3 (of 5)
Law, James
Veterinary medicine
_Treatment_ consists in the evacuation of the liquid through a catheter
or cannula introduced through the os, or through the vaginal wall
immediately above, followed by a systematic disinfection. By placing the
patient upon her back, gravitation of the liquid is more marked, but
when this is not convenient it may be done with the animal standing. The
flow may be favored by raising the abdomen with a sheet held by two
assistants. The womb may be thoroughly cleansed by a normal salt
solution which has been boiled, and then daily injected with a creolin
solution (1 ∶ 100). In hydrometra an iodine lotion may be used. A course
of tonics is often indicated.
UTERINE TUMORS.
These are somewhat rare in the domestic animals, yet they have been met
with in the form of cysts, fibroma, fibro-myoma, sarcoma, and carcinoma.
In a number of cases the nature of the tumor has not been clearly made
out. Mangot saw a mare with two pediculated uterine tumors having an
aggregate weight of 12 lbs. These were expelled with much straining and
suffering. LaMaitre and Rodet record other cases. Stockfleth describes
multiple pediculated fibroid tumors in the womb of the cow. Cysts have
been especially seen in the cow and bitch, and carcinoma in the bitch.
_Symptoms._ These may for a length of time be overlooked, though
breeding animals usually fail to conceive. Then a slimy, muco-purulent,
serous, bloody or fœtid discharge may escape habitually from the vulva,
smearing the tail and hips and collecting on the floor. If the os is
sufficiently patent to admit the hand vaginal and uterine exploration
will detect the tumor. In other cases it may be felt by rectal
examination.
_Treatment_ is essentially surgical and will consist in dilatation of
the os, and the removal of the tumor by twisting, ecraseur, or curette,
and with careful antiseptic precautions before and after. In malignant
tumors in the uterine walls it may be expedient to remove the entire
organ.
UTERINE TUBERCLE.
This has been seen especially in sterile cows, the subjects of
nymphomania, and it may be associated with a muco-purulent or bloody
discharge from the vulva, nodular swelling on the uterine horns, perhaps
also on the broad ligaments, one or both ovaries, and the mesentery, to
be recognized by rectal examination. The presence of tuberculosis in the
lungs or throat, and the response to the tuberculin test will confirm
the diagnosis. As a rule it is not desirable to institute treatment.
IMPERFORATE HYMEN.
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