Research Article

 

A Retrospective Study on Type and Extent of Uterine Torsion in Buffaloes

 

Kamlesh Jeengar, Vikas Choudhary, Sandeep Maharia, Vivekanand, Govind Narayan Purohit 

Department of Veterinary Gynaecology and Obstetrics, College of Veterinary and Animal Science, Bikaner, Rajasthan-334001, India.

Editor | Muhammad Abubakar, National Veterinary Laboratories, Islamabad, Pakistan.

Received | October 08, 2014; Revised | November 08, 2014; Accepted | November 11, 2014; Published | November 21, 2014

*Correspondence |Kamlesh Jeengar, College of Veterinary and Animal Science, Bikaner, Rajasthan, India; Email: kamlesh.jinx@gmail.com

Citation | Jeengar K, Choudhary V, Maharia S, Vivekanand, Purohit GN (2015). A retrospective study on type and extent of uterine torsion in buffaloes. Res. J. Vet. Pract. 3 (1): 25-28.

DOI | http://dx.doi.org/10.14737/journal.rjvp/2015/3.1.25.28

ISSN | 2308-2798

Copyright © 2015 Jeengar et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

 

 

Introduction

 

Uterine torsion is a rotation of the gravid horn around its long axis (Rakuljic-Zelov, 2002) which leads to narrowing of the birth canal causing dystocia. Majority of uterine torsion cases involve the cephalic portion of vagina leading to stenosis along with spiral twisting of its wall (Roberts, 1986).

 

Torsion of the gravid uterus in bovine is a common condition encountered by the field veterinarians and has been reported to be one of the major causes of dystocia (Pearson, 1971; Sidiquee and Mehta, 1992; Singh et al., 1992). As far as bovine species is concerned, torsion of uterus is of great importance due to its incidence. Uterine torsion cases varied in its incidence in buffaloes from 53% to 83% of the dystocia presented at different referral centers (Vasishta, 1983; Malhotra 1990; Singh, 1991a; Prabhakar et al., 1994; Purohit and Mehta, 2006; Srinivas et al., 2007; Purohit et a., 2011a; Purohit et al., 2011b; Purohit et al., 2012).

 

It appears that pregnancy stages affect the incidence of uterine torsion with a greater incidence during advanced pregnancy, immediately before parturition (Rakuljic-Zelov, 2002), and mostly during the second stage of labour (Arthur et al., 1989), although uterine torsion observed commonly in pluriparous animal at the time of parturition or during the last month of gestation and occasionally diagnosed at 5th–8th month of pregnancy (Roberts, 1986). It is considered as one of the complicated cause of maternal dystocia in buffaloes culminating in death of both the fetus and the dam if not treated early. The present study evaluates retrospectively the type and extent of uterine torsion in affected buffaloes.

 

 

MATERIAL AND METHOD

 

Animals

The present investigation was conducted on 25 buffaloes presented with varying degrees of uterine torsion at the Clinic of veterinary gynaecology and obstetrics, CVAS, Bikaner, with history of dystocia or due to a general medical problem like colic, straining or reduced food intake.

 

Clinical Examination

Clinical examination included transvaginal and transrectal examination of buffaloes to determine the degree, direction of torsion and presence of vaginal involvement. The location of broad ligaments or the twist in the vagina was the basis to determine the degree and direction of uterine torsion.

 

Diagnosis of postcervical uterine torsion was made by palpating the stenosed anterior vagina, whose walls were usually disposed in oblique spirals, which indicated the direction of uterine rotation. The cervix might not be immediately palpable, but by carefully following the folds into the narrowing vagina, the lubricated fingers could usually be pressed gently forwards and through the partially dilated cervix.

 

In buffaloes with precervical location of uterine torsion, the vagina was much less involved, and diagnosis was assisted by palpating the uterus by transrectal examination. Transrectal examination revealed the broad ligaments as displaced. One side of the ligament was pulled tightly over the uterus while the other was pulled ventrally to the uterus. Degree and its site were recorded for each case.

 

The stage of gestation was ascertained by examination of the signs of approaching parturition including relaxation of sacrosciatic ligaments and udder development. The classification was done as pre term (below 290 days) and full term (310±10 days). The age and parity of the dam was recorded from the history. Buffaloes were further grouped according to parity into either in 1st parity or 2nd parity or more than 2nd parity. Buffaloes were classified and grouped into age as 3-5 years, >5-7 years and above 7 years.

 

 

RESULTS AND DISCUSSION

 

Results showed that pluriparous buffaloes or aged buffaloes might be at greater risk of uterine torsion than primipara. In present study, 44% primiparous buffaloes suffered from uterine torsion, and pluriparous buffaloes accounted 56% of total cases. Similar observations have been recorded in previous studies (Kolla et al., 1999; Pascal et al., 2008; Amin et al., 2011). The proposed reasons include larger abdominal cavity, stretching of pelvic ligaments, loose and long broad ligaments together with loosening of uterine tissue and decreased uterine tone in aged bovines (Roberts, 1986; Berger, 1995; Drost, 2007; Aubry et al., 2008).

 

It is also noted in this study that as the age and parity increased the incidence of uterine torsion observed to be lower. In 3-5 years age buffaloes or in first parity it was 44% and in >5-7 years and more than 7 years it was 36% and 20%, respectively (Table). And in second and above second parity the incidence of uterine torsion cases were 32% and 24%, respectively. The results supports the finding of previous study by Pearson (1971) that 28%, 22%, 24%, 14% and 12% of the cases were first, second, third, fourth and fifth gestations, respectively. It may be due to increased thickness of uterine muscles in pluriparous bovines that rejects the concept of loosening and destabilization of uterine tissue (Mochow and Olds, 1966). There is controversial statement with parity number that some authors claiming that the number of previous pregnancies does not appear to influence of uterine torsions (Arthur et al., 1989).

 

Most animals (72%) in the present study were at full term pregnancy which in agreement with the studies of Pearson (1971) and Manning et al. (1982) observed 98% cases of uterine torsion in cows at term. Uterine torsion may occasionally be diagnosed at 5 to 8 months of gestation (DeBruin, 1910; Craig, 1930; Arthur and Jenner, 1960; Pearson, 1971; Sloss and Dufty, 1980; Roberts, 1986; Ruegg, 1988).

 

Most cases of uterine torsion in the present study were postcervical torsion (80%) and only a few cases were precervical torsion (20%). These results were similar to that obtained by other authors (Pearson, 1971; Sloss and Dufty, 1980; Roberts, 1986; Arthur et al., 1989; Sharma et al., 1995; Frazer et al., 1996; Kolla et al., 1999; Aubry et al., 2008) who found that most of the cases were postcervical. The probable reason for this could be because the anterior vagina is weakest point of the bovine genital tract or due to the absence of the muscles in the cervical area of broad ligaments (Singh, 1991b). Although Singh et al. (1992) reported equal frequency of pre- and post-cervical torsion. But Purohit et al. (2011a) reported the incidence of precervical uterine torsion as 83.6% in buffaloes. Frazer et al. (1996) reported that precervical torsion was more likely to occur during the last trimester.

 

Results of the present study revealed that there was a tendency toward right sided uterine torsion (92%). Many previous studies on buffaloes (Vasishta, 1983; Malhotra, 1990; Prabhakar et al., 1994; Srinivas et al., 2007) also reported similar results in their studies. It is suggested that the rumen prevents rotation of the uterus to the left side and absence of a muscular fold on right broad ligament increases the possibility of right torsion (Singh, 1991b).

 

 

Table: Relationship of type and extent of torsion, with the age and parity of the dam and the stage of gestation in uterine torsion affected buffaloes (n=25).

Sr. no.	Parameters		n (%)
1	Direction of uterine torsion	Right side Left side	23 (92%) 2 (8%)
2	Location of torsion	Precervical Postcervical	5 (20%) 20 (80%)
3	Degree of torsion	180° 360° >360°	12 (48%) 8 (32%) 5 (20%)
4	Age of dam	3-5 yrs >5 -7 yrs >7 yrs	11 (44%) 9 (36%) 5 (20%)
5	Parity of dam	1st parity 2nd parity >2nd parity	11 (44%) 8 (32%) 6 (24%)
6	Stage of gestation	Pre term Full term	7 (28%) 18 (72%)

 

Torsion of greater than 45° may result in dystocia (Sloss and Dufty, 1980). Minor torsions (45 to 90°) may be detected during routine pregnancy diagnosis, and probably undergo spontaneous correction (Roberts, 1986). During the present study mostly (48%) animals evidenced uterine torsion of 180°. These results in agreement with Sloss and Dufty (1980), Manning et al. (1982), Matharu and Prabhakar (2001), Aubry et al. (2008) and Pascal et al. (2008). Wright (1958) stated that the degree of uterine torsion (90-180) was considered the most common. Torsions of less than 180° are generally managed in the field and account for only 6 to 15% of referral cases (Pearson 1971; Sloss and Dufty, 1980; Manning et al., 1982). In the present study 32% buffaloes evidenced uterine torsion of 360°. Interestingly, in one referral population, 66% torsions were of 360° (Williams, 1948). Proportion of above 360° torsion (20%) was less than others which was also seen in the studies of Pearson (1971), Sloss and Dufty (1980), Manning et al. (1982), Ruegg (1988), Frazer et al. (1996), Noakes et al. (2001) and Aubry et al. (2008).

 

 

CONCLUSION

 

The study was conducted on 25 buffaloes presented to the Clinics of Department of Veterinary Gynaecology and Obstetrics, CVAS, Bikaner for evaluating the incidence and type for uterine torsion. The diagnosis was confirmed by clinical examination; transrectal and transvaginal examination. History, sign and symptoms revealed that uterine torsion mostly occurred in the pluriparous buffaloes or in aged buffaloes (56%) at full term of gestation period (72%). Per rectal and per vaginal examination showed that majority of the cases were right side or clockwise (92%) and postcervical (80%). Incidence of 180° torsion was greater (48%) than 360° (32%) and above 360° (20%).

 

It is concluded that uterine torsion is mostly of 180 degree, clock-wise and post-cervical and it occurs mostly at term. Pluriparous buffaloes might be at greater risk of uterine torsion than primiparous.

 

 

References

 

Amin SM, Amer HA, Hussein AE, Hazzaa AM (2011). Creatine phosphokinase and aspartate aminotransverase profiles and its relation to the severity of uterine torsion in Egyptian buffalo. Anim. Reprod. Sci. 123(3-4):163-168. http://dx.doi.org/10.1016/j.anireprosci.2010.12.002

Arthur GH, Jenner FH (1960). The viability of the extra-uterine (abdominal) foetus of cattle. Vet. Rec. 72: 262.

Arthur GH, Noakes DE, Pearson H (1989). Maternal dystocia: treatment. Fetal dystocia: aetiology and incidence. The caesarean operation. In: Arthur GH, Noakes DE, Pearson H (ed), Veterinary Reproduction and Obstetrics (Theriogenology). London: Bailliere Tindall. Pp. 195-310.

Aubry P,  Warnick LD, DesCôteaux L, Bouchard É (2008). A study of 55 field cases of uterine torsion in dairy cattle. Can. Vet. J. 49(4):366-372.

Berger-Pusterla J (1995). ‘Investigations on the aetiology of intrapartum uteri torsio in cattle.’ Dissertation, University of Zurich.

Craig JF (1930). Maternal dystokia. In: Craig JF (ed), Fleming’s Veterinary Obstetrics. Chicago, III: Alex. Eger. 235-251.

DeBruin MG (1910). Abnormal parturition - dystokia. In: Wyman, WEA (ed), Bovine Obstetrics. New York: W.R.Jenkins Co, Pp. 144-170.

Drost M (2007). Complications during gestation in the cow. Theriogenology. 68(3): 487–491. http://dx.doi.org/10.1016/j.theriogenology.2007.04.023

Frazer GS, Perkins NR, Constable PD (1996). Bovine Uterine Torsion: 164 Hospital Referral Cases. Theriogenology. 46(5):739-756. http://dx.doi.org/10.1016/S0093-691X(96)00233-6

Kolla K Murthy, Prasad V, Murthy RK P (1999). Clinical observations on uterine torsion in buffaloes. Indian Vet. J. 76(7): 643–645.

Malhotra P (1990). ‘Some studies on the cervical changes in the uterine torsion cases with special reference to cervical filtration in buffaloes.’ M.V.Sc. Thesis, Punjab Agriculture University, Ludhiana, India.

Manning J, Marsh P, Marshall F, McCorkell R, Muzyka B, Nagel D (1982). Bovine uterine torsion: a review illustrated by cases from the Western College of Veterinary Medicine Large Animal Clinic. Bovine Pract. 17(1): 94-98.

Matharu SS, Prabhakar S (2001). Clinical observations and success of treatment of uterine torsion in buffaloes. Indian J. Anim. Reprod. 22(1): 45-48.

Mochow R, Olds D (1966). Effect of age and number of calvings on histological characteristics of the bovine uterus. J. Dairy Sci. 49(6): 642–646. http://dx.doi.org/10.3168/jds.S0022-0302(66)87924-9

Noakes DE, Parkinson DJ, England GCW (2001). Maternal dystocia In: Arthur’s Veterinary Reproduction and Obstetrics, (Ed.) Noakes D E. Saunders Harcourt, India.

Pascal A, Lorin DW, Luc D, Émile B (2008). A study of 55 field cases of uterine torsion in dairy cattle. Can. Vet. J. 49(4): 366-372.

Pearson H (1971). Uterine torsion in cattle: a review of 168 cases. Vet. Rec. 89(23): 597-603. http://dx.doi.org/10.1136/vr.89.23.597

Prabhakar S, Singh P, Nanda AS, Sharma RD, Singh P (1994). Clinico-obstetrical observations on uterine torsion in bovines. Indian Vet J. 71(8): 822–824.

Purohit GN, Mehta JS (2006). Dystocia in cattle and buffaloes - a retrospective analysis of 156 cases. Vet. Pract. 7(1):31-34.

Purohit GN, Barolia Y, Shekher C, Kumar P (2011a). Maternal Dystocia in cows and buffaloes: A review. Open J. Anim. Sci. 1(1): 41-53. http://dx.doi.org/10.4236/ojas.2011.12006

Purohit GN, Barolia Y, Shekhar C and Kumar P (2011b). Diagnosis and correction of uterine torsion in cattle and buffaloes. Raksha Technol. Rev. 1(1): 11-17.

Purohit GN, Kumar P, Solanki K, Shekher C, Yadav SP (2012). Perspectives of fetal dystocia in cattle and buffalo. Vet. Sci. Dev. 2(1): 31-42. http://dx.doi.org/10.4081/vsd.2012.e8

Rakuljic-Zelov S (2002). Haematological and biochemical profile of cows affected with uterine torsion. Slovenian Vet. Res. 39(1): 1580– 4003.

Roberts SJ (1986). Diseases and accidents during the gestation period. Diagnosis and treatment of the various types of dystocia. Injuries and diseases of the puerperal period. In: Roberts SJ (ed), Veterinary Obstetrics and Genital Diseases (Theriogenology). Woodstock, VT: S.J. Roberts; 230-359.

Ruegg PL (1988). Uterine torsion of 720 degrees in a midgestation cow. J. Am. Vet. Med. Assoc. 192(2): 207-208.

Sharma S, Agrawal KB, Singh DP (1995). Torsion of gravid uterus and laparohysterotomy in bovine-a report on 72 clinical cases. Indian Vet. J. 72: 1180 –1182.

Sidiquee GM, Mehta BM (1992). Uterine torsion in a buffalo with viable twins. Indian Vet. J. 69: 257-258.

Singh M (1991a). ‘Studies on changes in blood and ruminal functions in buffaloes with dystocia.’ Thesis, Punjab Agriculture University, Ludhiana, India.

Singh P (1991b). ‘Studies on broad ligament in relation to uterine torsion in buffaloes.’ Thesis, Punjab Agriculture University, Ludhiana, India.

Singh VK, Sharma RD, Dhaliwal GS, Gandotra VK, Prabhakar S (1992). Uterine torsion in cows- an analysis of 34 cases. Indian Vet. J. 69: 281-282.

Sloss V, Dufty JH (1980). Obstetrical Physiology. Obstetrical Pathology. Obstetrical procedures. In: Sloss V and Dufty JH (ed), Handbook of Bovine Obstetrics. Baltimore: Williams and Wilkins. Pp. 108-183.

Srinivas M, Sreenu M, Lakshmi RN, Subramanyam Naidu K, Devi Prasad V (2007). Studies on dystocia in graded murrah buffaloes: a retrospective study. Buffalo Bull. 26(2): 40–45.

Vasishta NK (1983). ‘Torsion of uterus in buffaloes in relation to incidence, etiology and treatment.’ M.V.Sc. Thesis, Punjab Agriculture University, Ludhiana, India.

Williams WL (1948). The basic causes of dystocia. Torsion of the uterus (Uterine volvulus). In: Williams WL (ed), Veterinary Obstetrics. Worcester, Mass: Ethel Williams Plimpton. Pp.295-307.

Wright JG (1958). Bovine dystocia. Vet. Rec. 70(17): 347-356.