Reproductive performance of an Angus cow after removal of a macerated fetus via caudal flank laparotomy and hysterotomy

Abstract

A seven year-old Angus cow in normal body condition was presented with a history of chronic vaginal discharge, failure to cycle and a palpable uterine mass. Clinical examination revealed fetal bones in the right uterine horn and a purulent vaginal discharge. A diagnosis of fetal maceration and metritis was presented to the owner, with surgical removal of the macerated fetus as the only treatment option. A poor prognosis for recovery of reproductive function was given. Due to the past value of the cow as an embryo donor, the owners elected to proceed with surgical intervention. Fetal bones, including one embedded in the endometrium, were removed via caudal flank laparotomy and hysterotomy. Aggressive post-surgery medical treatment of the infected and damaged uterus, combined with five months of sexual rest, resulted in a return to normal fertility.