Severe uterine rupture and intestinal evisceration in a multiparous Ardennais mare post-foaling

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Abstract
A 5-year-old multiparous Ardennais mare was presented with severe uterine rupture and subsequent intestinal evisceration following unassisted parturition. The mare exhibited signs of colic and systemic shock shortly after foaling. Clinical examination revealed tachycardia, tachypnea, pale mucous membranes, cold extremities, and diminished intestinal sounds, indicating severe circulatory collapse. Abdominocentesis confirmed septic peritonitis, with extensive abdominal contamination due to intestinal content leakage. Despite intensive medical management, the mare’s condition deteriorated, and the prognosis was considered poor due to the severity of the contamination and the extent of the injury. Euthanasia was elected as the most humane course of action. This case highlights the importance of prompt veterinary intervention in equine post-partum emergencies and underscores the life-threatening risks associated with unassisted parturition. Prompt recognition and timely intervention are essential to improve prognosis in similar cases.

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