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Int.J.Curr.Microbiol.App.Sci (2020) 9(4): 1411-1413 International Journal of Current Microbiology and Applied Sciences ISSN: 2319-7706 Volume 9 Number 4 (2020) Journal homepage: http://www.ijcmas.com Case Study https://doi.org/10.20546/ijcmas.2020.904.167 Rumenotomy and Caesarean Section in a Cow Affected with Ruminal Impaction and Uterine Torsion Jobanjit Singh1, Jugraj Singh Mahal2* and Jasmeen Kaur 1 1 Department of Veterinary Surgery and Radiology, Khalsa College of Veterinary and Animal Sciences, Amritsar(143001), Punjab, India 2 Department of Veterinary Gynecology and Obstetrics, Khalsa College of Veterinary and Animal Sciences, Amritsar (143001), Punjab, India *Corresponding author ABSTRACT Keywords Rumen impaction; Uterine torsion; Rumenotomy, Caesarean section; Pregnant; Cow Article Info Accepted: 12 March 2020 Available Online: 10 April 2020 A six year old crossbred HF cow was presented to the Veterinary Clinical Complex, the history of no faecal output from the last 4 days along with anorexia. Animal was full term pregnant. Palpation of the rumen from left paralumbar fossa and per rectal revealed severely impacted rumen. Pervaginal examination revealed post-cervical right sided uterine torsion of approximately ≥180 degree. Based on the findings of clinical examination, the diagnosis of ruminal impaction and post-cervical right side uterine torsion was confirmed. Rumenotomy and caesarean section were performed under local analgesia from the left paralumbar fossa and it was concluded that performing rumenotomy followed by caesarean section was an appropriate method to relieve both the ailments with minimal stress to the animal. Introduction Rumen impaction is among the most common cause of gastrointestinal disorders in ruminants (Ismael et al., 2007 and Bakhiet 2008). The process of fermentation and mixing of contents inside the rumen is hindered by the ingestion of non-metallic foreign bodies such as, plastics, ropes or leather pieces, leading to indigestion (Radostitis et al., 2000 and Braun et al., 2007). Moreover, the degradation of polythene and other plastic materials does not occur inside the rumen/reticulum and due to churning movements inside the rumen. They become large tight balls which eventually leads to impaction where animal passes scanty or no faeces (Ramaswamy and Sharma, 2011). Poor quality roughage also 1411 Int.J.Curr.Microbiol.App.Sci (2020) 9(4): 1411-1413 leads to ruminal impaction especially in animals with depraved appetite (Tyagi and Singh, 2004). Rumenotomy is advocated for treatment of severe/ long standing cases of ruminal impaction which are unresponsive to conservative treatment (Hartnack et al., 2015). Rumentotomy gives direct access to the rumen, thereby allowing removal of indigested foreign bodies, sharp penetrating objects and foreign bodies lodged in the distal portion of the oesophagus (Ducharme, 1990; Ismael et al., 2007; Patel et al., 2012). Uterine torsion i.e. the rotation of gravid uterus on its longitudinal axis, has been reported to be one of the major causes of dystocia (Rakuljic-zelov, 2002 and Singh et al., 1992) and among the parturient bovines, it is associated with high rate of dam mortality (Matharu and Prabhakar, 2001). Among many other causes, uterine instability due to dorsolateral attachments of broad ligaments make the bovine population more susceptible to uterine torsion (Sloss and Dufty, 1980). Per-vaginal rotation of foetus, rolling of dam and caesarean section has been advocated for its treatment (Ghuman, 2010) (Fig. 1–3). 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