Tulleners E P, Richardson D W, Reid B V
J Am Vet Med Assoc. 1985 Feb 15;186(4):385-7.
Three mares were treated for vaginal evisceration of a portion of the small intestine. Evisceration occurred in 2 mares shortly after breeding accidents in which the stallion's penis penetrated the vaginal fornix dorsal to the cervix. The affected bowel was replaced through the laceration, and the vaginal defects were sutured with the mares standing, utilizing epidural anesthesia. One mare recovered without complications, was subsequently bred, and delivered a foal with no difficulty. The other mare developed signs of a strangulating small intestinal obstruction 24 hours after the injury, necessitating exploratory celiotomy. Two meters of small intestine had become devitalized secondary to avulsion of the mesentery and adjacent vascular supply during the evisceration. The affected portion was resected and a jejunocecostomy was performed. Recovery was uncomplicated and 21 months later the mare was 9 months in foal. A third mare was treated unsuccessfully for evisceration of several meters of small intestine through the external urethral orifice after rupture of the urinary bladder.
三头母马因小肠部分经阴道脱出接受治疗。其中两头母马在配种事故后不久发生了脱出，事故中种马的阴茎穿透了子宫颈背侧的阴道穹窿。利用硬膜外麻醉，在母马站立的情况下，将受损肠段经撕裂处回纳，并缝合阴道缺损处。一头母马康复且无并发症，随后成功配种并顺利产下一匹小马驹。另一头母马在受伤24小时后出现绞窄性小肠梗阻症状，需要进行剖腹探查术。在脱出过程中，两米长的小肠因肠系膜和相邻血管供应撕脱而坏死。切除受损部分并进行了空肠回肠吻合术。恢复过程顺利，21个月后这头母马已怀孕9个月。第三头母马因膀胱破裂后数米小肠经尿道外口脱出，治疗未成功。
