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Bu olguda, güç doğum şikâyeti ile kliniğimize getirilen 4 yaşlı Halep ırkı dişi bir keçiye ait bir oğlakta Şistozoma Refleksum olgusu sunulmuştur. Hasta hikayesinde; yavru sularının akması üzerinden 12 saat geçmesine rağmen, yavruya ait ekstremitelerin vajinadan görülmediği, ıkınmaların kesildiği alınan anamnez bilgileri içerisinde yer almaktadır. Vajinal muayenede; serviksin açık olduğu, yavrunun ön ve arka ayaklarının dördünün birden pubisin önünde olduğu belirlendi. Öncelikle bir presentasyon-pozisyon bozukluğu olduğu düşünülerek, düzeltme çabası içerisine girilmiş iken bağırsaklar ve yavruya ait diğer organların ele geldiği ve başın geride olduğu hissedildi. Vajinal intrauterin muayeneye dayanarak şistozoma refleksum teşhisi konuldu. Epidural anestezi altında yapılan müdahale sonucunda yavru vajinal yolla çıkarıldı. Çıkarılan yavrunun canlı olduğu belirlendi ancak 3-5 dakika sonra öldü. Sonuç olarak, kliniğimize güç doğum şikayeti ile getirilen keçide, fetotomi veya sezaryen operasyonuna gerek duyulmadan doğum kanalında gerekli müdahaleler ile yavru çıkarılabilmiştir.
In this study, a Schistosoma Reflexum case of kid born from a 4 year-old Halep breed female goat, which was brought to our clinic with dystocia complaint, is presented. In patient history, the information was obtained that, the extremities of the child were not seen through the vagina and straining ended although 12 hours ago after amniotic fluid had drained. On vaginal examination, it was identified that the cervix was open and all of the forelegs and hindlegs of the kid were in front of the pubis. During the examination by considering the presentation position and in an effort to correct it, it was detected that intestines and other organs of the child could be palpated and the head was positioned behind the extremities. Based on vaginal intrauterine examination, the case was diagnosed as schistosoma reflexum. By intervention under epidural anesthesia, the kid was extracted through the vaginal route. It was determined that the extracted kid was alive; however, it died 3-5 minutes later. As the conclusion, regarding the goat, which came to our clinic with dystocia complaint, the child was able to be extracted with necessary interventions in the birth canal without the need for fetotomy or caesarean operations.
In this study, a Schistosoma Reflexum case of kid born from a 4 year-old Halep breed female goat, which was brought to our clinic with dystocia complaint, is presented. In patient history, the information was obtained that, extremities of the kid were not seen through vagina and straining ended although 12 hours past after amniotic fluid had drained. On vaginal examination, it was identified that cervix was open and all of the forelegs and hindlegs of the kid were in front of pubis. During the examination by considering the presentation position and in an effort to correct it, it was detected that intestines and other organs of the kid could be palpated and the head was positioned behind the extremities. Based on vaginal intrauterine examination, the case was diagnosed as schistosoma reflexum. By intervention under epidural anesthesia, the kid was extracted through vaginal route. It was determined that the extracted kid was alive; however, it died 3-5 minutes later. As the conclusion, regarding the goat, which came to our clinic with dystocia complaint, the kid was able to be extracted with necessary interventions in birth canal without needing fetotomy or caesarean operations.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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