Peer-reviewed veterinary case report
Endometrial Evaluation Using Video-Assisted Hysteroscopy After Uterine Prolapse Management in a Mare.
- Journal:
- Veterinary medicine and science
- Year:
- 2026
- Authors:
- Rodrigues, Gabriela Jaques et al.
- Affiliation:
- Veterinary Medicine Institute · Brazil
- Species:
- horse
Plain-English summary
This case report discusses a 6-year-old mare who underwent treatment for a serious condition called uterine prolapse, which can happen after difficult births. After the prolapse was treated, the mare received a combination of antibiotics, anti-inflammatory medications, and uterine washing to help her recover. Five days later, a special camera was used to look inside her uterus, and it showed that the lining was intact and healthy, with no signs of bleeding or infection. The mare was sent home after a week and was able to get pregnant again, with her pregnancy confirmed six months later. This case demonstrates that using video-assisted techniques can be very helpful in checking the health of the uterus after such a serious issue, and it may become a standard practice for monitoring reproductive health in horses.
Abstract
This case report describes the successful application of video-assisted hysteroscopy to evaluate endometrial recovery in a 6-year-old mare following treatment for complete uterine prolapse secondary to dystocia. Upon presentation, the uterus was manually reduced and supported with a Buhner's suture. A multimodal medical protocol, including broad-spectrum antibiotics, anti-inflammatory drugs and uterine lavage, was initiated. Five days after reduction, an endoscopic evaluation was performed using a dedicated videovaginoscope without uterine insufflation. The procedure provided high-resolution imaging of the uterine lumen and revealed a grossly intact endometrial surface without visual evidence of haemorrhage, necrosis or purulent discharge, confirming the successful resolution of the initial trauma. The technique allowed for a thorough and comfortable examination, offering a definitive assessment of superficial mucosal integrity that exceeds the capabilities of transrectal ultrasonography. The mare was discharged on Day 7 with restored reproductive health and subsequently conceived, maintaining a pregnancy confirmed at a 6-month follow-up. This case underscores the efficacy of a combined medical and mechanical approach to the treatment of uterine prolapse. Furthermore, it highlights the significant diagnostic value of video-assisted hysteroscopy as a valuable tool for post-treatment monitoring, allowing direct visual confirmation of endometrial health and thus contributing to the preservation of fertility after a severe obstetric event. This approach may serve as a routine diagnostic tool in equine postpartum reproductive evaluation.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/41910172/