Surgical Management of Urinary Obstruction Due to Vaginal Leiomyoma in a Crossbred Cow
Rajesh Kumar *
Department of Veterinary Surgery and Radiology, Bihar Veterinary College, Patna, India.
Aakanksha
Department of Veterinary Surgery and Radiology, Bihar Veterinary College, Patna, India.
M. K. Singh
Department of Veterinary Anatomy, Bihar Veterinary College, Patna, India.
Bhavana
Department of Veterinary Gynaecology, Bihar Veterinary College, Patna, India.
Imran Ali
Department of Veterinary Pathology, Bihar Veterinary College, Patna, India.
Kumari Anjana
Department of Veterinary Pharmacology, Bihar Veterinary College, Patna, India.
*Author to whom correspondence should be addressed.
Abstract
Vaginal tumors are uncommon in cattle compared to other domestic animals, with leiomyomas being extremely rare. Leiomyomas are benign smooth muscle neoplasms, well-encapsulated, and histologically characterized by spindle-shaped cells with cigar-shaped nuclei and minimal mitotic activity. The present study describes the clinical presentation, surgical management, and histopathological findings of a vaginal leiomyoma obstructing the urethral opening in a crossbred cow. A five-year-old cow was presented with a history of progressive vaginal swelling, straining, and difficulty in urination for two months. Clinical examination revealed a firm, well-circumscribed, pedunculated mass projecting into the vaginal lumen. Cytological examination of impression smears demonstrated spindle-shaped cells with oval to elongated nuclei, suggestive of leiomyoma. Surgery was performed under sedation with butorphanol and caudal epidural anaesthesia using 2% lignocaine hydrochloride. The mass was exteriorized, ligated at the base with absorbable suture material, and excised. Postoperative therapy included antibiotics, anti-inflammatory drugs, and daily antiseptic dressing. The cow recovered uneventfully, resuming normal urination and defecation within two days, with complete healing observed by 10 days. Follow-up for six months revealed no recurrence. Histopathological examination of the excised tumour confirmed leiomyoma. The case highlights the successful diagnosis and surgical management of a rare vaginal leiomyoma in cattle obstructing normal urination.
Keywords: Cattle, vaginal tumour, leiomyoma, urethral obstruction and surgical management