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Cloacal, uterine and rectal prolapse

image of Cloacal, uterine and rectal prolapse
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Abstract

Cloacal, uterine and rectal prolapse may be the result of primary disease of the cloaca itself, or be secondary to disease conditions involving structures that terminate in or are near the cloaca. This chapter deals with the clinical signs, differential diagnosis, systematic approach and a range of specific approaches to treatment of cloacal, uterine and rectal prolapse. : Female Cockatiel with cloacal prolapse; Amazon parrot with papillomatosis; Umbrella Cockatoo with flaccid vent.

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Figures

Image of 26.2
26.2 Cloacal papilloma in a Green-winged Macaw. (Courtesy of B Doneley)
Image of 26.3
26.3 Ventrodorsal view of a female Cockatiel with chronic oviposition that ultimately resulted in a prolapse. Note the hyperostosis of the ulnas, femurs and tibiotarsi consistent with chronic hormone stimulation. Widening of the hepatic/proventricular silhouette may suggest organ enlargement, which could include the reproductive tract.
Image of 26.4
26.4 Use of a rigid endoscope with diagnostic sheath and fluid insufflation for cloacoscopy to visualize the cloaca.
Image of The history, plus the irregular appearance of this prolapse, suggested the identity of the prolapse was the uterus. Due to the acute presentation, the tissue was still pink and healthy in appearance.
The history, plus the irregular appearance of this prolapse, suggested the identity of the prolapse was the uterus. Due to the acute presentation, the tissue was still pink and healthy in appearance. The history, plus the irregular appearance of this prolapse, suggested the identity of the prolapse was the uterus. Due to the acute presentation, the tissue was still pink and healthy in appearance.
Image of (a) The prolapse was gently irrigated and lubricated with sterile lubricant. (b) The prolapse was gently replaced with a lubricated cotton-tipped applicator.
(a) The prolapse was gently irrigated and lubricated with sterile lubricant. (b) The prolapse was gently replaced with a lubricated cotton-tipped applicator. (a) The prolapse was gently irrigated and lubricated with sterile lubricant. (b) The prolapse was gently replaced with a lubricated cotton-tipped applicator.
Image of (c) Replacement was uncomplicated.
(c) Replacement was uncomplicated. (c) Replacement was uncomplicated.
Image of (d–f) With the cotton-tipped applicator in place, two horizontal mattress sutures were placed at both lateral aspects of the vent, leaving enough room to retract the applicator.
(d–f) With the cotton-tipped applicator in place, two horizontal mattress sutures were placed at both lateral aspects of the vent, leaving enough room to retract the applicator. (d–f) With the cotton-tipped applicator in place, two horizontal mattress sutures were placed at both lateral aspects of the vent, leaving enough room to retract the applicator.

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