Diagnostic approach and therapeutic intervention for pyometra in multiparous dairy cattle: a case study

Pyometra is a prevalent and clinically important reproductive disorder in multiparous cattle, and is characterised by the accumulation of purulent exudate within the uterine lumen. This article examines the diagnosis and management of pyometra in a six-year-old Friesian Holstein cow from a traditional dairy farm in Lembang. The cow, with a history of abortion at 35 days of gestation during the last calving, presented with continuous white mucous vaginal discharge. Clinical assessment via rectal palpation revealed an enlarged uterus, which was initially suggestive of pregnancy. Diagnostic evaluations included haematology and transrectal ultrasonography. Haematological results showed elevated white blood cell counts, indicating a bacterial infection. Ultrasonography confirmed pus within the uterus and thickened uterine wall. Treatment consisted of uterine flushing and hormonal injections to induce contractions, facilitate the expulsion of accumulated fluids, and restore regular estrous cycles. A significant reduction in the size of the cornu uteri was observed one-week post-treatment, demonstrating the effectiveness of the intervention.