Postpartum intestinal evisceration through a uterine tear in a Siamese cat

Abstract A 2‐year‐old, female, entire Siamese cat was presented 2 days postpartum for vomiting and eviscerated intestines through the vulva. The cat had delivered eight kittens (one stillborn, seven alive) without obvious complications after a total of 24 hours of labour. Approximately 70% of the small intestines were eviscerated and demonstrated compromised viability. Emergency surgery was performed, and a small tear was identified in the uterus. Ovariohysterectomy and resection, and anastomosis of the affected intestine were performed. Following surgery, the patient exhibited occasional vomiting and significant diarrhoea. Four weeks post‐discharge, a low‐fat diet with added fibre and weekly vitamin B12 injections were started. No significant improvement was appreciated, and the patient was presented deceased 8 weeks post‐discharge. Postmortem examination was not performed, but significant weight loss and muscle wasting were observed. This report describes the first reported case of intestinal evisceration through a uterine tear in a cat, per the authors’ knowledge.