Abstract
Abstract Background: last stage of uterine prolapse grossly can refer to it by a complete expulsion of the uterus from its normal location to outside the pelvic cavity through the vaginal cavity. Also in terms of anatomy it can be defined of the total eversion throughout the anatomical layers of the uterus and protrudes from the vulva, rarely accompanied by a prolapse of another pelvic organs, which is suspended perineally under the anus for a good period of time. Case presentation: A three years old ewe pluriparous and multiparous as well, from long wool breed known locally with libyan barbary breed, was presented at the hospital clinic in hopeless case suffering from last stage of uterine prolapse with very bad situation since 10days of its normal lambing to four offspring. Physical examination and some vital signs were recorded. Decision: it is difficult to take decision in this situations for fearing of dying such case. First decision was to resuscitate the ewe by trying to bring all the vital signs to normal or close through controlling the enterotoxaemia and reduce septicemic chock. A mix of broad spectrum antibiotic, antipyretic, and anti-inflammatory were given, also resuscitation fluids with calcium as well selenium as subcutaneously have been administrated. 3 to 4 hours later the ewe started to respond and tried to walk up alone. Amputation has been done as second decision by take all the necrotic macerated uterus after 5 days of intensive treatment course; that mean 15 day after the parturition. Conclusion: last stage of uterine prolapse is an urgent state that it needs an immediate surgical intervention to avoid worst prognosis. Uterine prolapse commonly occurs within a moments to few hours after lambing and that supposed to be an expected in case of pluriparous and multiparous ewes due to the weakness of the heavy uterus, besides the traumatic dysfunction of the different supportive ligaments in the pelvic cavity which can assist to hold that uterus in place.