A six year old crossbred HF cow was presented to the Veterinary Clinical Complex, the history of no faecal output from the last 4 days along with anorexia. Animal was full term pregnant. Palpation of the rumen from left paralumbar fossa and per rectal revealed severely impacted rumen. Pervaginal examination revealed post-cervical right sided uterine torsion of approximately ≥180 degree. Based on the findings of clinical examination, the diagnosis of ruminal impaction and post-cervical right side uterine torsion was confirmed. Rumenotomy and caesarean section were performed under local analgesia from the left paralumbar fossa and it was concluded that performing rumenotomy followed by caesarean section was an appropriate method to relieve both the ailments with minimal stress to the animal. | Rumenotomy and caesarean section in a cow affected with ruminal impaction and uterine torsion