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Egg Yolk Peritonitis

Other Names: Egg Yolk Coelomitis

Egg yolk peritonitis is the inflammatory response caused by the presence of yolk material in the peritoneum (the thin layer of tissue covering the inside of the hen's abdomen and most of the organs) from a ruptured egg or a retained egg in the oviduct. The yolk material itself may only cause a mild inflammatory response, and be reabsorbed by the peritoneum. However, since yolk material is an excellent growth medium for bacteria, it can lead to a secondary bacterial infection. Escherichia coli is the most frequent bacteria isolated from affected birds. Other common types of bacterial organisms that have been isolated include Klebsiella sp., Proteous sp., Staphylococcus sp., and Streptococcus sp.,.

In cases of egg yolk peritonitis, it's important to determine the underlying cause, since it often occurs as a secondary or concurrent event to several of reproductive conditions, including:
  • Salpingitis
  • Oviductal impaction
  • Ovarian neoplasia
  • Cystic ovarian disease
  • Chronic obesity
  • Oviductal torsion

Signs of Egg Yolk Peritonitis in Hens

Hens with egg yolk peritonitis will usually stop laying as many eggs, if they continue laying any at all. The eggs that they do lay are often consistently soft-shelled, thin-shelled, or have some deformity.
Signs of egg yolk peritonitis in Hens
Hens with egg yolk peritonitis will be less active, and may spend alot of time sitting in the nestbox, not because they're laying an egg. For this reason, these hens may sometimes be mistaken for being "broody", which is a maternal behavior exhibited by hens who want to hatch a clutch of eggs. In the advanced stages, there may be palpable abdominal distension, indicating the presence of fluid inside the bird's abdomen (also known as ascites). These hens will often position themselves in a "penguin-like" stance in an attempt to help relieve some of the discomfort. They may also have difficulty breathing.

Diagnosis of Egg Yolk Peritonitis

Egg yolk peritonitis is diagnosed through a combination of history, clinical signs, physical exam, and a variety of diagnostic imaging equipment and laboratory tests. Tests that can be beneficial to help in the diagnosis of egg yolk peritonitis in chickens include:
  • Physical Exam: Palpation of the abdomen can sometimes reveal the presence of soft-shelled or firm shelled eggs in the oviduct, ectopic eggs free within the abdomen, ovarian masses, or displacement of the ventriculus.
  • Complete Blood Count (CBC): A blood test, called a complete blood count (CBC), measures the white blood cell count. A high white blood cell count usually signals inflammation or infection. A blood culture can help to identify the bacteria causing the infection or inflammation. Antibiotic sensitivity testing helps to identify the best antibiotic to use to treat the infection.
  • Abdominal Fluid Cytology & Culture: The fluid recovered from an abdominocentesis (a procedure your veterinarian can perform using a needle, to remove any abdominal fluid present) is sent to a diagnostic laboratory for further testing.
  • Radiography and ultrasound: May help in revealing the presence of accumulated egg material and space-occupying lesions.

Treatment of Egg Yolk Peritonitis

Treatment of egg yolk peritonitis varies depending on the cause and severity of clinical signs in the bird. Mild cases where no secondary bacterial infection is involved may only require supportive care. In other cases, when an infection is present, usually treatment requires a combination of analgesics, anti-inflammatories, broad-spectrum antibiotics, aggressive supportive care, and other therapies aimed at reducing egg laying activity. Surgery may sometimes be needed, to remove excessive accumulations in egg material. In persistent cases where a hen develops recurring egg laying problems, more aggressive treatment methods such as salpingohysterectomy (spaying) may be indicated.

Clinical Signs

Ceased egg production
Reduced activity
Reduced appetite
Laying deformed or soft shelled eggs
Excessive nestbox sitting
Yolk colored droppings
"Penguin-like" stance
Abdominal distension


  • History
  • Clinical signs
  • Physical exam
  • Complete blood count (CBC)
  • Ultrasound


AntibioticsEnrofloxacin is a good first choice.
Supportive care
Stop egg layingHormone implants, environmental modifications, or spaying in some cases.
Homeopathy1 tablet Hepar Sulph and 1 tablet Bryonia crushed. Add to an egg cup of water, and use 2-3 drops 3 times dailyBritish Hen Welfare Trust
SurgerySurgery is sometimes necessary to remove the infected tissue and sometimes removing the oviduct.



  • Stop egg laying through hormone implants or environmental modifications
  • Reduce stress


Poor unless the hen is promptly taken to a veterinarian.

Scientific References

Age Range

It often occurs in adult egg laying hens

Risk Factors

  • Chronic egg laying
  • Commercial egg laying chickens
  • Stress
  • Lowered immune system
  • Overweight hens
  • Existing infection or intestinal parasite load
  • Ovarian tumor
  • Oviduct impaction

Case Stories

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