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Oh, the other possibility is vent gleet-a fungal infection you treat with oral medication, Nystatin I believe.

I think you are right. The sideways vent is a never going to be right. I think you should put her down. I have a 3 year old hen that started having what I call "Poopy butt" and I have never been able to correct it. I tried worming, changing feeds, cleaning/sanitizing/insecticide for mites...