Therapeutic and surgical management of open cervix pyometra in a bitch (original) (raw)
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Management of Open-Cervix Pyometra in a Four-Year-Old German Shepherd-Cross Bitch
Nigerian Veterinary Journal, 2021
Department of Theriogenology and Production, Ahmadu Bello University, Zaria.Department of Veterinary Medicine, University of Ilorin,Ilorin.Department of Veterinary Surgery and Radiology, Ahmadu Bello University Zaria, Nigeria.Veterinary Teaching Hospital, Ahmadu Bello University Zaria, Nigeria.Department of Veterinary Microbiology, Ahmadu Bello University, Zaria, Nigeria. Department of Theriogenology, University of Abuja, Abuja, Nigeria. *Corresponding email: rhyme4bee@yahoo.com; Tel No: +2348035049184
Ovariohysterectomy and Partial Vaginectomy for Treatment of Cervicovaginitis in a Dog
Case Reports in Veterinary Medicine, 2019
A 1-year-old sexually intact female Labrador Retriever was evaluated for malodorous vaginal discharge, lethargy, and vomiting. A diagnosis of pyometra was suspected based on signalment, clinical signs, and abdominal ultrasonography. The dog underwent an exploratory celiotomy revealing a palpably enlarged cervix and edematous, fluid-filled vagina with an otherwise normal uterus. The ovaries, uterus, cervix, and cranial vagina were surgically resected. Histopathology revealed mild to moderate regionally extensive subacute neutrophilic cervicovaginitis due to an unknown underlying etiology. The dog did not exhibit any postoperative complications or recurrence of clinical signs in 6 months. This case represents an unusual disease condition, which presented in a manner typical for pyometra, yet required more extensive surgical resection.
Closed cervix is associated with more severe illness in dogs with pyometra
BMC Veterinary Research
Background: Pyometra, a life-threatening bacterial infection of the uterus, is classified as open or closed depending on the functional patency of the cervix i.e. presence or absence of vaginal discharge. In closed cervix pyometra, pus and bacterial products accumulate in the uterus, which is thought to induce a more severe illness. The aim of this study was to investigate whether disease severity or outcome differed in dogs with open or closed cervix pyometra. Results: Prospectively collected data from 111 female dogs diagnosed with pyometra at the University Animal Hospital, Swedish University of Agricultural Sciences, Uppsala, intermittently during 2005-2012 was analyzed. Seventy-two dogs (65%) had open cervix, whereas 39 dogs (35%) had closed cervix. Differences between the two groups were explored by Wilcoxon Two Sample Test for continuous variables and Chi-square or Fisher's exact test for categorical variables. P < 0.05 was considered significant. In dogs with open cervix the median age was 9.0 years and the median weight 26.0 kg. In dogs with closed cervix the median age was 9.6 years and the median weight 25.0 kg, with no significant differences between the groups (p = 0.69 and 0.24, respectively). Five dogs (4.5%) died, all with open cervix, and 16 dogs (14%) had complications. The general physical condition was moderately or severely depressed in 30% (21/71) of dogs with open cervix (severely depressed in 4 dogs, moderately depressed in 17 dogs) and in 56% (22/39) of dogs with closed cervix (severely depressed in 3 dogs, moderately depressed in 19 dogs). The general physical condition was mildly depressed in 41 dogs with open cervix and 16 dogs with closed cervix, whereas it was normal in nine dogs with open cervix and one dog with closed cervix. None of the included dogs had very severely depressed general physical condition or were non-responsive. Leukocytosis, neutrophilia, monocytosis and moderately to severely depressed general condition was more commonly found in dogs with closed cervix (p = 0.003, p = 0.008, p = 0.003 and p = 0.006, respectively). Sepsis was more commonly present in closed cervix pyometra (77%, 30/39 dogs) compared to open cervix pyometra (51%, 36/71 dogs) (p = 0.007). Presence of prolonged postoperative hospitalization did not differ significantly between the two groups. Conclusions: In dogs with closed cervix, sepsis was more common, the general physical condition more often moderately to severely depressed and leukocytosis, neutrophilia and monocytosis more frequently found. The results showed that closed cervix was associated with a more severe illness than open cervix at admission but not with poorer outcome as measured by postoperative hospitalization. These findings may be clinically valuable for optimizing monitoring and treatments in dogs with the disease.
Bulgarian Journal of Veterinary Medicine, 2020
The aim of this report was to describe a clinical case of unilateral segmental aplasia of the uterine horn and vulvar hypoplasia associated with pyometra as a complication in a bitch. The patient was presented with abdominal pain, excessive vulvar licking, anorexia and lethargy. The vulva was found hypoplastic, flushed and without any discharge. Ultrasonography revealed an enlarged tip of the left uterine horn filled with fluid. Blood laboratory analysis showed a marked leukocytosis, so diagnosis of pyometra was made. Laparotomy and ovariohysterectomy were performed. During the operation unilateral segmental aplasia of the right uterine horn was observed. This is a very rare case of segmental aplasia of the uterus associated with hypoplasia of the vulva and with clinical signs of systemic disease in the bitch.
Pyometra with inguinal herniation of the left uterine horn and omentum in a Beagle dog
2007
Objective: To describe a unique case of pyometra with inguinal herniation of the left uterine horn and omentum. Case summary: A 7-year-old, 19 kg, intact female Beagle dog presented for surgical treatment of presumptive pyometra and biopsy of a caudal abdominal mass in the left inguinal mammary gland region. Ventral midline celiotomy was performed, and a distended, fluid-filled uterus with passage of the distal aspect of the left uterine horn through the left vaginal process into the inguinal canal was identified. The patient recovered uneventfully following ovariohysterectomy and left inguinal herniorrhaphy. New or unique information provided: This is the first documented report of inguinal herniation of a uterine horn associated with a pyometra.
Diagnosis and Medication of Pyometra in a Female Dog
2021
Pyometra, the purulent inflammation of uterus, is a common disease of genital apparatus of the dog. Diagnosis and treatment of this pathology is object of a lot of studies. Diagnosis is based on history and anamnesis, clinical and lab findings, Ultrasonography and histopathology, as a “gold standard” of it. Thirty-five female dogs (mean 7.6± 1.33 years old) of cross and pure bred, affected by pyometra (open and closed cervix) were diagnosed by ultrasonography and 12 uteri were used for histopathological studies. Pyometra was found out in 57.44% of nulliparous controlled female dogs. Ultrasonographic evaluated shown an enlargement and thickened of horns of uteri, lumen content was homogenous to anechoic/echogenic. Histopathological changes are related to Endometrium and its changes like as enlargement of cystic glands and presence of the pus in lumen of uterus. Ovariohysterectomy were realized in all female dogs. Three of them were euthanized some days after. The study aims to empha...
Journal of the American Veterinary Medical Association, 2022
OBJECTIVE To determine the rate of survival to hospital discharge and identify indicators associated with poor outcomes among female dogs (bitches) with pyometra treated with ovariohysterectomy (OHE) in a nonspecialized setting. ANIMALS 405 bitches diagnosed with pyometra at the American Society for the Prevention of Cruelty to Animals Animal Hospital from January 1, 2017, to February 8, 2019. PROCEDURES For this retrospective study, medical records were searched and data collected including patient history, clinical signs, serum biochemical analyses results, and outcome (survival to hospital discharge, length of hospital stay, and uterine rupture). Logistic regression models were used to assess multivariable associations and identify potential predictive variables. RESULTS The rate of survival to hospital discharge for bitches with pyometra treated with OHE was 97% (394/405); 44% (174/394) stayed in the hospital ≥ 2 nights, and 3% (11/390) had a ruptured uterus. Bitches with a high...
Electrocardiographic Findings in Bitches Affected by Closed Cervix Pyometra
Veterinary Sciences, 2020
Pyometra is considered the most common disease in intact bitches, being associated with potentially life-threatening disorders. Myocardial damage is a potentially life-threatening consequence of pyometra. The aim of this study was to describe the electrocardiographic patterns in bitches affected by closed cervix pyometra, to assess the clinical relevance of electrocardiographic changes with the occurrence of pyometra, and to relate their severity with laboratory and clinical findings. A total of 39 bitches with closed cervix pyometra and 10 healthy female dogs were included in this study. During the hospitalization, bitches underwent a complete physical examination. An electrocardiographic examination before the ovariohysterectomy was performed. Blood samples for biochemical and hematological analysis were also evaluated. Bitches suffering pyometra at least one arrhythmia 31/39 (79.4%), sinus tachycardia (22/39, 56.4%), ventricular premature complexes (9/39, 23%), increased amplitud...
A case of pyometra with leiomyoma, paraovarian cyst and sutured vagina in a bitch
The Thai Journal of Veterinary Medicine
The present case report describes a 6-year-old, mixed-breed bitch that was referred due to anorexia, polyuria, polydipsia, and lethargy for 2 weeks. The bitch had been spayed 4 years previously at a different clinic. Vaginal inspection by speculum and cytology was not possible because the vaginal canal had been closed surgically. Stump pyometra was suspected upon ultrasonographic and clinical examination. However, the whole uterus and ovaries were observed during surgery. Thus, the bitch had in fact not been spayed as noted anamnesis, but rather the vagina had been sutured to prevent copulation. Histopathological analysis of the uterus and ovaries revealed findings consistent with those for uterine leiomyoma, pyometra, and paraovarian cyst. Therefore, the bitch was diagnosed with pyometra with leiomyoma and a paraovarian cyst. Consequently, it is emphasized that vaginal suturing is an inappropriate and unacceptable method of contraception.