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Ultrasonographic evaluation of the uterine stump pyometra in three bitches

Article · January 2008

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INTAS POLIVET (2008) Vol. 9 No. II: 185-186 Clinical Article

Ultrasonographic evaluation of the uterine stump

pyometra in three bitches
Akhilesh Kumar, D.B. Patil, P.V. Parikh, N.H. Kelawala, D. R. Barvalia,
S. Bhatt, S. K. Jhala and Mehraj u din Dar
Department of Veterinary Surgery and Radiology,
College of Veterinary Science and Animal Husbandary, AAU, Anand- 388 001(Gujarat)
Uterine stump pyometra can occur in dogs and in USA; 2-4 MHz) had been employed for depth
cats after incomplete ovariohysterectomy. The scan of the structures in line with face of the
source of progesterone may be from residual transducer. After positioning the animal in supine
ovarian tissue or from exogenous progestational for an imaging target, the transducer was rotated
compounds. Uterine stump inflammation and across the scanning arc. The uterine remnant was
granuloma can be caused by ligatures of non located just cranial to pubis, between the bladder
absorbable suture materials, poor aseptic and colon. An anechoic area was found within
technique, or excessive residual devitalized the cervical body of the spayed dog. In all the
uterine body (Elizabeth, 2002; Johnston et.al, three cases, in this report, ovarian retention on
2001). one side was observed. The findings were specific
to regular stump pyometra. The masses observed
Uterine stump pyometra can be a challenge to
in the USG were on or near to the uterine body. In
diagnose without the aid of ultrasound. The
one case the mass was spherical, its surface was
ultrasonographic appearance of the stump
smooth and its diameter was about 10 cm.The
pyometra varies in shape, size and echotexture.
masses were removed surgically as per the
Smaller lesion will be more difficult to image
standard procedure. In one study, postoperative
(Nyland and Mattoon, 1995).

Fig.2
Fig.1 Fig.1 & 2 Showing stump pyometra

The three bitches with history of uterine discharge
were of different breeds and between 3 to 5 years
of age. With ultrasonography a definitive stump
pyometra image was obtained (Fig 1 and 2). The
ultrasound convex probe (Sonosite Titan-Made
complications of ovariohysterectomy have been
observed as 7.3% and 27.4%. In most of the cases,
stump pyometra developed secondary to ovarian
remnant syndrome (Fitts, 1956; Dillon and
Henderson, 1981; Okkens et.al, 1981).

185
 Akhilesh Kumar and others
References
Dillon A.R, Henderson R.A. (1981). Brucella canis
in a uterine stump abcess in a bitch. J. Am. Vet.
Med. Assoc. 178:987–88.
Elizabeth A. S. (2002). Reproductive system.
In: Text book of Small Animal Surgery Ed., Slatter,
D. 3rd Ed., W.B. Saunders Co., Philadelphia.
pp 1498.
Fitts R.H. (1956). Pyometra following incomplete
oophorectomy in a bitch. J. Am. Vet. Med. Assoc.
128 : 449.
Johnston S.D, Root Kustritz M.V, Olson P.N.S.
(2001). Canine and Feline Theriogenology. WB
Saunders Co., Philadelphia. pp 168–24.
Nyland T. G, Mattoon J. S. (1995). Veterinary
diagnostic ultrasound. W.B Saunders Co.,
Philadelphia. pp-146.
Okkens A.C, Dielman S.J, Gaag I. (1981).
Gynaecological complications following
ovariohysterectomy in dogs of the uterocervical
stump. Tijdschrift voor Diergeneeskunde.
106 :1142–52.

REVISED ANNOUNCEMENT

GADVASU to hold the XIX National

Congress of Veterinary Parasitology
GADVASU Ludhiana will host XIX National Congress of
Veterinary Parasitology and National Symposium on ‘‘National
Impact of Parasitic Diseases on Livestock Health and Production’’
from 3-5 February' 2009 with a focal theme “Changing Trends in
Parasitology: From Eggs to Genomics”.

For further details participants may please contact:-

Prof. P.D. Juyal,
Organizing Secretary,
XIX National Congress of Veterinary Parasitology –2008, College
of Veterinary Science, GADVASU, Ludhiana – 141004.
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