Severe hematometra in a dog with cystic endometrial hyperplasia/pyometra complex. |
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| Authors: | Mark T Troxel Angelyn M Cornetta Karen F Pastor Lori E Hartzband Michael F Besancon |
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| Institution: | VCA South Shore Animal Hospital, South Weymouth, Massachusetts 02190, USA. |
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| Abstract: | An 18-month-old, intact female German shepherd dog was presented for evaluation of severe, frank hemorrhage from the vulva. A complete blood count, serum biochemical analysis, and urinalysis supported acute hemorrhage. Abdominal radiographs were unremarkable. Abdominal ultrasound demonstrated that the uterine body and cranial vaginal lumen were fluid-filled and contained hyperechoic, polypoid masses that were suspected to be blood clots. Exploratory laparotomy revealed a mildly enlarged uterus with a diffuse, cystic endometrium; significant amounts of blood and blood clots within the lumen; and several focal accumulations of yellow fluid presumed to be a purulent exudate. Histopathology confirmed severe, cystic, endometrial hyperplasia and pyometra complex. |
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