Chronic Uterine Infection Caused by Fetal Retention and Treatment by Unilateral Ovariohysterectomy in a Dog
Abstract
A four-year-old Anatolian Shepherd bitch was brought to our clinic with an intermittent purulent-hemorrhagic vaginal discharge complaint with no general symptoms for six months following the last parturition. There were no signs of mass or lesion on the vaginal wall during physical examination. Anechogenic uterine content, hyperechoic structures freely floating in the lumen, and suspicious fetal tissue remnants were detected by ultrasonography in only the left uterine horn. Hematological parameters revealed the chronic uterine infection. The unilateral ovariohysterectomy operation was performed for the more affected left horn to maintain the patient’s fertility. Two fetal bone remnants were detected in the reddish infectious uterine content at the postsurgical uterine incision. Throughout the postoperative five months, vaginal discharge or any general signs of complication were not observed. We thought that the last fetus might have undergone uterine retention and autolysis in the following weeks, which caused the chronic uterine infection. Obstetrical controls are well-advised in all parturitions to reveal any fetal remnant cases/complications and to have a normal postpartum process.
Keywords
References
- Erdoğan G, Akkuş T, Payan-Carreira R, 2019: An unusual outcome for fetal death in bitch: a report of a case. J Adv Vet Bio Sci Tech. 4 (1), 22–25.
- Fasulkov I, Atanasov A, Antonov A, 2014: A clinical case of foetal maceration and posttraumatic uterine rupture in a bitch. Istanbul Univ Vet Fak Derg. 40 (2), 264–269.
- Feldman EC, Nelson RW (2004). Canine female reproduction. In: Canine and Feline Endocrinology and Reproduction, Feldman EC, Nelson RW (Eds), 525-671 WB Saunders, New York.
- González MS, Estrada JGM, 2006: Gestación prolongada asociada con la prescripción inadecuada de medroxiprogesterona acetato.¿ Es racional y ético el uso de progestágenos exógenos en perras?. RCCP, 19 (4), 442-450.
- Günzel‐Apel AR, Fehr M, Seefeldt A, Reischauer A, Schoon HA 2008: Prolonged Foetal Retention in a Bitch Resulting in Trichogranulomatuous Panmetritis and Re‐establishment of Fertility After Unilateral Ovariohysterectomy. Reprod Domest Anim. 43 (1), 117-120.
- Orfanou DC, Ververidis HN, Boscos CM, Fthenakis GC 2010: Postpartum pathological conditions in the bitch-Part II. Eur J Companion Anim Pract. 20 (2), 119-126.
- Pharr JW, Post K, 1992: Ultrasonography and radiography of the canine postpartum uterus. Vet Radiol Ultrasound, 33 (1), 35-40.
- Rigau T, Rodríguez‐Gil JE, García F, Del Alamo MR, 2011: Partial foetal retention following aglepristone treatment in a bitch. Reprod Domest Anim. 46 (4), 738-741.
- Ritt MG, Fossum TW, 1997: Successful treatment of uterine torsion and fetal retention in a postparturient Great Pyrenees bitch with septic peritonitis and prothrombotic complications. J Am Anim Hosp Assoc, 33 (6), 537-539.
- Serin G, Parin U, 2009: Recurrent vaginal discharge causing by retained foetal bones in a bitch: a case report. Vet Med (Praha). 54 (6), 287-290.
Bir Köpekte Fetal Retensiyonun Neden Olduğu Kronik Uterus Enfeksiyonu ve Tek Taraflı Ovaryohisterektomi ile Tedavisi
Abstract
Dört yaşında Anadolu Çoban köpeği, son doğumdan itibaren altı aydır genel hastalık semptomlarının bulunmadığı aralıklı purulent hemorajik vajinal akıntı şikayeti ile kliniğimize getirildi. Fiziki muayenede vajina duvarında herhangi bir kitle veya lezyona rastlanmadı. Ultrasonografi aracılığıyla sadece sol kornu uteride anekojenik uterus içeriği ile fetal doku kalıntılarını şüphelendiren ve lumen içerisinde serbestçe yüzen hiperekoik yapılar tespit edildi. Hematolojik parametreler kronik uterus enfeksiyonunu göstermekteydi. Hastanın fertilitesini devam ettirmek için daha şiddetli enfeksiyonun görüldüğü sol kornu uteriye unilateral ovaryohisterektomi operasyonu uygulandı. Postoperatif uterus ensizyonunda kırmızımsı enfeksiyöz uterus içeriğinde iki fetal kemik kalıntısı tespit edildi. Postoperatif 5 ay boyunca herhangi bir vaginal akıntı ya da genel komplikasyon belirtisi gözlenmedi. Son fetusun uterusta retensiyona ve sonraki haftalarda otolize uğramış olabileceğini ve bunun da kronik uterus enfeksiyonuna neden olduğunu düşündük. Fetal retensiyon vakaları/komplikasyonlarını ortaya çıkarmak ve olağan bir postpartum süreç için tüm doğumlardan sonra obstetrik kontroller tavsiye edilmektedir.
Keywords
References
- Erdoğan G, Akkuş T, Payan-Carreira R, 2019: An unusual outcome for fetal death in bitch: a report of a case. J Adv Vet Bio Sci Tech. 4 (1), 22–25.
- Fasulkov I, Atanasov A, Antonov A, 2014: A clinical case of foetal maceration and posttraumatic uterine rupture in a bitch. Istanbul Univ Vet Fak Derg. 40 (2), 264–269.
- Feldman EC, Nelson RW (2004). Canine female reproduction. In: Canine and Feline Endocrinology and Reproduction, Feldman EC, Nelson RW (Eds), 525-671 WB Saunders, New York.
- González MS, Estrada JGM, 2006: Gestación prolongada asociada con la prescripción inadecuada de medroxiprogesterona acetato.¿ Es racional y ético el uso de progestágenos exógenos en perras?. RCCP, 19 (4), 442-450.
- Günzel‐Apel AR, Fehr M, Seefeldt A, Reischauer A, Schoon HA 2008: Prolonged Foetal Retention in a Bitch Resulting in Trichogranulomatuous Panmetritis and Re‐establishment of Fertility After Unilateral Ovariohysterectomy. Reprod Domest Anim. 43 (1), 117-120.
- Orfanou DC, Ververidis HN, Boscos CM, Fthenakis GC 2010: Postpartum pathological conditions in the bitch-Part II. Eur J Companion Anim Pract. 20 (2), 119-126.
- Pharr JW, Post K, 1992: Ultrasonography and radiography of the canine postpartum uterus. Vet Radiol Ultrasound, 33 (1), 35-40.
- Rigau T, Rodríguez‐Gil JE, García F, Del Alamo MR, 2011: Partial foetal retention following aglepristone treatment in a bitch. Reprod Domest Anim. 46 (4), 738-741.
- Ritt MG, Fossum TW, 1997: Successful treatment of uterine torsion and fetal retention in a postparturient Great Pyrenees bitch with septic peritonitis and prothrombotic complications. J Am Anim Hosp Assoc, 33 (6), 537-539.
- Serin G, Parin U, 2009: Recurrent vaginal discharge causing by retained foetal bones in a bitch: a case report. Vet Med (Praha). 54 (6), 287-290.
Details
| Primary Language | English |
|---|---|
| Subjects | Veterinary Surgery |
| Journal Section | Case Report |
| Authors | |
| Publication Date | June 22, 2021 |
| Submission Date | February 26, 2021 |
| Acceptance Date | April 5, 2021 |
| Published in Issue | Year 2021 Volume: 10 Issue: 1 |
