RESUMO
Background: Uterine twisting in bitches is an uncommon disease in which the difficulty of diagnosis is due to non specific clinical signs. This condition is more commonly observed in pluriparous females and is usually associated with a pregnant uterus close to birth, or associated with hemometra, pyometra and neoplasms in non-pregnant bitches. This study reports a case of an 11-year-old Poodle bitch with a rare case of uterine twisting in a non-pregnant womb. Case: A 11-year-old Poodle dog, weighing 3.2 kg, was admitted at the institution with a history of anorexia, oligodipsia and apathy during one day. There was no information on the last phase of estrus or previous pregnancies. The patient arrived at the emergency room of the veterinary hospital with cardiorespiratory arrest and was resuscitated with mechanical ventilation, cardiac massage and administration of adrenaline (0.1 mg/kg IV, 1 mg/ml concentration), tramadol hydrochloride (2mg/kg via IV) and oxygen therapy. Clinical examination revealed a distended and tense abdomen with a palpable mass inthe mesogastric region. Ultrasound examination showed a heterogeneous structure (> 10cm. in diameter), with cavitary areas filled with heterogeneous anechoic content and septations, located between the liver and urinary bladder. It was notpossible to identify in which organ or structure the mass originated, and the possibility of gestation and fetal death was discarded. The female died six hours after admission. The patient was submitted to necropsy and histopathological analysis revealed a dark red and enlarged segment of the uterine horn with a 360º twist, occupying most of the abdominal cavity.The left uterine horn was about 10 cm in diameter and firm, and cystic areas were observed on a reddish-black surface containing a large amount of bloody fluid. The right uterine horn was normal in appearance, but with a small amount of fluid...
Assuntos
Feminino , Animais , Cães , Anormalidade Torcional/veterinária , Doenças Uterinas/veterinária , Hematometra/veterinária , ReproduçãoRESUMO
Background: Uterine twisting in bitches is an uncommon disease in which the difficulty of diagnosis is due to non specific clinical signs. This condition is more commonly observed in pluriparous females and is usually associated with a pregnant uterus close to birth, or associated with hemometra, pyometra and neoplasms in non-pregnant bitches. This study reports a case of an 11-year-old Poodle bitch with a rare case of uterine twisting in a non-pregnant womb. Case: A 11-year-old Poodle dog, weighing 3.2 kg, was admitted at the institution with a history of anorexia, oligodipsia and apathy during one day. There was no information on the last phase of estrus or previous pregnancies. The patient arrived at the emergency room of the veterinary hospital with cardiorespiratory arrest and was resuscitated with mechanical ventilation, cardiac massage and administration of adrenaline (0.1 mg/kg IV, 1 mg/ml concentration), tramadol hydrochloride (2mg/kg via IV) and oxygen therapy. Clinical examination revealed a distended and tense abdomen with a palpable mass inthe mesogastric region. Ultrasound examination showed a heterogeneous structure (> 10cm. in diameter), with cavitary areas filled with heterogeneous anechoic content and septations, located between the liver and urinary bladder. It was notpossible to identify in which organ or structure the mass originated, and the possibility of gestation and fetal death was discarded. The female died six hours after admission. The patient was submitted to necropsy and histopathological analysis revealed a dark red and enlarged segment of the uterine horn with a 360º twist, occupying most of the abdominal cavity.The left uterine horn was about 10 cm in diameter and firm, and cystic areas were observed on a reddish-black surface containing a large amount of bloody fluid. The right uterine horn was normal in appearance, but with a small amount of fluid...(AU)
Assuntos
Animais , Feminino , Cães , Doenças Uterinas/veterinária , Anormalidade Torcional/veterinária , Hematometra/veterinária , ReproduçãoRESUMO
Hemometra é caracterizada pelo acúmulo de sangue estéril no útero. Sobre a etiologia da alteração,sabe-se que a progesterona estimula o crescimento e a atividade secretora das glândulasendometriais, podendo resultar no desenvolvimento de hiperplasia endometrial cística e no acúmulode líquido na luz uterina. A progesterona ainda diminui a atividade miométrica, tambémpromovendo retenção de líquido luminal. A ovariosalpingohisterectomia é o tratamento de eleiçãopara esta patologia, podendo ser realizada por meio de procedimento convencional (celiotomia),por laparoscopia, ou até mesmo na associação dos dois procedimentos (cirurgia videoassistida).O presente trabalho visa relatar o uso da ovariosalpingohisterectomia videoassistida comdois portais em uma cadela com hemometra. Para o procedimento cirúrgico foram utilizados doisportais de 10mm e endoscópio de 10mm e 00. O presente relato demonstra que a ovariosalpingohisterectomiavideoassistida com dois portais é viável e segura no tratamento de hemometra emcadelas.(AU)
Hemometra is characterized by accumulation of sterile blood in uterus. Progesterone normally stimulatesgrowth and secretory activity of endometrial glands, which can result in the developmentof cystic endometrial hyperplasia with accumulation of fluid in the endometrial glands and uterus.Progesterone also decreases myometrial activity and promotes retention of luminal fluid. Ovariohysterectomyis the treatment choice for disease and can be performed by conventional procedure(celiotomy), laparoscopy, or combination of the two procedures (video-assisted surgery). This paperdescribes the use of video-assisted ovariohysterectomy with two portals in a bitch German Shepherdwith hemometra by two-portals (10mm) access and one 00 laparoscope. This report showsthat video-assisted ovariohysterectomy with two portals is feasible and safe in treating hemometrain bitches.(AU)
Assuntos
Animais , Feminino , Cães , Cirurgia Vídeoassistida/veterinária , Cães , Hematometra/veterináriaRESUMO
Hemometra é caracterizada pelo acúmulo de sangue estéril no útero. Sobre a etiologia da alteração,sabe-se que a progesterona estimula o crescimento e a atividade secretora das glândulasendometriais, podendo resultar no desenvolvimento de hiperplasia endometrial cística e no acúmulode líquido na luz uterina. A progesterona ainda diminui a atividade miométrica, tambémpromovendo retenção de líquido luminal. A ovariosalpingohisterectomia é o tratamento de eleiçãopara esta patologia, podendo ser realizada por meio de procedimento convencional (celiotomia),por laparoscopia, ou até mesmo na associação dos dois procedimentos (cirurgia videoassistida).O presente trabalho visa relatar o uso da ovariosalpingohisterectomia videoassistida comdois portais em uma cadela com hemometra. Para o procedimento cirúrgico foram utilizados doisportais de 10mm e endoscópio de 10mm e 00. O presente relato demonstra que a ovariosalpingohisterectomiavideoassistida com dois portais é viável e segura no tratamento de hemometra emcadelas.
Hemometra is characterized by accumulation of sterile blood in uterus. Progesterone normally stimulatesgrowth and secretory activity of endometrial glands, which can result in the developmentof cystic endometrial hyperplasia with accumulation of fluid in the endometrial glands and uterus.Progesterone also decreases myometrial activity and promotes retention of luminal fluid. Ovariohysterectomyis the treatment choice for disease and can be performed by conventional procedure(celiotomy), laparoscopy, or combination of the two procedures (video-assisted surgery). This paperdescribes the use of video-assisted ovariohysterectomy with two portals in a bitch German Shepherdwith hemometra by two-portals (10mm) access and one 00 laparoscope. This report showsthat video-assisted ovariohysterectomy with two portals is feasible and safe in treating hemometrain bitches.