Sonopath Forum

Abnormal Uterus/Ovary

Hi, this patient was presented for scanning due to having signs of oestrus even though her bleeding had stopped over 4 weeks prior. no actual discharge.

It is unlikely that patient mated but I am trying to have confirmation of that. Should that had happened, in theory i would be dealing with over 30 days gestation anyway and I wouldnt be seeing embrionic sacs but heartbeats. Unless the embrios were not viable and are reabsorbing. The reason why I mention this is because uterus appears thickened and there are few cystic and nodular structures but nothing like embrios. And also, this patient does not have discharge.

To me this uterus appears thickened than normal but…not really a pyo. more a cystic endometritis? emerging pyo?

Also, right ovary appears too echogenic to me. none of them appear cystic.

Any input?

Thank you…

Comments

February 4, 2016 at 5:35 am -

Looks like an ovarian cyst..

Looks like an ovarian cyst.. Im not a repro guy but persistent estrus and ovarian cysts go hand in hand. The uterus in your still image is unifrmly thickened as you would expect in a heat uterus.

Anonymous

February 4, 2016 at 8:29 am -

Thanks EL. So I have a few
Thanks EL. So I have a few questions… Which is the ovary you see cysts on? If the uterus is like this even if there are cysts in the wall and there is mild lumen fluid accumulation ( in this case there is some but only little at the cervix) then it can still be estrus or functional cysts?
I find the left ovary much more hypoechoic ( nearly anechoic) than right ovary and I thought ROV was dis homogeneous. Which one is normal? Or where are the cysts?
My colleague has just rebooked the dog for a repeated scan and the owner said the dog is now perfectly normal… Would cystic ovary just stop producing hormones for a while?… Sorry, I sometimes find uterus and ovaries difficult to differentiate whether they are on normal estrus or regression or abnormal…

February 4, 2016 at 5:43 pm -

You know I wish I had the

You know I wish I had the answer to this but Im very Ham & Egger when it comes to repro and live by the adage”… Once a bad Uterus/ovary always a bad uterus/ovary….” When the repro system is a problem spay/neuter is usually the final answer. If there are iregular heat cycles and ovarian cysts then OVH is curable and I never had the patience for medical or interventional things here. I just spayed and moved on when the usual PG tx and so forth didnt work. There are those that cater to breeding but I never got into that beyond a attempt or 2 medically when in general practice. Perhaps someone else has experience on that realm in the forum?

calinca

February 5, 2016 at 7:46 am -

Hi
Regarding the ovaries,

Regarding the ovaries, your have a left ovary with at least 2 large cyst hence is more anoechoyc in general, on the right ovary it seems you have smaller caudal an ventral cysts and you see more hyperechoyc parenchyma of the ovary, that if you look closely on your left ovary you will also find, but some assimetry is commonly seen in ovaries in my experience.

You seem to have ovarian cyst, probably patological (hormone producing) related to endometric cystic hyperplasia. Or you coud just have a sick uterus going into heat, and the ovarian cyst are folicular and normal, but I would expect a vaginal discharge and heat signs by now from a heat animal.

If the animal is clinically well, maybe the uterine disease is not yet giving signs, a lot of animals are asymptomatic for a long time, or the uterus closes.

So a recheck seem to be the right thing to do 🙂

And off course, as EL says, once a bad uterus, always a bad uterus, so spaying should be the next step.

Cheers