09_00157 Duff H Ovarian remnant, uterine stump hypertrophy

Case Study

09_00157 Duff H Ovarian remnant, uterine stump hypertrophy

An 11-year-old SF Collie cross was presented for evaluation vulvar bleeding with clots of blood being evident.

 

Sonographic Differential Diagnosis

Uterine stump hypertrophy with right ovarian remnant.
I recommend exploratory surgery with removal of the suspected right ovarian remnant and resection of the residual uterine stump to the level of the cervix.

Image Interpretation

A 2.95 x 2.1 cm cystic structure was noted caudal to the right kidney. This is consistent with ovarian remnant. The uterine stump was thickened and measured 1.07 cm. The uterus was potentially adhered to the dorsal bladder wall as it impinges on the bladder wall.

DX

Ovarian remnant, uterine stump hypertrophy

Outcome

None

Clinical Differential Diagnosis

Stump pyometria, ovarian remnant, vaginal neoplasia
Bladder – bacterial cystitis, neoplasia

Sampling

None

Patient Information

Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Vaginal discharge

Images

duff_right_ovarian_remnantduff_u_stump_2duff_u_stump_hypertrophy

Clinical Signs

  • Vaginal discharge