Confirmed Pyometra in an 11-year-old MN Poodle…. YES a MN!: Our Case Of the Month February 2016

Case Of the Month

Confirmed Pyometra in an 11-year-old MN Poodle…. YES a MN!: Our Case Of the Month February 2016

The patient was present for “ADR”, back pain, pollakiuria and dysuria, and dark urine. Treatments included IVF, Ampicillin, and Baytril without clincial response. Urine specific gravity was 1.034, pH 7, 1+ protein. Bloodwork was unremarkable.

The patient was present for “ADR”, back pain, pollakiuria and dysuria, and dark urine. Treatments included IVF, Ampicillin, and Baytril without clincial response. Urine specific gravity was 1.034, pH 7, 1+ protein. Bloodwork was unremarkable.

DX

Hermaphroditic Pyometra.

Outcome

Exploratory surgery with removal of this structure was recommended and performed. The patient responded well to surgery.

Comments

Special thanks to Rachel Brilhardt RDMS & Andi Parkisnon RDMS of Intrapet Veterinary Imaging, Baltimore, MD, USA for imaging Henri and to Dr. David Cullum & staff at Creswell Vet Clinic, Baltimore, MD, USA (www.creswellvetclinic.com) for the medical and surgical management ensuring a positive outcome.

Clinical Differential Diagnosis

Orthopedic pain, urethritis, prostatic tumor, neoplasia, abscess, pancreatitis, open.

UA PH

7.0

UA PH

7.0

Sampling

Surgical removal of the infected uterus was performed confirming the suspicion of pyometra.

Sonographic Differential Diagnosis

Pyometra owing to hermaphroditism.

Image Interpretation

The urinary bladder itself presented minor thickening and minor debris. A tubular
structure was noted in a position between the colon and the urinary bladder with
dilation. Given the position of the structure and echogenic fluid dilation pyometra owing to hermaphraditism is suspected.

UA Specific Gravity Range

1.034

Patient Information

Patient Name : Henri Ferrarese: Andi P scan 10/28/2015
Gender : Male, Neutered
Species : Canine
Status : Complete

Clinical Signs

  • "Not Doing Right"
  • Pain

Images

feb_2016_com_henri_hermi_img_3488henri_hermi_2016_img_3489herm1henri2henri3henri4henri5henri7

Clinical Signs

  • "Not Doing Right"
  • Pain
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