A 3-year-old female Yorkshire terrier was with a history of vaginal discharge over a few days was presented for evaluation of vomiting, diarrhea and trembling. Vaginal discharge was presented on physical examination. CBC showed mild anemia, neutrophilia, and monocytosis. Serum biochemistry was within reference range.
Chronic metritis, pyometra. Mild potential for underlying neoplasia. Some of the echogenic luminal structures could technically represent mass or resorbing fetuses.
The uterus in this patient was mildly thickened measuring 1 cm in width with echogenic debris. A cystic structure was noted at the base of the uterus measuring 2 cm suggestive for fluid accumulation. Both horns of the uterus were thickened with dilated lumen and echogenic fat surrounding the uterine horns suggestive for transmural inflammation.
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Metritis, cystic endometrial hyperplasia, pyometria
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