09_00167 Rosie A Ovarian remnant and uterine stump hypertrophy

Case Study

09_00167 Rosie A Ovarian remnant and uterine stump hypertrophy

A 2-year-old SF Pug/Boston mix was presented for evaluation of signs of estrus. On physical examination, the vulva was swollen and there was a red-tinged discharge.

A 2-year-old SF Pug/Boston mix was presented for evaluation of signs of estrus. On physical examination, the vulva was swollen and there was a red-tinged discharge.

 

Sonographic Differential Diagnosis

Residual right ovarian remnant with cystic uterus. Resection of the right ovarian remnant and uterine base is recommended.

Image Interpretation

Uterine stump in this patient, best visualized in video 1, revealed a cystic structure at the uterine base with fluid filled and irregular tissue consistent with stump pyometra or entrapped vessel. Resection to the cervix is recommended. The cystic portion of the residual uterine stump measured approximately 1 cm with minor thickened uterine tissue noted cranial to the cystic structure. This may be a simple suture reaction; however, resection would be recommended. The region of the right ovary revealed a cystic structure measuring 1.5 cm caudal to the right kidney consistent with ovarian remnant.

DX

Ovarian remnant and stump hypertrophy

Outcome

None

Clinical Differential Diagnosis

Retained ovarian tissue, exposure to estrogenic drugs

Sampling

None

Patient Information

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

Clinical Signs

  • Vaginal discharge
  • Vulvar swelling

Exam Finding

  • Vaginal discharge

Images

rosie_ankrum_right_ovarian_remnant_2_copyrosie_ankrum_right_ovarian_remnant_copy

Clinical Signs

  • Vaginal discharge
  • Vulvar swelling