A 13 year old DSH was presented for evaluation of abdominal distension and anorexia. On survey radiographs small intestinal wall thickening, mid abdominal mass, abnormal shape to the urinary bladder, and a small liver were evident.
A 13 year old DSH was presented for evaluation of abdominal distension and anorexia. On survey radiographs small intestinal wall thickening, mid abdominal mass, abnormal shape to the urinary bladder, and a small liver were evident.
Pyometra, potential mummified fetus or neoplasia, early peritonitis.
The uterus is fluid-filled with mildly thickened wall. The fluid is echogenic suggestive for blood or inflammatory components; the base of the uterus contains a rounded structure which may indicate fetal mummification or a mass. Hyperechoic surrounding reactive fat and localized free fluid indicate peritonitis. The bladder appears normal.
Post ovariohysterectomy the patient recovered uneventfully.
Abdominal mass – neoplasia, abscess, organ (such as kidney, spleen, intestine, lymph nodes, or uterus). Intestinal disease – IBD, neoplasia.
An ovariohysterectomy was done. On histopathology, an ovarian cyst and segmental endometrial squamous metaplasia with endometritis, myometritis, and adenomyosis (ectopic glandular tissue within the muscle) was diagnosed.
