Pyometra in a 2 year old Hedgehog

Case Study

Pyometra in a 2 year old Hedgehog

A 2-year-old female Hedgehog was presented for evaluation of hematuria that had not responded to Baytril therapy. There had been no change in behavior, appetite, and activity.

A 2-year-old female Hedgehog was presented for evaluation of hematuria that had not responded to Baytril therapy. There had been no change in behavior, appetite, and activity.

Sonographic Differential Diagnosis

1. Bladder – no sonographically significant lesions.
2. Uterus – the findings are severe – DDx: chronic metritis vs. pyometra vs. uterine neoplasia.

Image Interpretation

The urinary bladder was normal size with normal wall thickness and no evidence of inflammation or urolithiasis. The uterus was abnormally, severely large and round with tissue density of heterogenous echotexture throughout. There was evidence of vascularity in center of the abnormal tissue.

DX

Pyometra

Outcome

Ovariohysterectomy was performed and pyometra was found. No neoplasia.

Comments

Case courtesy of Marty Henderson, DVM. SonoVet, 

Clinical Differential Diagnosis

Bladder – chronic cystitis, uroliths, neoplasia
Uterus – metritis, open pyometria, neoplasia

Sampling

None

Patient Information

Gender : Female, Intact
Species : Exotic
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 09_00102

Clinical Signs

  • Hematuria

Clinical Signs

  • Hematuria