Had a 5 year Great Dane referred to me today due to a chronic history of vaginal discharge (couple of months) She was spayed at about 9 months of age. The referring vet wanted to rule the possibility of a stump pyometra/granuloma/mass etc.
This Dane was huge but very very cooperative. Had to ultrasound on the ground. I did not find anything abnormal where you would think a uterine stump would be. With alot of pressure I tried to get under the pelvic rim as far a possible and did not see any thing. The rest of the ultrasound was unremarkable.
Had a 5 year Great Dane referred to me today due to a chronic history of vaginal discharge (couple of months) She was spayed at about 9 months of age. The referring vet wanted to rule the possibility of a stump pyometra/granuloma/mass etc.
This Dane was huge but very very cooperative. Had to ultrasound on the ground. I did not find anything abnormal where you would think a uterine stump would be. With alot of pressure I tried to get under the pelvic rim as far a possible and did not see any thing. The rest of the ultrasound was unremarkable. Adrenals fine, no evidence of ovarian remnents, urinary bladder and kidneys normal.
My question is, how hard would it be to miss a stump pyometra in a Great Dane? I have actually never seen one before except in pictures and of course I looked in the Sonopath archives. I have recommended a scope of the vagina.
Comments
Hi!
It´s always harder to
Hi!
It´s always harder to rule something out than to find something 🙂
But I don´t think that you missed it. Usually u do not only see the stump (which is very obvious in cases of stump pyometra) but also surrounding hyperechoic fat (local inflammation). Just avoid to look only too far caudally because the stump can also be more cranial than you would expect it.
I don´t think I have one in my archive to show you but perhaps Eric has one.
Best Regards!
Peter
Hi!
It´s always harder to
Hi!
It´s always harder to rule something out than to find something 🙂
But I don´t think that you missed it. Usually u do not only see the stump (which is very obvious in cases of stump pyometra) but also surrounding hyperechoic fat (local inflammation). Just avoid to look only too far caudally because the stump can also be more cranial than you would expect it.
I don´t think I have one in my archive to show you but perhaps Eric has one.
Best Regards!
Peter
Thanks Peter
My feeling was
Thanks Peter
My feeling was that it should have been quite obvious if it was present but of course you sometimes second guess yourself.
This is an unusual case due to the age of the pet. She is clinically very happy and well otherwise. The vet on the case and the owners are getting quite frustrated. Hopefully a scope will get us some answers.
Thanks Peter
My feeling was
Thanks Peter
My feeling was that it should have been quite obvious if it was present but of course you sometimes second guess yourself.
This is an unusual case due to the age of the pet. She is clinically very happy and well otherwise. The vet on the case and the owners are getting quite frustrated. Hopefully a scope will get us some answers.
Just posted another thread
Just posted another thread with normal and stump pyo. You can also do a pathology search http://www.sonopath.com/case-studies/search key word “stump pyometra” and 4 come up. Bernice would be the best example of a hot one.
Just posted another thread
Just posted another thread with normal and stump pyo. You can also do a pathology search http://www.sonopath.com/case-studies/search key word “stump pyometra” and 4 come up. Bernice would be the best example of a hot one.
Hi Jaquie, I have an image
Hi Jaquie, I have an image from a case of a stump left caudal to the left ovary and the dog kept presenting heat a year after being spayed. On the scan we found a tubular structure with anechoic fluid in its lumen and you can also see some folds from the wall towards the lumen. They confirm the presence of the stump full of fluid, when they did the ex lap to resect it. Also they removed the ovary.
I can post it but I dont know how to upload the image. If someone can guide me to do it in this comment. Ill post it to you.
Hi Jaquie, I have an image
Hi Jaquie, I have an image from a case of a stump left caudal to the left ovary and the dog kept presenting heat a year after being spayed. On the scan we found a tubular structure with anechoic fluid in its lumen and you can also see some folds from the wall towards the lumen. They confirm the presence of the stump full of fluid, when they did the ex lap to resect it. Also they removed the ovary.
I can post it but I dont know how to upload the image. If someone can guide me to do it in this comment. Ill post it to you.