An 18-month-old, intact female German shepherd dog was presented for evaluation of severe, frank hemorrhage from the vulva. A complete blood count, serum biochemical analysis, and urinalysis supported acute hemorrhage. Abdominal radiographs were unremarkable. Abdominal ultrasound demonstrated that the uterine body and cranial vaginal lumen were fluid-filled and contained hyperechoic, polypoid masses that were suspected to be blood clots. Exploratory laparotomy revealed a mildly enlarged uterus with a diffuse, cystic endometrium; significant amounts of blood and blood clots within the lumen; and several focal accumulations of yellow fluid presumed to be a purulent exudate. Histopathology confirmed severe, cystic, endometrial hyperplasia and pyometra complex.
Severe Hematometra in a Dog With Cystic Endometrial Hyperplasia/Pyometra Complex
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Mark T. Troxel, Angelyn M. Cornetta, Karen F. Pastor, Lori E. Hartzband, Michael F. Besancon; Severe Hematometra in a Dog With Cystic Endometrial Hyperplasia/Pyometra Complex. J Am Anim Hosp Assoc 1 January 2002; 38 (1): 85–89. doi: https://doi.org/10.5326/0380085
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