Peer-reviewed veterinary case report
Dog treated with omentalization for uterine stump abscess after spay
By Campbell, Bonnie G·Published in Journal of the American Veterinary Medical Association·2004·Department of Veterinary Clinical Sciences, United States·View original on PubMed →
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Original publication title: Omentalization of a nonresectable uterine stump abscess in a dog.
- Species:
- dog
Plain-English summary
A 2-year-old spayed female Golden Retriever was brought to the vet one month after her spay surgery because she was vomiting, lethargic, and had trouble urinating. The vet found a large abscess in the remaining uterine tissue that was stuck to her bladder, making traditional surgery risky. Instead of removing the entire stump, the vet cleaned out the abscess and packed the area with omentum, a tissue that helps drain infections. The dog recovered completely after the surgery, showing that this method can be a good option for treating similar abscesses in dogs.
People also search for: dog vomiting after spay · Golden Retriever urinary problems · uterine stump abscess treatment
Abstract
One month after ovariohysterectomy, a 2-year-old spayed female Golden Retriever was evaluated because of an extensive uterine stump abscess. Clinical signs included intermittent vomiting, signs of depression, lethargy, and pollakiuria. The dog underwent abdominal surgery; the greatly enlarged uterine stump was tightly adhered to the dorsal surface of the bladder, encompassing the distal portions of the ureters and the bladder's neurovascular supply. En bloc resection of the uterine stump was not considered an acceptable treatment option because of the risk of surgical damage to and subsequent devitalization of the bladder or ureters, urinary incontinence, or urinary tract obstruction. Therefore, the diseased uterine tissue that extended cranial to the bladder was resected, and the remaining abscess cavity was lavaged and packed with omentum. The dog recovered fully from the procedure. The omentum is an effective physiologic drain; its extensive vascular and lymphatic networks absorb fluid and actively promote elimination of infection. Omentalization appears to be an option for surgical management of nonresectable uterine stump abscesses in dogs.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/15198265/