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Peer-reviewed veterinary case report

Cat with pyometra and twisted uterus seen on X-ray and ultrasound

By Bynum, Lauren et al.·Published in Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association·2024·Texas A&M School of Veterinary Medicine and Biomedical Sciences, United States·View original on PubMed

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Original publication title: Radiographic and ultrasonographic appearance of pyometra with unilateral uterine torsion in a domestic shorthair cat.

Species:
cat
Cat not eatingAppetite & weightCats

Plain-English summary

An 8-year-old female domestic shorthair cat was brought to the vet after showing signs of lethargy and not eating for three days. Upon examination, she was dehydrated and had a swollen abdomen, but there was no vaginal discharge. X-rays and ultrasound showed a twisted uterus filled with fluid, which is a serious condition called pyometra (an infection of the uterus). The cat underwent emergency surgery to remove the affected uterus, and she recovered well after the procedure.

People also search for: cat lethargy and not eating · pyometra in cats · cat abdominal swelling treatment · cat surgery recovery · domestic shorthair cat health issues

Abstract

An 8-year-old female domestic shorthair, presenting for a 3-day history of lethargy and hyporexia, was obtunded, dehydrated, tachypneic, and had abdominal distension on physical exam with no vaginal discharge or pyrexia. Abdominal radiographs revealed a large, ovoid soft tissue mass and a tortuous, tubular soft tissue structure in the abdomen. Abdominal ultrasound revealed a severely fluid-distended uterus with a left uterine torsion, which was demonstrated by a "whirl sign." Emergency ovariohysterectomy surgically confirmed a 360° torsion of the left uterine horn with a fluid-distended right uterine horn. Histopathology confirmed a diagnosis of pyometra, and the cat recovered uneventfully.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39039865/