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Peer-reviewed veterinary case report

Severe uterine blood buildup in young female dog with uterine

By Troxel, Mark T et al.·Published in Journal of the American Animal Hospital Association·2002·VCA South Shore Animal Hospital, United States·View original on PubMed

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Original publication title: Severe hematometra in a dog with cystic endometrial hyperplasia/pyometra complex.

Species:
dog

Plain-English summary

An 18-month-old female German Shepherd was brought to the vet because she was bleeding heavily from her vulva. Tests showed she had acute hemorrhage, and an ultrasound revealed her uterus was filled with fluid and blood clots. During surgery, the vet found an enlarged uterus with a lot of blood and signs of infection. The diagnosis was severe cystic endometrial hyperplasia and pyometra (a serious uterine infection). Treatment involved surgery to remove the affected uterus, which is crucial for her recovery.

People also search for: dog bleeding from vulva · German Shepherd pyometra treatment · dog uterine infection symptoms

Abstract

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.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/11804322/