Troxel Mark T, Cornetta Angelyn M, Pastor Karen F, Hartzband Lori E, Besancon Michael F
VCA South Shore Animal Hospital, South Weymouth, Massachusetts 02190, USA.
J Am Anim Hosp Assoc. 2002 Jan-Feb;38(1):85-9. doi: 10.5326/0380085.
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.
一只18个月大、未绝育的雌性德国牧羊犬因外阴严重出血前来接受评估。全血细胞计数、血清生化分析和尿液分析均支持急性出血。腹部X光片未见异常。腹部超声显示子宫体和阴道上段管腔充满液体，内有高回声的息肉样肿块，怀疑是血凝块。剖腹探查发现子宫轻度肿大，子宫内膜呈弥漫性囊性；管腔内有大量血液和血凝块；还有几处局部积聚的黄色液体，推测为脓性渗出物。组织病理学证实为重度囊性子宫内膜增生和子宫蓄脓综合征。
