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一只矮山羊因子宫病理性肿大而出现尿频。

Pollakisuria in a dwarf goat due to pathologic enlargement of the uterus.

作者信息

Pfister P, Geissbuehler U, Wiener D, Hirsbrunner G, Kaufmann C

机构信息

Clinic for Ruminants, Vetsuisse-Faculty of Bern, University of Bern, Switzerland.

出版信息

Vet Q. 2007 Sep;29(3):112-6. doi: 10.1080/01652176.2007.9695234.

Abstract

Pollakisuria in adult goats can be caused by diseases of the urinary tract and by distension of parts of the genital tract leading to irritation of the bladder. Hydrometra is the most common cause of uterine distension in goats and usually can be resolved by prostaglandin injections. But other pathologies of the uterus can generate a similar syndrome. A dwarf goat was presented at the clinic with a history of chronic pollakisuria and tenesm. An initial ultrasonographic examination of the abdomen led to the suspicion of hydrometra, but treatment with injections of prostaglandin were not successful. Blood samples revealed low progesterone and high oestrogen values. A laparotomy was performed and an enlarged uterus with 1.5 L of mucous content and cystic ovaries were found and partially removed. A single solid leiomyoma was diagnosed histologically in the uterine wall. Two months later the goat's condition had deteriorated and therefore she was euthanized. Necropsy and pathohistological examination revealed the presence of a metastasized adenocarcinoma of the uterus. In this case, the pollakisuria provoqued by distension of the uterus was not caused by hydrometra, but by neoplasia. The syndrome and the pathogenesis of the adenocarcinoma in consideration of the hormonal status of the patient is discussed.

摘要

成年山羊尿频可由泌尿系统疾病以及生殖道部分扩张导致膀胱受刺激引起。子宫积水是山羊子宫扩张最常见的原因,通常可通过注射前列腺素解决。但子宫的其他病变也可产生类似综合征。一只矮山羊因慢性尿频和里急后重病史被送至诊所。最初的腹部超声检查怀疑是子宫积水,但注射前列腺素治疗未成功。血液样本显示孕酮值低而雌激素值高。进行了剖腹手术,发现子宫增大,有1.5升黏液内容物和囊性卵巢,并部分切除。组织学诊断子宫壁有一个单一实性平滑肌瘤。两个月后,山羊病情恶化,因此对其实施了安乐死。尸检和病理组织学检查发现存在子宫转移性腺癌。在这种情况下,由子宫扩张引起的尿频并非由子宫积水所致,而是由肿瘤形成引起。结合患者的激素状态对腺癌的综合征和发病机制进行了讨论。

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