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一例与金毛猎犬卵巢子宫内膜异位症相关的自然流产病例。

A case of spontaneous abortion related to ovarian endometriosis in a Golden Retriever dog.

作者信息

Demirel M A

机构信息

Laboratory Animals Breeding and Experimental Researches Center, Faculty of Pharmacy, University of Gazi, 06330, Ankara, Turkey.

出版信息

Iran J Vet Res. 2017 Winter;18(1):63-66.

Abstract

This report describes a case of spontaneous abortion in a 4-year-old Golden Retriever dog with ovarian endometriosis. Clinical findings indicated that there was not any senstivity in the abdomen and the viability parameters were within the reference values. On vaginal examination, serosanguineous discharge was determined. Ultrasonographic examination revealed that no fetus was observed in cornu uteri and an hypoechoic cystic structure, measuring 3.2 × 3.4 cm was found behind the left kidney. Ovarian cyst was suspected, and then ovariohysterectomy was performed. On laparotomy, the presence of a cystic structure was confirmed in the left ovary similar to ultrasonographic findings. Cyst was smooth, flat, hemorrhagic and thick-walled structure. Histopathologic examination of the ovarian stroma revealed covered luteinizing cells and midline hemorrhagic cyst. However, the internal surface of the cyst wall was covered by an endometrial lining. Interestingly, the endometriotic tissue had a maximal penetration into the cyst wall. It was thought that the ovarian endometriosis caused a failure in the luteinizing hormone action which is responsible for luteal function and spontaneous abortion was observed in this case. Although ovarian endometriosis is quite usual in human, this case could be the first report to describe ovarian endometriosis in a dog, and thus it has been reported to cause spontaneous abortion.

摘要

本报告描述了一例患有卵巢子宫内膜异位症的4岁金毛猎犬发生自然流产的病例。临床检查发现腹部无压痛,各项生存参数均在参考值范围内。阴道检查发现有浆液性血性分泌物。超声检查显示子宫角未观察到胎儿,左肾后方发现一个大小为3.2×3.4 cm的低回声囊性结构。怀疑为卵巢囊肿,随后进行了卵巢子宫切除术。剖腹手术中,在左卵巢发现了一个与超声检查结果相似的囊性结构。囊肿表面光滑、扁平,有出血,壁较厚。卵巢基质的组织病理学检查显示有黄体化细胞覆盖和中线出血性囊肿。然而,囊肿壁的内表面被子宫内膜衬里覆盖。有趣的是,子宫内膜异位组织对囊肿壁的浸润程度最大。据认为,卵巢子宫内膜异位症导致了负责黄体功能的促黄体生成素作用失败,该病例中观察到了自然流产。虽然卵巢子宫内膜异位症在人类中相当常见,但该病例可能是首例描述犬卵巢子宫内膜异位症的报告,据报道它可导致自然流产。

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