Rosenberg Lacey M, Marinoff Jacqueline, Crouch Esther E, Valenzano Dominick M, Peters-Kennedy Jeanine, Cheong Soon Hon, de Amorim Mariana Diel
Department of Clinical Sciences (Rosenberg, Valenzano, Cheong, Diel de Amorim), Department of Biomedical Sciences (Marinoff, Crouch, Peters-Kennedy), College of Veterinary Medicine, Cornell University, Ithaca, New York 14853, USA.
Can Vet J. 2020 Jun;61(6):584-588.
A 3-year-old intact female Labradoodle bitch was referred due to fever and lethargy 4 days postpartum. The dog was reported to have had prolonged labor that required assistance and fetal membranes were retained. Physical examination and diagnostics led to a suspicion of metritis and uterine perforation. Ovariohysterectomy was performed. Gross and histopathology findings revealed multifocal uterine perforation, necrosuppurative metritis, and placenta percreta. Post-operative antibiotic therapy and supportive care resulted in an uneventful clinical recovery. This is the first reported case of placenta percreta in a bitch. It is presumed that this pathology was paramount in the patient's development of metritis and subsequent uterine rupture. Key clinical message: Placenta percreta may lead to more severe clinical consequences of metritis, including uterine rupture.
一只3岁未绝育的雌性拉布拉多贵宾犬混血母犬在产后4天因发热和嗜睡前来就诊。据报告，该犬分娩时间延长，需要助产，且胎膜残留。体格检查和诊断结果怀疑为子宫炎和子宫穿孔。遂进行了卵巢子宫切除术。大体病理和组织病理学检查结果显示多灶性子宫穿孔、坏死性化脓性子宫炎和胎盘植入。术后抗生素治疗和支持性护理使患者临床康复过程顺利。这是首次报道的母犬胎盘植入病例。据推测，这种病理状况在该患者子宫炎及随后子宫破裂的发展过程中起了至关重要的作用。关键临床信息：胎盘植入可能导致子宫炎更严重的临床后果，包括子宫破裂。
