Department of Companion Animals, Atlantic Veterinary College, University of Prince Edward Island, Charlottetown, Prince Edward Island C1A 4P3.
Can Vet J. 2022 Oct;63(10):1022-1026.
Two unrelated queens were presented for persistent signs of estrus despite a history of ovariohysterectomy. Uterine unicornis was suspected based on historical surgical findings. Anti-Müllerian hormone testing was consistent with the presence of ovarian tissue in both queens. Based on the ultrasonographic confirmation of unilateral abnormal structures in the ovarian region and ipsilateral absence of the kidney, a laparoscopic surgical approach was performed on each queen to remove remnant ovarian tissue. Laparoscopy confirmed the absence of a kidney ipsilateral to the remnant ovarian tissue. Both cats recovered from surgery and displayed no further signs of estrus. Key clinical message: To our knowledge, these are the first reported cases of feline uterine unicornis treated with a laparoscopic surgical approach. This minimally invasive approach, preceded by a thorough diagnostic work-up, may be of benefit to future queens with uterine unicornis. In addition, anti-Müllerian hormone testing has not been well-described in the literature when used in cats with remnant ovarian tissue. These cases may be of value to clinicians discovering the absence of a uterine horn when performing an ovariohysterectomy on queens.
两只无关联的母猫尽管已经做过卵巢子宫切除术,但仍持续出现发情迹象。根据历史手术发现,怀疑是子宫畸形。抗苗勒氏管激素检测结果表明两只母猫的卵巢组织都存在。根据超声检查在卵巢区域单侧异常结构的确认以及同侧肾脏缺失,对每只母猫进行腹腔镜手术以切除残余的卵巢组织。腹腔镜检查证实,在残余卵巢组织同侧没有肾脏。两只猫术后恢复良好,不再有发情迹象。主要临床信息:据我们所知,这是首例采用腹腔镜手术治疗猫子宫畸形的报道。这种微创方法,在进行彻底的诊断性检查之前,可以为未来患有子宫畸形的母猫带来益处。此外,抗苗勒氏管激素检测在用于有残余卵巢组织的猫时,在文献中描述得还不够充分。这些病例对于在为母猫进行卵巢子宫切除术时发现没有子宫角的临床医生可能具有一定价值。