Memon M A, Schelling S H, Sherman D M
School of Veterinary Medicine, Tufts University, North Grafton, MA 01536, USA.
J Am Vet Med Assoc. 1995 Feb 1;206(3):362-4.
A 6-year-old Nubian doe was evaluated because of slowly progressive abdominal enlargement of 1 month's duration. Five days prior to examination at our hospital, the doe was examined by a local veterinarian. False pregnancy was suspected, and 10 mg of prostaglandin F2 alpha was injected IM. Abdominal distention did not decrease, and the doe did not develop a vaginal discharge. An additional 10 mg of prostaglandin and 24 mg of dexamethasone were injected IM, about 80 hours after the first injection, again without any apparent effect. On arrival at our hospital, the doe was in sternal recumbency and was too weak to stand unassisted. Its abdomen was distended. The body of the uterus and part of 1 uterine horn could be examined by means of transrectal ultrasonography, both appeared normal. The doe was admitted to the hospital, but its condition worsened, and it died during the night. Postmortem examination revealed approximately 30 L of clear, pale, straw-colored fluid in the peritoneal cavity. The caudal pole of the left ovary contained an indistinct, firm, slightly raised, gray-tan mass. The final diagnosis was mucinous adenocarcinoma of the ovary metastatic to the partietal peritoneum, pericardium, and lungs. In adult female goats with bilateral abdominal distention, hydrometra associated with false pregnancy should always be considered; however, if there is no response to prostaglandin administration, distention is more likely to be a result of ascites.
一只6岁的努比亚母山羊因持续1个月的缓慢进行性腹部肿大而接受评估。在我院检查前5天,这只母山羊由当地兽医进行了检查。怀疑为假孕,肌肉注射了10毫克前列腺素F2α。腹部膨胀未减轻,且母山羊未出现阴道分泌物。在首次注射约80小时后,又肌肉注射了10毫克前列腺素和24毫克地塞米松,同样没有任何明显效果。到达我院时,这只母山羊呈胸卧式,虚弱得无法独自站立。其腹部膨胀。通过经直肠超声检查可检查子宫体和一侧子宫角的部分,两者均正常。这只母山羊被收治入院,但病情恶化,于夜间死亡。尸检发现腹腔内有约30升清澈、淡色、稻草色的液体。左卵巢的尾极有一个不清晰、质地硬、略隆起的灰棕色肿块。最终诊断为卵巢黏液性腺癌转移至壁腹膜、心包和肺。对于成年雌性山羊出现双侧腹部膨胀的情况,应始终考虑与假孕相关的子宫积水;然而,如果对前列腺素治疗无反应,膨胀更可能是腹水所致。