Confirmed Pyometra in an 11-year-old MN Poodle…. YES a MN!: Our Case Of the Month February 2016

What pathology lies inside this “Ain’t Doin’ Right” 11-year-old MN Miniature Poodle?… Pancreatitis, neoplasia, back pain..?? Tag team Andi Parkinson, BS, RDMS/Rachel Brilhardt, RDMS of Intrapet Imaging & Lindquist, DABVP remotely with Sonopath.com telemedicine and the art of sonographic deductive reasoning discovers a Hermaphroditic Pyometra in this Male Neutered Poodle with the organs Henri never thought he had in the SonoPath.com February, 2016 case of the month.

History

The patient was present for “ADR”, back pain, pollakiuria and dysuria, and dark urine. Treatments included IVF, Ampicillin, and Baytril without clincial response. Urine specific gravity was 1.034, pH 7, 1+ protein. Bloodwork was unremarkable.

The patient was present for “ADR”, back pain, pollakiuria and dysuria, and dark urine. Treatments included IVF, Ampicillin, and Baytril without clincial response. Urine specific gravity was 1.034, pH 7, 1+ protein. Bloodwork was unremarkable.

Comments

Special thanks to Rachel Brilhardt RDMS & Andi Parkisnon RDMS of Intrapet Veterinary Imaging, Baltimore, MD, USA for imaging Henri and to Dr. David Cullum & staff at Creswell Vet Clinic, Baltimore, MD, USA (www.creswellvetclinic.com) for the medical and surgical management ensuring a positive outcome.

Clinical Differential Diagnosis

Orthopedic pain, urethritis, prostatic tumor, neoplasia, abscess, pancreatitis, open.

DX

Hermaphroditic Pyometra.

UA PH

7.0

Sampling

Surgical removal of the infected uterus was performed confirming the suspicion of pyometra.

Sonographic Differential Diagnosis

Pyometra owing to hermaphroditism.

Image Interpretation

The urinary bladder itself presented minor thickening and minor debris. A tubular
structure was noted in a position between the colon and the urinary bladder with
dilation. Given the position of the structure and echogenic fluid dilation pyometra owing to hermaphraditism is suspected.

UA Specific Gravity Range

1.034

Outcome

Exploratory surgery with removal of this structure was recommended and performed. The patient responded well to surgery.

Video

Patient Information

Patient Name : Henri Ferrarese: Andi P scan 10/28/2015
Age : 11 Years
Gender : Male, Neutered
Species : Canine
Status : Complete

Clinical Signs

  • “Not Doing Right”
  • Pain

Images

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