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Journal of the American Animal Hospital Association 38:85-89 (2002)
© 2002 American Animal Hospital Association

Case Report

Severe Hematometra in a Dog With Cystic Endometrial Hyperplasia/Pyometra Complex

Mark T. Troxel, DVM, Angelyn M. Cornetta, DVM, Diplomate ACVIM, Karen F. Pastor, DVM, Lori E. Hartzband, DVM, Diplomate ACVR and Michael F. Besancon, DVM

From the VCA South Shore Animal Hospital, 595 Columbian Street, South Weymouth, Massachusetts 02190.

An 18-month-old, intact female German shepherd dog was presented for evaluation of severe, frank hemorrhage from the vulva. A complete blood count, serum biochemical analysis, and urinalysis supported acute hemorrhage. Abdominal radiographs were unremarkable. Abdominal ultrasound demonstrated that the uterine body and cranial vaginal lumen were fluid-filled and contained hyperechoic, polypoid masses that were suspected to be blood clots. Exploratory laparotomy revealed a mildly enlarged uterus with a diffuse, cystic endometrium; significant amounts of blood and blood clots within the lumen; and several focal accumulations of yellow fluid presumed to be a purulent exudate. Histopathology confirmed severe, cystic, endometrial hyperplasia and pyometra complex.




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J. M. Miller, N. E. Lambrechts, R. A. Martin, D. P. Sponenberg, and M. Subasic
Persistent Vulvar Hemorrhage Secondary to Vaginal Hemangioma in Dogs
J. Am. Anim. Hosp. Assoc., March 1, 2008; 44(2): 86 - 89.
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