Case of the Month

• Metropathy, most likely consistent with a pyometra. Differentials: Mucometra, Haemometra. No signs of mineralized fetus.

• Abnormal filling of the gastrointestinal. Gastroenterocolitis possible. Differential: Anorexia with mild aerophagia.

• Ovariohysterectomy to be considered. If desired, consider a tentative conservative treatment depending on the clinical condition of the patient.

• A pyometra was surgically confirmed.

• More about Pregnancy Determination in Bitches and Queens (click on the link).

• Some literature:

• Estimation of gestational age and assessment of canine fetal maturation using radiology and ultrasonography: a review

• Radiographic diagnosis of canine pregnancy: Onset of fetal skeletal radiopacity in relation to times of breeding, preovulatory luteinizing hormone release, and parturition

• Time of initial detection of fetal and extra-fetal structures by ultrasonographic examination in Miniature Schnauzer bitches

Abdomen in 3 projections of a skeletally mature dog in mild to moderate increased body condition.

Musculoskeletal structures within normal limits.

Diaphragm delineable. Included caudal aspect of the thoracic cavity within normal limits.

Peritoneal and retroperitoneal detail maintained.

Liver not extending caudally to the rib cage.

Splenic head in normal position.

Kidneys within normal limits. Urinary bladder moderately filled and in normal position.

Large tubular homogeneous soft tissue opaque structure with sigmoid course just cranial/craniolateral to the urinary bladder both on the left and right

side of the urinary bladder, consistent with an enlarged uterus.

Stomach mildly filled with gas and heterogeneous ingesta and not distended. Small bowel loops empty or mildly filled with gas and not distended.

Cecum and colon moderately filled with gas. Colon filled with gas and with mild increased segmentation.

Metropathy, most likely consistent with a pyometra. Differentials: Mucometra, Haemometra. No signs of mineralized fetus.

Abnormal filling of the gastrointestinal. Gastroenterocolitis possible. Differential Anorexia with mild aerophagia.

Ovariohysterectomy to be considered. If desired, consider a tentative conservative treatment depending on the clinical condition of the patient.