Clinical Differential Diagnosis
Orthopedic pain, urethritis, prostatic tumor, neoplasia, abscess, pancreatitis, open.
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.
Sonographic Differential Diagnosis
Pyometra owing to hermaphroditism.
Sampling
Surgical removal of the infected uterus was performed confirming the suspicion of pyometra.
Outcome
Exploratory surgery with removal of this structure was recommended and performed. The patient responded well to surgery.
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.