Two-portal laparoscopic-assisted approach for the treatment of an unusual case of ovarian remnant syndrome and uterine horn stump piometra in a bitch
Linck, Camila MarquesFeranti, João Pedro ScusselValle, Stella de FariaMotta, Adriana Costa daDalbello, ThaísCorrêa, Rose KarinaOliveira, Marília Teresa deSilva, Marco Augusto MachadoBrun, Maurício Veloso
Background: The ovarian remnant syndrome (ORS) is the persistence of ovarian activity in spayed bitches or queens, which results from failure in complete gonadal removal or due to the presence of accessory ovaries on the uterine broad ligament. In most of cases, surgical approach may be required in order to both diagnose and treat the syndrome. The current case report describes the usefulness of video-assisted surgery as an alternative to diagnosis and treatment of an unusual case of ORS and stump piometra in a bitch.Case: The purpose of the current study was to report the case of a 4-year-old Dachshund bitch, bearing paraplegia due to intervertebral disk disease (IVDD), showing estrus and pseudo pregnancy regularly for two years. This report describes the use of alternative exploratory video-assisted laparoscopy followed by ovariectomy as a safe and effective method for both diagnosing and treating the ORS and stump pyometra uterine horn held in HV-UPF. Following complementary exams, the patient was submitted to ultrasonography, which revealed the presence of masses resembling ovaries caudally to the respective renal caudal pole. A two-portal laparoscopic-assisted approach was chosen for the surgical treatment. The intact ovary and a remnant uterine horn stump were present on the right side. On the left side, there was the intact ovary. The overall surgical time was 115 min...(AU)
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