Diagnosis and surgical treatment of bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog: A rare critical case report

Authors

  • Sehoon Kim Department of Veterinary Surgery, Royal Animal Medical Center, Jungnang-gu, Seoul, Republic of Korea.
  • Md Mahbubur Rahman Research Center, KNOTUS Co., Ltd., Songdo-dong, Yeonsu-gu, Incheon, Republic of Korea.
  • Park Chul Animal Medical Center W, Mapo-gu, Seoul, Republic of Korea.
  • Minju Kim Department of Veterinary Surgery, College of Veterinary Medicine, Chonbuk National University, Jeollabuk do, Republic of Korea.
  • In Seong Jeong Department of Veterinary Surgery, Royal Animal Medical Center, Jungnang-gu, Seoul, Republic of Korea.

Keywords:

Dog; bilateral ureteral calculi; hydronephrosis; pyocolpos; imperforate hymen

Abstract

Objective: Bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal steno­sis, and imperforate hymen in a dog are uncommon and can be difficult to diagnose. The aim of this article is to report diagnostic challenges and successful surgical treatment of this rare event and the long-term outcomes.  Materials and methods: A 5-year-old, spayed (partial ovariohysterectomy) female dog was pri­marily diagnosed with bilateral hydronephrosis and ureter obstruction due to urolithiasis along with pyometra. The urolith was removed carefully by the right-side ureterectomy, an appropriate ureteral stent was inserted from the bladder to the right kidney, and then, a vasectomy and hys­terectomy were performed. The dog improved and was discharged. However, 50 days after sur­gery, pyocolpos due to imperforate hymen and vestibulovaginal stenosis were diagnosed and sur­gically corrected, and the ureteral stent was removed because the ureter had completely healed.  Results: During the first admission, serum biochemistry results revealed the increased blood urea nitrogen (5.9 mg/dl), creatinine (116.2 mg/dl), amylase (1,345 U/l), and lipase (141 U/l) values. After surgical correction, all parameters returned to normal. However, 50 days after surgery, the C-reactive protein concentration (143 mg/l) and white blood cell level increased (18.4 × 109/l). After a second surgical correction, the dog recovered fully within 10 days, and no postoperative complications were observed during the follow-up of 6 months.  Conclusion: This report provides diagnostic assistance and surgical treatment options for a com­plex urogenital case. Careful examination during puberty is recommended to prevent the associ­ated complications of this disorder.

J. Adv. Vet. Anim. Res., 7(3): 384-390, Sep 2020

http://doi.org/10.5455/javar.2020.g432

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Published

2020-06-29

How to Cite

Kim, S., Rahman, M. M., Chul, P., Kim, M., & Jeong, I. S. (2020). Diagnosis and surgical treatment of bilateral ureteral calculi, hydronephrosis, pyometra, pyocolpos, vestibulovaginal stenosis, and imperforate hymen in a dog: A rare critical case report. Journal of Advanced Veterinary and Animal Research, 7(3), 384–390. Retrieved from https://banglajol.info/index.php/JAVAR/article/view/75576

Issue

Vol. 7 No. 3 (2020)

Section

Case Reports

License

Copyright (c) 2020 Sehoon Kim, Md Mahbubur Rahman, Park Chul, Minju Kim, In Seong Jeong

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