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논문 기본 정보

자료유형
학술저널
저자정보
Hyun-Sik Kim (Chungbuk National University) 김일화 (충북대학교) 강현구 (충북대학교)
저널정보
충북대학교 동물의학연구소 Journal of Biomedical and Translational Research Journal of Biomedical and Translational Research 제17권 제4호
발행연도
2016.12
수록면
121 - 125 (5page)

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Hematometra is defined as the accumulation of blood and blood clots in the uterus. An 8-month-old, intact female Poongsan dog presented with continuous severe hemorrhagic vulvar discharge and anemia. The initial diagnostic evaluation included abdominal ultrasonography, radiography, and physical and laboratory examinations. The electrolyte levels were low: Na ion levels were 128 mmol/L (reference range, 141 - 152 mmol/L), and Cl ion levels were 99 mmol/L (reference range, 105 - 115 mmol/L). At presentation, the white blood cell count was 60.19 × 103/μL (reference range, 5.05 ? 16.76 × 103/μL), packed cell volume was 11.8% (reference range, 37.3% - 61.7%), hemoglobin levels were 4.6 g/dl (reference range, 13.1 - 20.5 g/dl), and platelet count was 48 × 103/μL (reference range, 148 - 484 × 103/μL). Based on the results of the complete blood count, the dog was given lactated Ringer’s solution and a whole blood transfusion. On abdominal ultrasonography, the left uterine horn was enlarged and filled with echogenic fluid. On laparotomy, the uterus was enlarged and showed an accumulation of blood and blood clots. The incised uterine horn revealed that the endometrium was filled with blood and blood clots and had a cystic appearance. Additionally, thick and yellowish pus had accumulated in the uterine cavity. Gross findings revealed a definitive diagnosis of cystic endometrial hyperplasia-pyometra complex with severe hemorrhage, termed hematometra. This case was the first report of severe hematometra in a young Poongsan dog.

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