An incarcerated inguinal hysterocele in a pregnant bitch: a case report

Serin, Gediz Murat; Yaygingül, Rahime; Tarimcilar, Tugrul; Sarierler, M.

doi:10.17221/123/2009-vetmed

Cited by 8 publications

(14 citation statements)

References 3 publications

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“…Hernia may result from congenital defects or from blunt trauma with increased abdominal pressure. They are also often seen in bitches with apparent enlargement of the uterus due to pyometra or pregnancy (Serin et al 2009). This was seen also in our case.…”

Section: Discussionsupporting

confidence: 80%

An inguinal herniation of pregnant uterus in a Standard Wirehaired Dachshund – a case report

et al. 2021

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A 4-year-old intact female Standard Wirehaired Dachshund dog was referred with chief complaint of inguinal mass to the Small Animal Clinic at the University of Veterinary Medicine and Pharmacy in Košice, Slovakia. On physical examination, the bitch was healthy with no abnormalities other than having a non-painful and non-reducible soft tissue mass in the left inguinal region also involving the mammary gland. Ultrasonographic examination of the abdomen revealed a pregnant uterus and ultrasonography of the inguinal mass showed an organ with a lumen filled with anaechoic fluid. The diagnosis of a herniation was made and the owners decided for complete ovariohysterectomy. The left uterine horn had an incarcerated part of the inguinal hernia together with the ovary. Inside there was one macerated conceptus. The remaining part of the left uterine horn was located in the abdomen and had 2 macerated conceptuses. The bitch made an uneventful recovery from the surgery and anaesthesia with no postoperative complications and was sent home after the surgical procedure.

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Section: Discussionsupporting

confidence: 80%

An inguinal herniation of pregnant uterus in a Standard Wirehaired Dachshund – a case report

et al. 2021

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“…Acquired uterine inguinal hernias are reported in old bitches and are most commonly associated with pregnancy, 9 pyometra 2,3 or rarely with hydrometra/mucometra 10 . Otherwise, reports of inguinal herniation of neoplastic uterus are exceptionally rare and lack radiographic and ultrasonographic findings 4 .…”

Section: Discussionmentioning

confidence: 99%

“…Abdominal radiographs may be suggestive of a mass, but localisation to the uterus may be difficult except during pregnancy or severe pyometra. 9 Ultrasonography is useful to assess the content of the hernial sac, along with information concerning uterine wall thickness and composition, lumen size and content. Ultrasound is a useful tool for the diagnosis of uterine tumours.…”

Section: Learning Points/take Home Messagesmentioning

confidence: 99%

Calcified uterine leiomyoma: A rare association with inguinal hernia in a dog

Manfredi

Zanfabro

Fabbi

et al. 2021

Vet Record Case Reports

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A 10‐year‐old intact female Pug dog was presented with a 3‐month history of left inguinal distension. A tentative diagnosis of cystic endometrial hyperplasia and uterine mineralisation with inguinal herniation was made together with palpation, abdominal radiographic and ultrasonographic examination. Ovariohysterectomy and hernioplasty were simultaneously performed. The left uterine horn was herniated through the inguinal ring. On histopathology, multinodular calcified uterine leiomyoma associated with a diffuse endometrial cystic hyperplasia was diagnosed. Uterine herniation should be considered in the differential diagnosis of inguinal mass in an intact bitch, and uterine neoplasia may be found as an underlying disease.

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“…Hysterocele is an inheritance of low frequency in canine and rare in feline, characterized by the protrusion of the uterus by the inguinal channel, a situation related with the congenital abnormality of the inguinal ring, allowing the protrusion of abdominal contents for the subcutaneous space [7,8,13]. Situations leading to the increase of intra-abdominal pressure such as gestation, obesity and pyometra may be associated with the formation of inguinal hysterocele and, it is also speculated that the hormonal imbalance promotes the weakening of connective tissue resulting in the enlargement of the hernia ring [3,11].…”

Section: Introductionmentioning

confidence: 99%

“…As differential diagnosis of hysterocele are the breast cancer, abscesses and bruises [11,13]. Image exams such as radiography and ultrasonography have large relevance for identifying the disease and, additionally, clarify the hernia content [3,8].…”

Section: Introductionmentioning

confidence: 99%

Inguinal Gravid Hysterocele in Feline

Costa

Gomes

Santos

et al. 2017

Acta Scientiae. Vet.

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Background: Hysterocele is an inheritance rare in feline, characterized by the protrusion of the uterus by the inguinal channel, a situation related with the congenital abnormality of the inguinal ring, allowing the protrusion of abdominal contents for the subcutaneous space. As differential diagnosis of hysterocele are the breast cancer, abscesses and bruises and image exams such as radiography and ultrasonography have large relevance for identifying the disease and, additionally, clarify the hernia content. The purpose of this study was to describe one case report of the inguinal gravid hysterocele in a cat.Case: A 1-year-old female feline, without history of trauma of increase of volume in the inguinal region was referred for clinical evaluation. Due to the presence of three gestational vesicles, the decision by following-up the fetal development was taken, by means of periodical ultrasound evaluations, for performing operative procedure. At 56 days of gestation, when intestinal peristaltic movements of the three kittens were observed, cesarean was indicated. The procedure began by an oblique incision in the left retro-umbilical region, however, due to adhesions, there was no proper uterine exposition for hysterotomy. Retro-umbilical celiotomy, adhesiolise and return of the uterus for the abdominal cavity were performed in order to execute the cesarean followed by ovariohysterectomy. The hernial ring was debrided and sutured in order to keep patent the inguinal ring. No post-operatory complications were noted indicating that the established conduct allowed the survival of the parturient and its kittens.Discussion: In a casuistic study where data from 1988 until 2007 were collected, from the Faculty of Veterinary Medicine from the University of São Paulo, a higher occurrence of inguinal hernias was observed in female dogs, when compared with male dogs and, until that period, the inguinal hernia was not reported in the feline species. It is known that the inguinal ring may dilate with the obesity and increase of the intra-abdominal pressure, linked with the weakening of the adjacent structures. Besides, the appearance of hysterocele in females is also related with the estrus or gestation, caused by the hormonal imbalance, leading to the weakening of the conjunctive tissue, resulting in the enlargement of the inguinal rings, which is according to what was observed in this report where the animal was pregnant. Additionally, the application of contraceptive (progestin’s) could have accentuated the muscle fragility, favoring the projection of the uterus by the inguinal ring. In most of the cases described in literature, animals have no discomfort to the handling of the herniated content however, for some authors, the prolongation of surgical resolution may aggravate the clinical condition, predisposing the formation of adherences that may cause discomfort or pain, particularly when the bladder or intestinal loops are involved, resulting in difficulty urinating and defecating, respectively. Care must be taken during the reduction of the inguinal ring, in order to avoid compromising the external pudendal artery and vein, and of the genito-femoral nerve, which emerge from the tail-medial aspect of the ring. In this study, it was tried to perform the hernia suture in a way that the inguinal ring remained patent. On the same way that was performed in this study recommend the execution of ovariohysterectomy in order to avoid relapse and because it is an hereditary condition. The inguinal gravid hysterocele in feline may be adequately manage until the ideal moment for cesarean without prejudice to the parturient and to its products.

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An incarcerated inguinal hysterocele in a pregnant bitch: a case report

Cited by 8 publications

References 3 publications

An inguinal herniation of pregnant uterus in a Standard Wirehaired Dachshund – a case report

An inguinal herniation of pregnant uterus in a Standard Wirehaired Dachshund – a case report

Calcified uterine leiomyoma: A rare association with inguinal hernia in a dog

Inguinal Gravid Hysterocele in Feline

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