“…Complications that occur in pyometra dogs were including of peritonitis, kidney injuries, urinary tract infection, uveitis, endotoxaemia, bacteremia, septic shock, disseminated intravascular coagulation (DIC) and multiple organ dysfunction syndrome (MODS) (Hagman, 2017(Hagman, , 2018Jitpean et al, 2014). In the patients with systemically illness and suspected pyometra, ovariohysterectomy is recommended to be performed as soon as possible to remove the suspected source of inflammation and infection (Hagman, 2018;Macintire, 1994;Martins-Bessa et al, 2015;Smith, 2006). However, non-elective or urgent ovariohysterectomy has high anesthetic risk and results in severe complications with a higher risk of death.…”