Kleo's Open Pyometra

Kleo is a lovely 7-year-old Rottweiler that presented to the AdelaideVet Prospect in March for vaginal discharge. Kleo had had her regular season (‘Heat’ or ‘Oestrus’) five weeks earlier, but this time, she continued to discharge a brown material. In the last few days, her appetite had decreased and her water intake had increased.
 

Kleo’s checkup was ok with her demeanour and cardinal signs (heart rate, respiration and temperature), but she had a tense abdomen with visible dark vaginal discharge. Kleo’s blood work highlighted an increase in her white blood cells, indicating an infection. Kleo also had a spot ultrasound performed. The scan revealed a large fluid-filled uterus. Kleo was diagnosed with an open pyometra.

Pyometra is a disease process where entire (un-desexed) females develop a uterine infection. Bacteria colonise the uterus when the cervix is relaxed during their season. The bacteria causes a large inflammatory reaction and releases toxins. These toxins can have a local and systemic (whole-body) effect. In advanced cases, they can cause deadly septicaemia, or the uterus can rupture. Pyometra can be prevented and treated by an ovariohysterectomy (removal of the ovaries and uterus).

Kleo’s owners wanted to proceed with her treatment, so she was transferred to AdelaideVet Trinity Gardens for surgery and ongoing monitoring.  After admission to the hospital, she was started on fluid therapy, antibiotics and pain relief. After her preparation, she went in for her successful surgery.

Once in recovery, she continued on her medications and spent the night in hospital to monitor her recovery. Kleo was sent home the following day with continued medications and a lot of TLC from her family.

On her revisit a few days later, her surgical site was healing well and she was comfortable. She was also getting a bit cheeky, making it difficult for her family to give her medications. About a week later, Kleo came in for her final revisit, her surgical site healed well and she was more her normal self and on a steady road to a full recovery.

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