Unilateral Ovarian Mature Teratoma and Hydrometra Case in a Queen

Abstract

A 3-year-old crossbred cat with the complaint of abdominal distension was brought to Istanbul University Cerrahpaşa, Department of Obstetrics and Gynaecology clinic. Blood sample was evaluated within normal ranges except of mild leucocytosis and increased urea. On ultrasonographic examination a fluid filled uterus and a mass in right ovary were screened. Complete surgical excision was performed and unilateral ovarian mature teratoma and hydrometra were diagnosed. Previous reports about feline teratoma did not state other uterine alterations related to uterine disorders. This case was deemed appropriate to be reported because it was the first case of hydrometra associated with an ovarian teratoma. So we recommend ovariohysterectomy for these kind of cases due to the fluid accumulation within the uterus with ovarian mass formation.

Keywords

• Hydrometra,Ovary,Queen,Teratoma

Dişi Bir Kedide Tek Taraflı Ovaryan Mature Teratoma ve Hidrometra Olgusu

Abstract

Üç yaşlı melez bir kedi İstanbul Üniversitesi Cerrahpaşa, Doğum ve Jinekoloji Anabilim Dalı kliniğine abdominal genişleme şikayeti ile getirildi.  Kan tahlili sonucu orta düzeyde lökositoz ve artmış üre seviyesi dışında normal sınırlarda tespit edildi. Ultrasonografik muayenede içi sıvı dolu uterus ve sağ ovaryumda bir kitle tespit edildi. Kedi üzerinde komple cerrahi ensizyon yapıldı ve unilateral olgun ovaryan teratoma ve hidrometra teşhis edildi. Daha önceki kedi ovaryan teratoma olguları uterustaki rahatsızlığa yönelik bir değişiklikten bahsetmemişti. Bu olgu bir kedide ovaryan teratoma ile birlikte hidrometranında tespit edildiği ilk vaka olması sebebiyle rapor edilmeye uygun görüldü. Dolayısıyla uterus içerisinde sıvı birikimiyle birlikte ovaryumda kitlenin olduğu bu tarz olgularda biz ovariohisterektomiyi öneriyoruz.

Keywords

• : Dişi kedi,Hidrometra,Ovaryum,Teratoma

References

1. 1. Basaraba RJ, Kraft SL, Andrews GA, Leipold HW, Small D. (1998). Brief Communications and Case Reports. Vet Pathol. 35: 41-144.
2. 2. Greenlee PG, Patnaik AK. (1985). Canine Ovarian Tumors of Germ Cell Origin. Vet Pathol. 22: 117-122.
3. 3. Wilson RB, Cave JS, Copeland JS, Onks J. (1984). Ovarian Teratoma in Two Dogs. J Am Anim Hosp Assoc. 21: 249-253.
4. 4. Yamaguchi Y, Sato T, Shibuya H, Tsumagari S, Suzuki T. (2004). Ovarian Teratoma with a Formed Lens and Nonsuppurative Inflammation in an Old Dog. J Vet Med Sci. 66: 861-864.
5. 5. Kennedy PC, Miller RB. (1993). Female Genital System. In: Pathology of Domestic Animals. Jubb KVF, Kennedy PC, Palmer N (eds). pp. 364-369. Academic Press, New York, NY.
6. 6. Sato T, Hontake S, Shibuya H, Shirai W, Yamaguchi T. (2003). A Solid Mature Teratoma of a Feline Ovary. J Feline Med Surg. 5: 349-351.
7. 7. Outwater ER, Siegelman ES, Hunt JL. (2001). Ovarian Teratomas: Tumor Types and Imaging Characteristics. Radiographics. 21: 475-490.
8. 8. Comerci JT Jr, Licciardi F, Bergh PA, Gregori C, Breen JL. (1994). Mature Cystic Teratoma: A Clinicopathologic Evaluation of 517 Cases and Review of the Literature. Obstet Gynecol. 84: 22-28.

9. 9. Caruso PA, Marsh MR, Minkowitz S, Karten G. (1971). An Intense Clinicopathologic Study of 305 Teratomas of the Ovary. Cancer. 27: 343-348.
10. 10. Matz MH. (1961). Benign Cystic Teratomas of the Ovary. Obstet Gynecol Surv. 16: 591-605.
11. 11. Quinn SF, Erickson S, Black WC. (1985). Cystic Ovarian Teratomas: The Sonographic Appearance of the Dermoid Plug. Radiology. 155: 477-478.
12. 12. Johnston SD, Kustritz MVR, Olson PNS. (2001). Hydrometra/Mucometra/Hematometra. In: Canine and Feline Thriogenology. Johnston SD, Kustritz MVR, Olson PNS (eds). 1st ed. pp. 206-207. WB Saunders Company, Philadelphia.
13. 13. Schlafer DH, Miller RB, (2007). Hydrometra and Mucometra. In: Jubb, Kennedy and Palmer's Pathology of Domestic Animals. Maxie MG, (ed). pp. 465-466. Elsevier Saunders, Philadelphia, Pennsylvania.
14. 14. Smith MC. (1986). Anestrus, Pseudopregnancy and Cystic Follicles. Current Therapy in Theriogenology. WB Saunders Company, Philadelphia.
15. 15. Pretzer SD. (2008). Clinical Presentation of Canine Pyometra and Mucometra: A Review. Theriogenology. 70: 359-363.
16. 16. Debossche H, Ducatelle R, Vermerisch H, Van Den Broeck W, Coryn M. (2001). Cystic Endometrial Hyperp-lasia-Pyometra Complex in the Bitch: Should the Two Entities be Disconnected. Theriogenology. 55: 1509-1519.
17. 17. Headley SA, Fuck EJ, Fuck ET, Curti CE. (2006). Ovarian Teratoma in a Bitch. Vet Rec. 158: 565-567.
18. 18. Wilson RB, Cave JS, Copeland JS, Onks J. (1984). Ovarian Teratoma in Two Dogs. J Am Anim Hosp Assoc. 21: 249-253 . 19. Chang C-F, Lin C-K. (2014). A Case of Recurrent, Bilateral Ovarian Mature Teratoma in a Young Woman. BMC Women's Health. 14: 57.
19. 20. Nagashima Y, Hoshi K, Tanaka R. et. al. (2000). Ovarian and Retroperitoneal Teratomas in a Dog. J Vet Med Sci. 62(7): 793-795.
20. 21. Norris J, Garner FM, Taylor HB. (1969). Pathology of Feline Ovarian Neoplasms. J Pathol. 97: 138-143.
21. 22. Carluccio A, Zedda MT, Contri A. et. al. (2017). Immature Ovarian Teratoma in Two Heifers. Veterinaria Italiana. 53 (4): 327-330.