Aksaray malaklısı gebe bir köpekte leiomyom ile komplike vajinal prolapsus ve torsiyo uteri olgusu

Yıl 2025, Cilt: 96 Sayı: 1, 68 - 75, 15.01.2025

Cansu Aslan Çataklı , Zeynep Günay Uçmak , İsmail Kırşan , Özge Erdoğan Bamaç , Necati Öztürk

https://doi.org/10.33188/vetheder.1475285

Öz

Bu olgu raporunda, 7,5 aylık, 38 kg ağırlığındaki Aksaray Malaklısı ırkı gebe bir köpekte torsiyo uteri ile birlikte seyreden prolapsus vajina olgusu anlatılmaktadır. Dişi köpek, kliniğimize bir aydır vajinadan prolabe olan kitle şikayetiyle getirildi. Köpeğin ilk proöstrusunun altı aylıkken şekillendiği, bu süreçte herhangi bir vajinal patolojinin gözlemlenmediği ve hasta sahibi tarafından köpeğin çiftleştirilmediği bilgisi alındı. Vajinal muayenede, tam prolabe olan vajina dokusunda nekroze alanlar tespit edildi. Hasta sondalanarak, idrar yollarının normal pozisyonda olduğu belirlendi. Tam kan sayımı ve bazı biyokimyasal parametreler değerlendirildi. Ultrasonografik muayenede köpeğin, yaklaşık 40 günlük gebe olduğu ve yavrularda kalp atımı olmadığı belirlendi. Tedavi amacıyla, ovariohisterektomi ve prolabe olmuş vajinaya cerrahi müdahale uygulandı. Ovariohisterektomi sırasında sağ kornu uterininin arka tarafının hem kendi ekseni hem de sol kornu uterinin çevresinde 180° torsiyona uğradığı görüldü. Ovariohisterektomi sonrasında tam prolabe olan vajina dokusu ekstirpe edildi ve histopatolojik inceleme için patolojiye sevk edildi. Histopatoloji neticesinde, vajina dokusunda şiddetli yangı ve leiomiyom tespit edildi. Gebelik süresince artan progesteron nedeniyle vaginal leiomyomda büyüme şekillendiği ve vajinadan prolabe olan dokuların büyüklüğünün artarak belirgin bir hal aldığı düşünülmektedir. Bu büyüme sebebiyle gerilen ve gebelik nedeniyle hacimsel artışa sahip uterusta torsio şekillendiği tahmin edilmektedir. Sunulan olguda, köpeklerde prolapsus vajina olgularının ilk siklusta görülebileceği, iyi huylu tümörlerle birlikte seyredebileceği ve gebelik şekillenen köpeklerde torsiyo uteriye sebep olabileceği kanısına varıldı. Bu tarz komplike vakaların detaylı klinik ve histopatolojik muayene ile değerlendirilmesi gerektiği sonucuna varıldı.

Anahtar Kelimeler

köpek, torsiyo uteri, vajinal prolapsus, leiyomyoma

A case of vaginal prolapse and torsion uteri complicated by leiomyoma in a pregnant Aksaray malaklı dog

Öz

In this case report, a case of prolapsed vagina with torsio uteri in a pregnant Aksaray malaklısı breed dog, aged 7.5 months and weighing 38 kg, is described. A female dog was brought to our clinic with a complaint of a mass protruding from the vagina for one month. In the anamnesis, dog's first proestrus bleeding occurred at the age of six months, no vaginal pathology was observed during this period, and the patient owner did not observe the dog mating. During vaginal examination, necrotic areas were detected in the completely prolapsed vaginal tissue. Urinary bladder was catheterized, and it was determined in normal position. Complete blood count and some biochemical parameters were evaluated. As a result, moderate leukocytosis and anemia were observed, but no abnormality was detected in biochemical parameters. In ultrasonographic examination, it was determined that the dog, was approximately 40 days pregnant and that there was no heartbeat in the puppies. For treatment ovariohysterectomy and surgical intervention to the prolapsed vagina were performed. During laparotomy, it was observed that the posterior side of the right uterine horn had a 180° torsion both around its own axis and the left uterine horn. After ovariohysterectomy, the fully prolapsed vaginal tissue was extirpated and sent to pathology for histopathological examination. As a result of histopathology, severe inflammation and leiomyoma were detected in the vaginal tissue. It is thought that due to the increasing progesterone during pregnancy, growth occurs in vaginal leiomyoma and the prolapsed part of the vagina increases and becomes more apparent. It is estimated that torsio occurs in the uterus, which is stretched due to this growth and has an increase in volume due to pregnancy. In the presented case, it was concluded that prolapsed vagina cases in dogs can be seen in the first cycle, can be accompanied by benign tumors, and can cause torsio uteri in pregnant dogs. It was recommended that such complicated cases should be evaluated with detailed clinical and histopathological examination.

Anahtar Kelimeler

bitch, leiomyoma, vaginal prolapse, torsio uteri

Kaynakça

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