CYSTIC ENDOMETRIAL HYPERPLASIA - OPEN PYOMETRA COMPLEX IN A FEMALE PUG

Abstract

A five-year old pug had the history of inappetance, polydipsia, occasional vomition and diarrhea. The vaginal
examination revealed brown chocolate malodorous discharge. The uterine ultrasound showed hyperplasia and
multiple distended circular hypoechoic and anechoic cysts filled with echogenic material in the uterine wall along
with distended uterine horns containing large volume of cellular contents. Based upon ultrasonography, vaginal
cytology and haemato-biochemcial picture, the animal was diagnosed with cystic endometrial hyperplasia (CEH)-
open pyometra complex. The bitch was treated with synthetic prostaglandin analog, methyl ergometrine and
ceftriaxone. After one week, the bitch showed marked improvement with the absence of vaginal discharge,
normal ultrasonographic report of uterus and normal haemato-biochemical picture. In conclusion, a synthetic
prostaglandin analog along with methyl ergometrine can be used as the drug of choice for treating CEH-open
pyometra complex without any adverse effect.