"Diagnosis and Management of Endometrial Adenocarcinoma Complex with Pyometra in a Bitch -A Rare Case Report Diagnosis and Management of Endometrial Adenocarcinoma Complex with Pyometra in a Bitch -A Rare Case Report "

An eight-year-old nulliparous Spitz dog was presented with a history of anorexia, blackish vaginal discharge, and vomiting for the past 3 days. General clinical examination revealed a weak and poor body condition. Vaginal examination showed blackish-brown vaginal discharge and a pale mucous membrane. Radiographic examination showed distended uterine horns. Ultrasound examination revealed mild anechoic sacculations of one uterine horn and the other with mixed echogenicity of uterine masses suggesting a uterine tumour. Haematobiochemical estimation revealed decreased Haemoglobin concentration PCV, and platelet counts with elevated leukocytes, BUN, and creatinine levels. Hence, emergency blood transfusion was carried out as per the standard protocol, and after the stabilization of the animal, surgery was performed under general anaesthesia. During surgery, the left uterine horn was found distended with purulent fluid and the right horn had two large-sized masses which were removed by ovariohysterectomy. Histopathology revealed endometrial adenocarcinoma. This is a rare case of concurrent pyometra and canine endometrial carcinomas.