Hemometra

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As Hämometra (from Greek. Αἷμα (haima) " blood " and μέτρα (metra) " uterus ") refers to a collection of blood in the uterus of animals. In women, this is known as the hematometra .

Emergence

Haemometra due to adenocarcinoma in rabbits

In dogs, a haemometra occurs primarily after hormone- related disorders of the occlusion of the blood vessels between the placenta and uterus or injuries to the uterine lining in difficult births . It then occurs in the first six weeks after the birth. But also tumors , ulcer inflammations of the uterus and hormonally active ovarian tumors can trigger a haemometra.

In relatives of guinea pigs and rabbits , a haemometra develops mainly due to hormonal cycle disorders via glandular-cystic hyperplasia of the endometrium and thus independent of births. In rabbits, adenocarcinomas of the uterus can also trigger a haemometra.

Clinical picture

Lighter forms show up as slight vaginal bleeding and do not cause general well-being. In moderate forms, pain, fatigue and loss of appetite can occur.

A high-grade hemometer, on the other hand, is a life-threatening emergency. The bleeding can lead to severe general disorders with anemia , shock or even bleeding to death.

therapy

Slight forms can be approached conservatively in dogs. Ergotamine , oxytocin , calcium and vitamin K are used to stop the bleeding . The administration of depot progestins ( medroxyprogesterone , chlormadinone ) is also promising.

In the case of heavier bleeding, in the case of guinea pigs and rabbits in general, removal of the ovaries and uterus ( ovariohysterectomy ) is indicated. With severe hemometry and shock symptoms, the circulation must first be stabilized. If the dog has severe anemia , blood transfusions may be necessary before and after surgery.

literature

  • A. Ewringmann: Key symptoms in rabbits. Diagnostic guide and therapy. Enke-Verlag, Stuttgart 2004, ISBN 3-8304-1020-4
  • A. Ewringmann, B. Glöckner: Key symptoms in guinea pigs, chinchilla and degu. Enke Verlag, Stuttgart 2005, ISBN 3-8304-1055-7 .
  • J. Wollrab: Afterbirth and puerperal disorders . In: W. Busch and J. Schulz (eds.): Obstetrics for domestic animals. Jena, Fischer, 1993, pp. 612-626.
  • Axel Wehrend: Key symptoms of gynecology and obstetrics in dogs. Enke Stuttgart 2010, ISBN 978-3-83-041076-8 , p. 107.