Isfendiyar DARBAZ, Osman ERGENE, ESRA CANOOĞLU, Çağrı GÜLTEKİN, Selim ASLAN

The Assessment of Diagnostic and Ultrasonographic Findings in a Bitch with True Vaginal Prolapse

Dört yaşlı, Pointer melezi bir köpeğin kontrolleri sonucunda gebeliğinin 47. gününde olduğu ve ilk muayenede vulva dikişi uygulandığı halde vaginal prolapsusun tekrardan şekillendiği tespit edildi. Prolabe olan kitlenin kaudalden kraniale doğru yapılan palpasyonunda, kitle içinde yavruya ait bölümler ve idrar kesesinin olduğu tespit edildi. Doğrudan prolabe olan kitleye yapılan ultrasonografik muayenede yavruların prolabe vaginanın ilk üçte birlik bölümünde bulunduğu ve ölü oldukları belirlendi. Köpeklerde çok ender de olsa, gebeliğin son üçte birlik döneminde prolapsus vagina olgularının uterusun bir bölümünü ve idrar kesesini de içine alabilecek şekilde gelişebildiği görülmüştür. Bu olguda köpeklerde oldukça az karşılaşılan gerçek vaginal prolapsus olgusunun gebelikte gelişebileceği bir kere daha gösterilmiş olmakla birlikte, yenilik olarak, benzer olguların tanısında olayın derecesi ve ciddiyetini belirlemede ultrasonografinin yararlı ve yol gösterici olarak kullanılabileceği gösterilmiştir

Bir Dişi Köpekte Görülen Gerçek Vaginal Prolapsus Olgusunda Tanı ve Ultrasonografik Bulguların Değerlendirilmesi

A 4-year old crossbred Pointer, with observable vaginal prolapse was brought to our hospital at the 47th day of gestation. The prolapse reoccurred next day despite of the vulval suturing. During the examination of the prolapsed mass towards the cranium via palpation, it was observed that gestational sacs and urinary bladder were also in the prolapsed mass as well. Ultrasonographic imaging of the tissue revealed that puppies were presented into one-third section of the prolapsed vagina and there were no signs of vitality in the puppies. Although it is rare, vaginal prolapse might occur in association with simultaneous dilation of urinary bladder with a part of uterus in the third trimester of the gestation in dogs. In this case, the probability of true vaginal prolapse during gestation was restated and it was revealed that as an innovation ultrasound was a beneficial and guiding technique for the diagnosis of this case

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1. Johnston SD, Kustritz MVR, Olson PNS: Disorders of the canine vagina, vestibule and vulva. In, Canine and Feline Theriogenology. 225- 242, WB Sauders Company, Philadelphia, 2001.
2. Gouletsou PG, Galatos AD, Apostolidis K, Sideri AI: Vaginal fold prolapse during the last third of pregnancy, followed by normal parturition, in a bitch. Anim Reprod Sci, 112, 371-376, 2009. DOI: 10.1016/j. anireprosci.2008.04.032
3. Schaefers-Okkens AC: Vaginal oedema and vaginal fold prolapse in the bitch in press, including surgical management. In, Concannon PW, England G, Verstegen J (Eds): Recent Advances in Small Animal Reproduction. International Veterinary Information Service (www.ivis. org), Ithaca, New York, 2001. Available at: http://www.ivis.org/advances/ Concannon/schaefers/chapter frm.asp?FLA=1 Accessed: October, 2016.
4. Alan M, Çetin Y, Şendağ S, Eski F: True vaginal prolapse in a bitch. Anim Reprod Sci, 100, 411-414, 2007. DOI: 10.1016/j.anireprosci.2006.10.022
5. Schutte AP: Vaginal prolapse in the bitch. J S Afr Vet Med Ass, 38 (2): 197-203, 1967.
6. McNamara PS, Harvey HJ, Dykes N: Chronic vaginocervical prolapse with visceral incarceration in a dog. J Am Hosp Assoc, 33, 533-536, 1997. DOI: 10.5326/15473317-33-6-533
7. Ragni RA: What is your diagnosis? J Small Animal Pract, 47, 625-627, 2006. DOI: 10.1111/j.1748-5827.2006.00168.x
8. Sarrafzadeh-Rezaei F, Saifzadeh S, Mazaheri R, Behfar M: First report of vaginal prolapse in a bitch treated with oestrogen. Anim Reprod, Sci, 106, 194-199, 2008. DOI: 10.1016/j.anireprosci.2008.01.009
9. Nak D, Alasonyalılar Demirer A, Tuna B, Nak Y, Özyiğit Ö: Vaginal prolapse related to ovarian granulosa cell tumor in an Anatolian Shepherd. Turk J Vet Anim Sci, 36 (1): 61-66, 2012. DOI: 10.3906/vet-1012-7
10. Arbeiter K, Bucher A: Traumatically caused perineal prolapse of the vagina followed by retroflexion of the urinary bladder in the bitch. Tierarztl Prax, 22, 78-79, 1994.
11. Purswell BJ: Vaginal disorders. In, Ettinger SJ, Feldman EC (Eds): Textbook of Veterinary Internal Medicine. 4 th edn., 1566-1571, WB Saunders, London, 1995.
12. Memon MA, Pavletic MM, Kumar MS: Chronic vaginal prolapse during pregnancy in a bitch. J Am Anim Vet Med Assoc, 202, 295-297, 1993.
13. Concannon PW, Hansel W, Vlsek WJ: The ovarian cycle of the bitch: Plasma estrogen, LH and progesterone. Biol Reprod, 13 (1): 112-121, 1975.
14. Konig GJ, Handler J, Arbeiter K: Rare case of a vaginal prolapse during the last third of pregnancy in a Golden Retriever bitch. Kleintierpraxis, 49, 299, 2004.
15. Rani RU, Kathiresan D, Sivaseelan S: Vaginal fold prolapse in a pregnant bitch and its surgical management. Indian Vet J, 81, 1390-1391, 2004.
16. Payan-Carreira R, Albuquerque C, Abreu H, Maltez L: Uterine prolapse with associated rupture in a Podengo bitch. Reprod Domest Anim, 47 (4): e51-5, 2012. DOI: 10.1111/j.1439-0531.2011.01944.x
17. Davidson A, Baker T: Postpartum disorders in the bitch and queen. 81st Annual Western Veterinary Conference, Las Vegas, NV, USA, p. V239, 2009.