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Ultrasonographic, Surgical, and Histopathological Findings of a Uterine Leiomyoma in a Cow

机译:母牛子宫平滑肌瘤的超声,外科和组织病理学发现

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The objective of this case report was to describe the ultrasonographic, surgical, and histopathological findings of a rare clinical case of uterine leiomyoma in a 5-year-old Holstein crossbred cow presented for diagnosis and treatment of infertility. Transrectal palpation revealed a large nonpainful mass suspected to be an abscess or a tumor in the caudal abdomen on the right side. Transabdominal ultrasonography revealed a round mass with irregular hypoechogenic/echogenic foci and a thin echogenic capsule around it. Ultrasonographic-guided centesis of the lesion under local analgesia did not yield any foul smelling aspirate leading to a tentative diagnosis of an intra-abdominal tumor. The lesion was later confirmed by exploratory laparotomy and histopathology as a case of uterine leiomyoma. The cow gave birth to a live normal calf 12 months following the surgery. Rectal examination after parturition revealed no evidence of the tumor at the surgical site. Ultrasonography enabled prompt, noninvasive diagnosis of uterine leiomyoma and proved to be a useful decision-making tool in the abdominal surgery of the cow. This is an interesting case which broadens the spectrum of the causes of infertility in cattle.
机译:该病例报告的目的是描述在诊断和治疗不育症的5岁荷斯坦杂交母牛中,子宫肌瘤的罕见临床病例的超声,外科和组织病理学发现。经直肠触诊发现右侧尾鳍腹部有大量无痛肿块,怀疑是脓肿或肿瘤。经腹超声检查显示圆形肿块,具有不规则的低回声/回声灶和周围较薄的回声囊。在局部镇痛下超声引导下的病变穿刺术未产生任何臭味的抽吸物,从而初步诊断为腹腔内肿瘤。后来通过探索性剖腹术和组织病理学证实了病变,作为子宫平滑肌瘤。手术后12个月,这头牛生下了活的正常小牛。分娩后的直肠检查未发现手术部位肿瘤的迹象。超声检查能够迅速,无创地诊断子宫平滑肌瘤,并被证明是奶牛腹部手术的有用决策工具。这是一个有趣的案例,它扩大了牛不育原因的范围。

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