Persistent Müllerian duct syndrome in an 8-month old intact male Basset Hound: Our Case Of the Month Sept 2020
Pyometra with male genitalia? An 8-month-old intact male Basset hound was scheduled for a routine neuter procedure but prior to the procedure, he presented for painfully swollen testicles. Externally the patient had normal male genitalia with the exception of large, swollen testicles. Internally the patient had fluid filled tubular structures resembling what appeared to be a pyometra, a surprising thing to see in male dog. Images for this case were provided by Kelly Vazquez, CVT, SDEP® certified clinical sonographer for SonoPath Mobile Veterinary Ultrasound with interpretation by Dr. Eric Lindquist, Founder & CEO of SonoPath.com, Director of SonoPath Mobile, NJ, Animal Sounds NW Mobile, Eugene Oregon, and Director of The Focal Zone, Ontario, Canada. Excellent care and patient management by Dr. Jill Shiffman, (owner of Bergen County Veterinary Center, Waldwick, NJ) and her compassionate team.
The patient presented for ADR, not eating well, progressive lethargy, and swollen testicles. The owner noted that his testicles had always been large and that he does have some degree of dietary indiscretion. The patient received buprenorphine and SQ fluids pending ultrasound interpretation.
The left testicle was uniform and measured 2.64 cm. The right testicle measured 2.4 cm and was uniform. The prostate was slightly enlarged and measured 3.0 cm with minor, heterogenous parenchymal changes. The prostate revealed striating edema lines. This is consistent with prostatitis. A large amount of free fluid was noted within the testicular sac. Echogenic fluid filled tubular structures were noted in the caudal abdomen. The material in the tubular structures appeared to be echogenic and likely purulent. These encompassed the urinary bladder and were in the region of the uterus. However, no ovaries were found. Hermaphroditism should be considered. Surgical exploratory would be warranted.
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