Secondary Vulvar Hemorrhage After Ovariohysterectomy: Case Report of a Poorly Understood Complication

Colleen Guilfoyle; Set Sokol; Erin Katribe

doi:10.56771/jsmcah.v5.162

Authors

Colleen Guilfoyle Best Friends Animal Society, 5001 Angel Canyon Rd Kanab, UT, USA https://orcid.org/0000-0002-0884-1520
Set Sokol Antech Diagnostics, Mars Petcare Science & Diagnostics, Loveland, CO, USA
Erin Katribe Best Friends Animal Society, 5001 Angel Canyon Rd Kanab, UT, USA https://orcid.org/0009-0008-3972-3915

DOI:

https://doi.org/10.56771/jsmcah.v5.162

Keywords:

Ovariohysterectomy, secondary hemorrhage, histopathology, case report, postoperative complications

Abstract

Secondary vulvar hemorrhage, also commonly referred to as uterine artery erosion, is a poorly understood postoperative complication of ovariohysterectomy. This report describes a case involving delayed vulvar hemorrhage beginning 6 days after an adult dog was spayed, culminating in fatal bleeding during a rescue procedure on day 12 post-operatively. A hemoabdomen was not present. Histopathology of the uterine stump revealed suppurative and chronic mural inflammation with vascular involvement. This is the first histopathologic description of this condition. The fatal outcome underscores the need for greater understanding of processes involved in delayed vulvar bleeding post-ovariohysterectomy. Additionally, early recognition and prompt surgical intervention may support better patient outcomes in suspected cases of secondary vulvar hemorrhage.

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References

1.

Pearson H. The Complications of Ovariohysterectomy in the Bitch. J Small Anim Pract. 1973;14(5):257–266. doi: 10.1111/j.1748-5827.1973.tb06457.x

2.

Romagnoli S, Krekeler N, de Cramer K, Kutzler M, McCarthy R, Schaefer-Somi S. WSAVA Guidelines for the Control of Reproduction in Dogs and Cats. J Small Anim Pract. 2024;65(7):424–559. doi: 10.1111/jsap.13724

3.

Van Goethem B, Schaefers-Okkens A, Kirpensteijn J. Making a Rational Choice Between Ovariectomy and Ovariohysterectomy in the Dog: A Discussion of the Benefits of Either Technique. Vet Surg. 2006;35(2):136–143. doi: 10.1111/j.1532-950X.2006.00124.x

4.

Paul PG, Prathap T, Kaur H, Shabnam K, Kandhari D, Chopade G. Secondary Hemorrhage After Total Laparoscopic Hysterectomy. JSLS. 2014;18(3):e2014.00139. doi: 10.4293/JSLS.2014.00139

5.

Pang T, Wu Z, Zeng H, Zhang X, Hu M, Cao L. Analysis of the Risk Factors for Secondary Hemorrhage after Abdominal Surgery. Front Surg. 2023;10:1091162. doi: 10.3389/fsurg.2023.1091162

6.

Bohling MW. Complications in Spay and Neuter Surgery. In: White S, ed. High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries. John Wiley & Sons, Ltd; 2020:339–361. doi: 10.1002/9781119646006.ch17

7.

Gupta E, Bhalla P, Khurana N, Singh T. Histopathology for the Diagnosis of Infectious Diseases. Indian J Med Microbiol. 2009;27(2):100–106. doi: 10.4103/0255-0857.49423