Looking back on the year, I've seen a lot of cool cases. I think the COOLEST thing I found happened just a few weeks ago, though.
Let me set the scene: it's 6pm on a Friday, I've just returned from road calls to find the small animal clinic chaotic.
We had 3 c-sections ready to cut (classic scenario for my clinic) so I offered to do one in the room where we do our dentals (not in the actual OR) while 2 other docs used our proper surgical tables.
Everything started off routine enough. Patient clipped, scrubbed, and draped. I made my incision, exteriorized a uterine horn, and went to work removing the pups.
Then it got interesting. The 2 puppies I removed were both in the same horn. When I exteriorized the 2nd horn, it was full of fluid with no palpable pup. I couldn't express the fluid from that horn over to the site of my incision in the 1st horn.
Then it got interesting. The 2 puppies I removed were both in the same horn. When I exteriorized the 2nd horn, it was full of fluid with no palpable pup. I couldn't express the fluid from that horn over to the site of my incision in the 1st horn.
Then it got interesting. The 2 puppies I removed were both in the same horn. When I exteriorized the 2nd horn, it was full of fluid with no palpable pup. I couldn't express the fluid from that horn over to the site of my incision in the 1st horn.
I couldn't pass a finger to reach from one horn to the other!! After having another doc come look (she finished her c-section by that point) I made a stab incision and drained the fluid from the nongravid horn and confirmed no pups were present. I'd classify it as a mucometra.
I then did some more exploring and found no way to connect the two horns. It truly seemed like there were two separate cervices!! This condition is called uterus didelphys.
Here's a quick video I had my tech take before finishing the surgery where I explain my findings. I misspoke and should call the tissue *fibrous* rather than "fibrinous" though...
It gets better!! In 2018, a c-section was done on the same bitch and revealed a similar condition in the uterus, though the opposite horn was gravid that time. I've included my surgery report as well for comparison.
It gets better!! In 2018, a c-section was done on the same bitch and revealed a similar condition in the uterus, though the opposite horn was gravid that time. I've included my surgery report as well for comparison.
It gets better!! In 2018, a c-section was done on the same bitch and revealed a similar condition in the uterus, though the opposite horn was gravid that time. I've included my surgery report as well for comparison.
I strongly recommended spaying her and not breeding her again. I did not want to spay her at the time of her c-section, though, so we can reevaluate her anatomy once things shrink back down to normal size.
Can't wait to see what kind of weird things I find during c-sections in 2021!!
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