Aplasia uterina total em cadela com atrofia segmentar de vagina / Total uterine aplasia in bitch with segmental atrophy of vagina

Background: Congenital uterine malformations are rarely identified in domestic and human animals and are related to problems during the embryonic formation of the paramesonephric ducts. Cases of agenesis and segmental aplasia or unicorn uterus have been described in bitches, but there are no reports of total uterine aplasia in this specie. The report of a case of total uterine aplasia and segmental atrophy of the cranial vagina, accidentally diagnosed is reported herein.Case: An adult female bitch without defined breed in bad general condition was attended in the emergency service in a Veterinary Hospital. During anamnesis the information was restricted because it was an errant animal rescued for the consultation, but accompanied for at least 12 months in the environment in which it lived. Data related to the estrous cycle were unknown, but no gestation was observed in the last year. Investigations detected anemia and intense thrombocytopenia, azotemia and increased alanine aminotransferase. Two days later, with no progression, images suggestive of hemometra/ mucometra were observed during abdominal ultrasonography, and the patient underwent emergency ovariohysterectomy despite the general poor condition. Before the procedure the uterus was not routinely identified, but a fibromuscular, nontubular and thin structure occupied the region corresponding to the horns and uterine body, thickening in the cervix region. Death four days after surgery and sent to necropsy. During necropsy it was observed that the vulva and the vestibule of the vagina did not present macroscopic alterations, however there was a marked digitiform narrowing of the cranial region of the vagina, which ended in blind bottom. The mucosa in this narrowing was smooth, without folds. The microscopic structure of the ovaries, uterine tubes and caudal vagina were preserved.[...]

Aplasia uterina total em cadela com atrofia segmentar de vagina / Total uterine aplasia in bitch with segmental atrophy of vagina

Background: Congenital uterine malformations are rarely identified in domestic and human animals and are related to problems during the embryonic formation of the paramesonephric ducts. Cases of agenesis and segmental aplasia or unicorn uterus have been described in bitches, but there are no reports of total uterine aplasia in this specie. The report of a case of total uterine aplasia and segmental atrophy of the cranial vagina, accidentally diagnosed is reported herein.Case: An adult female bitch without defined breed in bad general condition was attended in the emergency service in a Veterinary Hospital. During anamnesis the information was restricted because it was an errant animal rescued for the consultation, but accompanied for at least 12 months in the environment in which it lived. Data related to the estrous cycle were unknown, but no gestation was observed in the last year. Investigations detected anemia and intense thrombocytopenia, azotemia and increased alanine aminotransferase. Two days later, with no progression, images suggestive of hemometra/ mucometra were observed during abdominal ultrasonography, and the patient underwent emergency ovariohysterectomy despite the general poor condition. Before the procedure the uterus was not routinely identified, but a fibromuscular, nontubular and thin structure occupied the region corresponding to the horns and uterine body, thickening in the cervix region. Death four days after surgery and sent to necropsy. During necropsy it was observed that the vulva and the vestibule of the vagina did not present macroscopic alterations, however there was a marked digitiform narrowing of the cranial region of the vagina, which ended in blind bottom. The mucosa in this narrowing was smooth, without folds. The microscopic structure of the ovaries, uterine tubes and caudal vagina were preserved.[...](AU)

Benign Inclusions in Lymph Nodes / Inclusiones Benignas en Linfonodos

Benign inclusions are foci of non-neoplastic ectopic tissue in lymph nodes. They are classified into three types: epithelial, nevomelanocytic and decidual. It is important to identify them for the differential diagnosis with lymph node metastases, particularly among patients who present proliferative benign lesions. In general, epithelial inclusions are presented inside lymph nodes as epithelial cysts or as numerous structures resembling ducts. The cells of these structures may originate from the cells of paramesonephricus ducts, salivary glands, breast tissue, thyroid follicles, squamous epithelium or mesothelium. Paramesonephricus -type inclusions are almost exclusively found in pelvic lymph nodes and, in appearance, they resemble the epithelium of the uterine tube. Inclusions of breast tissue are composed predominantly of ectopic mammary glands and ducts that present diverse morphological characteristics that still have obscure etiology. Thyroid-type inclusions are frequently found in cervical and axillary lymph nodes, and it is believed that, embryologically, they arise from the mixing of tissues from which lymph nodes and the thyroid gland originate. Mesothelial inclusions occur preferentially in the mediastinal lymph nodes of patients who are affected by pleural or pericardial effusions. Aggregates of melanocytic cells are generally found in the lymph node capsule. The explanation for this occurrence is uncertain, but it is believed to be a consequence of incorrect migration of neural crest cells, or because of "benign metastases" of nevi present in the skin. Studies on benign inclusions in lymph nodes take on importance through assisting in correctly diagnosing the presence of metastases.

Las inclusiones benignas son focos de tejido ectópico no neoplásico en los linfonodos. Ellos son clasificados en tres grupos: epitelial, nevomelanocítico y decidual. Es importante identificarlos para el diagnóstico diferencial con metástasis de linfonodos, particularmente en aquellos pacientes que presentan lesiones proliferativas benignas. En general, las inclusiones epiteliales se presentan dentro de los linfonodos como quistes epiteliales o como numerosas estructuras que parecen conductos. Las células de estas estructuras se pueden originar a partir de las células del conducto paramesonéfrico, glándulas salivales, tejido mamario, folículos tiroideos, epitelio escamoso o mesotelio. Las inclusiones tipo paramesonéfrico son exclusivamente encontradas en los linfonodos pélvicos y su apariencia recuerda el epitelio de la tuba uterina. Las inclusiones del tejido mamario están compuestas predominantemente de tejido mamario glandular ectópico y los ductos presentan diversas características morfológicas las que no tienen una clara etiología. Las inclusiones del tipo tiroideas son frecuentemente encontradas en los linfonodos cervicales y axilares y se cree que embriológicamene, se originan de una mezcla de tejidos de que origina linfonodos y tejido glandular tiroideo. Las inclusiones mesoteliales ocurren preferentemente en los linfonodos mediastínicos de pacientes que son afectados por dilataciones pleurales y pericárdicas. Los agregados de células melanocíticas son generalmente encontrados en la cápsula de los linfonodos. La explicación para este hecho es incierta, pero se cree que es una consecuencia incorrecta de la migración de células de la cresta neural o por metástasis benignas de nevos presentes en la piel. Los estudios de las inclusiones benignas en linfonodos toma importancia ya que a través de ellos se puede ayudar a un correcto diagnóstico de la presencia de metástasis.