Successful treatment of infertility in a female Sumatran orangutan Pongo abelii.

In 2011, a female Sumatran orangutan housed at Durrell Wildlife Conservation Trust became infertile following a massive antepartum hemorrhage in labor and the delivery of a stillborn infant. The placenta was infected with Pantoea sp. Hysterosalpingography (HSG) revealed blocked fallopian tubes, and pressurized fallopian tube perfusion was used to reverse the tubal occlusion. She subsequently conceived and following an intensive training program, we were able to measure umbilical artery waveform analysis for fetal well-being and placental localization to exclude placenta previa, which could complicate pregnancy and lead to catastrophic hemorrhage. The female went on to deliver a healthy offspring. We suggest that these techniques should be considered for other infertile females in the global captive population.

Bilateral hydrosalpinx in a mare - a case report / Hidrossalpinge bilateral em égua - relato de caso

During a research visit for tissue collection at an abattoir located in Pelotas, Brazil, one female genital tract showed both enlarged oviducts. The reproductive tract was collected and analyzed. Occluded uterine tubes and an increase in the organ volume due to the large amount of fluid in the organ lumen were the macroscopic findings. Three samples, corresponding to isthmus, ampulla and infundibulum from each uterine tube and one sample from the endometrium were collected. Samples were fixed in Bouin's solution and processed in light microscopy. Microscopically a decrease in the number of folds and also an increase in the lumen of the organ were observed, mainly in the ampulla and infundibulum. The epithelial lining of the uterine tubes ranged from ciliated to simple squamous. Inflammatory cells were observed between the epithelial cells and in the lamina propria. Hydrosalpinx is difficult to diagnose and can be a cause of infertility in the mare.

Durante uma visita de pesquisa para coleta de tecido em um abatedouro localizado na cidade de Pelotas, Brasil, foi observado um trato genital com aumento do tamanho dos ovidutos. O trato reprodutivo foi coletado e analisado. Os achados macroscópicos observados foram tubas uterinas ocluídas e com aumento do volume do órgão devido à grande quantidade de líquido na luz do órgão. Três amostras, correspondendo a istmo, ampola e infundíbulo, e uma amostra do endométrio foram coletadas. As amostras foram fixadas em solução de Bouin e processadas para microscopia de luz. Microscopicamente foi observada uma diminuição no número de pregas e um aumento do lúmen do órgão, principalmente na ampola e no infundíbulo. O epitélio de revestimento das tubas uterinas variou de cilíndrico ciliado a pavimentoso simples. Células inflamatórias foram observadas entre as células epiteliais e na lâmina própria das tubas uterinas. A hidrossalpinge é difícil de ser diagnosticada e pode ser uma causa de infertilidade na égua.

Hysteroscopic hydrotubation of the equine oviduct.

REASON FOR PERFORMING STUDY: Diagnostic techniques for oviductal obstruction in the mare are limited and development of a more reliable and direct method to assess oviductal patency is needed. OBJECTIVE: To evaluate the feasibility of hysteroscopic selective hydrotubation of the equine oviduct via videoendoscopy in standing mares. METHODS: Using a catheter inserted under endoscopic guidance into the uterotubal junctions of 10 mares, 5 ml of indigo carmine solution (4 mg/ml) was flushed into the oviduct. After introduction of the dye, peritoneal fluid was obtained via abdominocentesis. A colpotomy was also performed to allow introduction of a videoendoscope into the abdominal cavity to assess the presence of dye visually at the ovarian end of the oviduct. RESULTS AND CONCLUSIONS: In 15 of 20 (75.0%) attempts, the catheter was successfully inserted into the uterotubal junction, and dye was observed at the ampulla, fimbria, overlying the ovary or surrounding tissue. In 2 mares, the videoendoscope could not be manipulated to identify the uterotubal junction. Only one of 2 oviducts was flushed in an additional mare because insufflation of the uterus could not be maintained. The colour of the dye was evident macroscopically and spectrophotometrically in 4 of 8 mares from which peritoneal fluid was successfully collected. POTENTIAL RELEVANCE: The equine oviduct can be evaluated by hysteroscopic selective hydrotubation.

Laparoscopic evaluation of oviductal patency in the standing mare.

Intraluminal masses in the oviduct might cause infertility and/or subfertility in mares by preventing transport of ova, sperm, or both, to the site of fertilization or the embryo into the uterus. Currently, there is no clinical test for oviductal patency in mares. The objective was to determine if the passage of microspheres from the oviduct to the uterus was associated with the presence or absence of intraluminal masses. In this trial, a standing laparoscopic technique was used to cannulate the oviducts and instill 15-µm fluorescent beads in 16 light-breed mares. At 48 hours after surgery, uterine lavage was performed to collect and quantify the number of beads transported to the uterus. Mares were immediately euthanized, and their reproductive tracts recovered. The presence of intraluminal masses was determined from postmortem evaluation and compared with the number beads recovered in the uterine lavage fluid. A test was considered positive for intraluminal masses if no beads were transported to the uterus. The sensitivity and specificity of the test were 71.4% and 85.7%, respectively.

Congenital and acquired pathology of ovary and tubular genital organs in ewes: a review.

Advances in our understanding of ovarian cyclicity, pathogenesis of subfertility and/or infertility and reproductive pathology in food animals have frequently entailed examination of abattoir material. Despite the fact that most lesions in ewes are likely to be of relatively minor significance to fertility, results of previous studies suggest that lesions of the female reproductive system may represent a significant source of loss to sheep husbandry. The objective of this paper is to review the pathophysiology, the effects on reproductive efficiency and the key gross and histological diagnostic features of congenital and acquired pathology of ovary and tubular genital organs in ewes.

Pathological and bacteriological studies of hydrosalpinx in buffaloes.

The objectives of the present study were to investigate the bacteria accompanying hydrosalpinx of the buffalo cow and investigate the correlation between bacterial infection of the uterus and hydrosalpinx. Buffalo cows' reproductive tracts were collected from Mosul abattoir. A total 385 uterine samples were examined of which 25 were having hydrosalpinx. Swabs for bacteriology, fluid for cytology and biopsies for histopathology were collected from the hydrosalpinx and the uterus from each samples included in this study. Results of this study indicated high prevalence of hydrosalpinx (6.5%) including unilateral (n = 19; 76%) and bilateral (n = 6; 24%) hydrosalpinx. Although 16 samples (64%) of the hydrosalpinx samples had no bacterial growth, the most prevalent bacteria recovered from hydrosalpinx were Corynebacterium hemolyticum and Actinomyces bovis, 42.8% and 28.6%, respectively. The most prevalent bacteria in the uterus were Archanobacterium pyogenes (18.5%), Staphylococcus aureus (14.8%), and Listeria monocytogenes (11.0%). Higher rates of leukocytes infiltration (p < 0.01) were observed in the uterine discharge than hydrosalpinx. A significant (p < 0.01) increase in lymphocytes was found in uterine discharge. Microscopic examination of the hydrosalpinx showed mucosal atrophy and dilatation of oviductal lumen without any signs of inflammation. It could be concluded that there is no correlation between bacteria isolated from uterus and hydrosalpinx. No association was found between bacteriological cultures and hydrosalpinx. Inflammation of the uterine tissue could be extended to utero-tubal junction producing local inflammation resulting in fibrosis and tubal obstruction. The obstruction in the lumen of the oviducts resulted in accumulation of fluid.

A study on the pathological lesions of oviducts of buffaloes diagnosed at postmortem.

The aims of this study were to study the prevalence of oviduct abnormalities of buffaloes, investigate bacteria accompanying hydrosalpinx, pyosalpinx and salpingitis. In addition, the study was designed to investigate the correlation between bacterial infection of the uterus and oviduct lesions in buffaloes. Bacteriological examinations were performed on hydrosalpinx, pyosalpinx and salpingitis. Hydrosalpinx was found in 28 (6.9%) cases of which 20 (71.4%) were found unilaterally and 8 (28.6%) bilaterally. Pyosalpinx was recorded in 12 (2.9%). Three cases (0.7%) of oviducts filled with blood were recorded. Obstruction of oviducts was recorded in 5 (1.2%). Adhesions between mesosalpinx and perisalpingeal tissues were observed in 7 (1.7) cases. One case of double oviduct was found in the left side of the tract examined. The most prevalent bacteria recovered from hydrosalpinx were Corynebacterium hemolyticum and Actinomyces bovis, 42.8% and 28.6%, respectively. No correlation was noticed between bacteria isolated from the uterus and hydrosalpinx. The most prevalent bacteria recovered from pyosalpinx were Escherichia coli, Archanobacterium pyogenes and Staphylococcus aureus, 33.3%, 26.7% and 16.7%, respectively. Higher rates of leukocyte infiltration (P < 0.01) were observed in the uterine discharge and pyosalpinx than hydrosalpinx. In a conclusion, the current study disclosed that oviductal lesions seem to be an important problem in buffalo cows. In addition, there is no correlation between bacteria isolated from uterus and hydrosalpinx. There is a high correlation between bacteria isolated from uterus and pyosalpinx and salpingitis. The occurrence of pyosalpinx and salpingitis is mainly due to bacterial infection. Bacterial isolates from pyosalpinx and salpingitis might be related to ascending infection from the uterus.

[Hydrosalpinx in a goat]. / Hydrosalpinx bei der Ziege.

A two year old Swiss Alpine goat was referred to our clinic because of sterility. Ultrasound examination revealed a nonechogenic area cranially to the urinary bladder. As hydrometra was suspected, the goat was treated repeatedly with PGF2 alpha. Success of this therapy, however, was unsatisfactory and estrus was therefore induced by progesterone in combination with eCG and the goat mated. As conception failed and ultrasonography remained unchanged, laparoscopy was performed and a fluid filled structure could be located in the region of the right oviduct. After ovariohysterectomy and histo-pathological examination of the genital organs hydrosalpinx was diagnosed on both sides.

Evaluation of reproductive failure of female pigs based on slaughterhouse material and herd record survey.

Reproductive organs were collected from one slaughterhouse and culling data were obtained from Finnish swine herd records to determine the types and frequencies of various fertility disturbances in Finnish female pigs. Detailed information about the type and occurrence of fertility disturbances was obtained through a close examination of the slaughterhouse material. A total of 1708 reproductive organs of female pigs were examined. The following findings were recorded: no macroscopical abnormalities 52.3%, inactive ovaries 25.1%, parovarian cysts 22.9%, single ovarian cysts 3.1%, multiple ovarian cysts 3.1%, uterine disorders 1.4%, ovarian adhesions 1.1%, congenital anomalies 0.8%, tumour-like lesions in ovaries 0.8%, obstruction of oviduct 0.2%, and suppurative ovarian infection 0.1%. A large proportion, 42% of the culled gilts and 39% of the culled sows, were slaughtered because of impaired fertility based on no pregnancy, no heat or poor piglet production. The sows were removed from the herds 33 days on average after weaning.

[A method for the treatment of oviduct obstruction in cattle using CO2 insufflation into the uterus]. / Eine Methode zur Behandlung von Eileiterobstruktionen beim Rind durch CO2-Insufflation in den Uterus.

The investigations were carried out on 59 cows from Holstein half-breed, establishing that 8 cows suffered salpinx obstruction (5 cases with unilateral obstruction and 3 cases with bilateral obstruction). The authors are using an apparatus made by themselves, for insufflation of air in the obstructed uterus, and which is useful in desobstruction treatment, too. For diagnosis, CO2 was introduced inside of uterus. The authors used for treatment PBS (saline phosphate buffer) in addition with penicillin G, hydrocortisone and trypsin. Before air insufflation in uterus there will be infused 10-20 ml 2% Lidocaton. The cows must be examined in oestrus period, or 2 days after PGF2 alfa administration. The gas must be introduced under rectal palpation, and pressure must not be higher than 500 mm H2O column. If there is a permeable oviduct, after 15-20 sec. from gas introduction, ist is possible to palpate the filled oviduct. From ovary we can perceive a rustle produced by gas crossing in abdominal cavity. In case of salpinx obstruction, the treatment must be start as soon as possible. The utilized liquid for treatment will be introduce by gas pressure, inside of uterus and oviducts. Using this method, it managed the repermeability of oviducts at 3 from 8 treated cows. In each case, there were used 3 treatments at 48 h interval. After the second insemination (I.A.) 2 cows remained pregnant.

Suspected ciliary dysfunction in Chinese Shar Pei pups with pneumonia.

Chronic pneumonia was investigated in a litter of young Chinese Shar Pei in which 4 of 6 dogs were affected. Serum immunoglobulin concentrations (IgA, IgG, IgM) determined by radial immunodiffusion varied over time, but were not consistently lower in affected dogs, compared with control dogs. Two dogs that died had hydrocephalus and lymphoid depletion, in addition to severe broncho-pneumonia. Evaluation of ciliary ultrastructure in 2 affected dogs revealed random orientation of adjacent respiratory tract or oviductal cilia and a greater number of microtubular disarrangements, compared with control dogs. In vivo tracheal mucociliary clearance of 99mtechnetium macroaggregated albumin was absent in 1 dog examined. The ciliary abnormalities were suspected to have resulted in an inefficient mucociliary transport system predisposing to the development of pneumonia. Further evaluation of 1 Chinese Shar Pei revealed lymphocyte mitogenesis results that were not consistently less than those of a control dog, normal total hemolytic complement values, and normal blood neutrophil chemotaxis.

Pathology of the canine and feline uterine tube.

Lesions of the uterine tube were described in 37 dogs and nine cats. Of the 52 lesions noted, 18 were developmental abnormalities; four paramesonephric remnants, and 14 mesonephric remnants. Uterine tube cysts were seen in 16 animals, and seven animals had salpingitis. One dog had hyperplastic changes of the infundibular mucosa, and one cat and one dog demonstrated adenomyosis. There were three primary benign uterine tube neoplasms, one adenocarcinoma, two metastatic neoplasms in the uterine tube, and two bursal lipomas, all in dogs. With the exception of neoplasia of the uterine tube, most lesions were unlikely to affect the reproductive performance of these animals and/or were incidental or secondary to disorders elsewhere in the reproductive tract.

Pathologic findings in the oviducts of mares.

Oviducts from 325 mares were evaluated macroscopically, and oviducts from 124 mares were evaluated microscopically. Two hundred and eighty-five (87.69%) of the mares had at least 1 macroscopic lesion and 116 (93.54%) had at least 1 microscopic lesion. The most frequently seen macroscopic lesions were adhesions, paraovarian cysts, and thick fibrous bands. Microscopically, intraepithelial cysts, slight, focal lymphocytic infiltration in the infundibular-ampullary region, and proteinoid material in the oviductal lumen were the most common findings. In general, the proximal segments of the oviduct were more affected than were the distal segments. Forty-nine (90.74%) of the 54 pairs of oviducts collected from pregnant mares had at least 1 macroscopic or microscopic lesion.

Uterine tube abnormalities as a cause of bovine infertility.

A total of 2000 bovine reproductive tracts (1000 parous and 1000 nulliparous) from freshly slaughtered animals were examined for uterine tube abnormalities and lesions. Tubal lesions were recorded in 180 tracts (9.0 per cent). More parous tracts (6.4 per cent) had tubal lesions than nulliparous tracts (2.6 per cent). The most frequently identified lesion was ovarobursal adhesions which comprised 80 per cent of all abnormalities and were identified in 6.85 per cent of all the genital tracts examined. The uterine tubes were insufflated with carbon dioxide gas to a maximum pressure of 300 mm Hg; 22 were found to be occluded even though they were macroscopically normal.

An abattoir survey of tuberculosis in feral buffaloes.

Tuberculosis lesions were found in 193 (1.7%) of 11,322 buffaloes examined during routine post-mortem inspection at 2 export abattoirs. The prevalence of tuberculosis in buffaloes supplied from 17 separate farms ranged from 0.3% to 8.22%, with the highest levels occurring on the coastal plains. Lesions were confirmed to one major body region in 50 of 72 randomly chosen cases of tuberculosis and to 2 or more regions in 22 cases. Thoracic lesions occurred in 65 of the 72 cases, abdominal lesions in 19, head lesions in 18 and carcase lesions in 9. In the thoracic cavity, lesions occurred most frequently in mediastinal and bronchial lymph nodes. In the head region the retropharyngeal lymph node was most frequently involved, in the abdominal cavity, the liver, and in the carcase, the deep inguinal lymph node. Tuberculosis lesions in buffaloes had a lardaceous consistency and were paler in colour and less calcified than those normally exhibited by cattle. Mycobacteria were isolated from 30 to 31 lesion samples submitted for bacteriological examination. Of the isolates, 25 were identified as Mycobacterium bovis, 3 as M. avium-intracellulare-scrofulaceum complex, one as M. fortuitum and one as M. flavescens. The M. bovis isolates from buffaloes showed minor cultural differences to those normally characteristic of bovine isolates.

Some pathological conditions of the reproductive tract of the ewe.

The reproductive tracts of 276 ewes from six breeds or crosses were examined. The incidence of pathological conditions was 8.7 per cent. The largest group of abnormalities was extensive abdominal adhesions. The first case of ovarian cystadenoma in sheep is reported.

The use of the starch grain and phenolsulphonphthalein tests to investigate infertile cows.

The starch grain and phenolsulphonphthalein (PSP) tests were used to investigate the patency of the fallopian tubes in five "repeat breeder" cows. Evidence of tubal lesions was determined in three cows on rectal palpation. Using the starch grain test, bilateral occlusion was determined in three animals, left sided occlusion was determined in one and right sided occlusion in another. Using the PSP test there was evidence of bilateral occlusion in two of the four coes which were tested. In four cows the genital organs were examined visually and by palpation at laparotomy and in two cows tubal occlusion was confirmed when they were flushed with saline, and patency restored. In one animal both ovaries were almost completely encapsulated, while in the fourth adhesions involving the fimbriae occluded the ostia. There were broken down and this cow was the only one which subsequently conceived.