This is a radiograph of what my friends are calling "The coolest pyo ever!" This is a lateral abdominal radiograph of a dog that had a pyometra, or pyo for short. A pyo is a uterine infection. A dog that has not been spayed and has gone through several heat cycles is predisposed, through repeated levels of high estrogen, to a condition called endometrial hyperplasia. This causes lots of exaggerated folds to develop in the uterine lining. This condition further predisposes a patient to pyometra.
A pyo is a life threatening emergency. The uterus builds up bacteria and white cells and junk until it, 1) threatens to rupture the uterus, especially if it's a "closed" pyo where the cervix is not open allowing fluid to drain, 2) the bacteria emerges into the bloodstream, and 3) makes the dog very sick. Common signs of pyo include vomiting, fever, lethargy, anorexia, and a vaginal discharge if it is an "open" pyo with the cervix open. Often it occurs two to four months after the last heat cycle. Treatment includes stabilization with shock rate fluids, antibiotics, and emergency surgery to remove both the source of infection and avoid a possible rupture of the uterus. Antibiotics to not penetrate well into the uterus of dogs and just putting the dog on antibiotics, however strong, DOES NOT WORK.
This was not my case, nor my radiograph. They both belong to Dr. May B. Insane, who posted a true and pithy comment on my Wild Rodeo post. She kindly sent this rad to me and let me tell the story.
This dog came into Dr. Insane's emergency room after NINE, count 'em, NINE days of symptoms, after a referring vet TOLD THE OWNERS IT WAS A PYO AND GAVE THEM ANTIBIOTICS. Sometimes the stupidity of my colleges astounds me. Needless to say, she was still not feeling well. Lucky for her it was an open pyo and had been draining.
The tubule structure filling the caudal and ventral abdomen is this dog's uterus. It was kind of a big dog, too. Needless to say, an emergency surgery was lots of fun with a uterus that big, and the dog is having an excellent recovery.
SPAY YOUR DOGS, IDIOTS !!!!!@#$%^&^%$#@#$%^&^%$#@!!!!