Resolution of two cases of ovarian abscesses in mares subjected to ovum pick up.

OPU abscess horse ovary

Journal

Equine veterinary journal
ISSN: 2042-3306
Titre abrégé: Equine Vet J
Pays: United States
ID NLM: 0173320

Informations de publication

Date de publication:
11 Dec 2023
Historique:
received: 26 07 2023
accepted: 13 11 2023
medline: 12 12 2023
pubmed: 12 12 2023
entrez: 12 12 2023
Statut: aheadofprint

Résumé

Currently, for in vitro embryo production in live mares, immature oocytes are retrieved by transvaginal follicular aspiration or ovum pick up (OPU). Occasionally, ovarian abscesses have been described after OPU, but no current consensus exists on how to treat this condition. To describe diagnosis and successful treatment of ovarian abscesses in two mares subjected to OPU. Case report. Case records were reviewed and summarised. In the first case, a pony mare showed tachypnoea, tachycardia, high temperature, leukocytosis, left hindlimb lameness and slight increase in concentration of serum amyloid A. Ultrasonography revealed an increase in the size of the left ovary and two well defined structures suggestive of ovarian abscess. A left ovariectomy by standing laparoscopy was the treatment of choice: the diagnosis was confirmed, and bacterial culture produced heavy growth of Streptococcus equi Zooepidemicus. In the second mare, an abnormal structure was observed in the left ovary in a routine transrectal ultrasonographic exam in the absence of any clinical signs or abnormal blood parameters. A medical approach was chosen and a sample of the purulent material was aspirated with a transvaginal ultrasound-guided approach. The sample yielded a heavy growth of Streptococcus equi Zooepidemicus after culture. Treatment was initiated with rifampicin and trimethoprim-sulfadiazine based on the antibiogram results and the abscess completely resolved after 40 days. Limited to two cases. Ovarian abscesses in mares can be successfully treated both surgically and medically.

Sections du résumé

BACKGROUND BACKGROUND
Currently, for in vitro embryo production in live mares, immature oocytes are retrieved by transvaginal follicular aspiration or ovum pick up (OPU). Occasionally, ovarian abscesses have been described after OPU, but no current consensus exists on how to treat this condition.
OBJECTIVES OBJECTIVE
To describe diagnosis and successful treatment of ovarian abscesses in two mares subjected to OPU.
STUDY DESIGN METHODS
Case report.
METHODS METHODS
Case records were reviewed and summarised.
RESULTS RESULTS
In the first case, a pony mare showed tachypnoea, tachycardia, high temperature, leukocytosis, left hindlimb lameness and slight increase in concentration of serum amyloid A. Ultrasonography revealed an increase in the size of the left ovary and two well defined structures suggestive of ovarian abscess. A left ovariectomy by standing laparoscopy was the treatment of choice: the diagnosis was confirmed, and bacterial culture produced heavy growth of Streptococcus equi Zooepidemicus. In the second mare, an abnormal structure was observed in the left ovary in a routine transrectal ultrasonographic exam in the absence of any clinical signs or abnormal blood parameters. A medical approach was chosen and a sample of the purulent material was aspirated with a transvaginal ultrasound-guided approach. The sample yielded a heavy growth of Streptococcus equi Zooepidemicus after culture. Treatment was initiated with rifampicin and trimethoprim-sulfadiazine based on the antibiogram results and the abscess completely resolved after 40 days.
MAIN LIMITATIONS CONCLUSIONS
Limited to two cases.
CONCLUSIONS CONCLUSIONS
Ovarian abscesses in mares can be successfully treated both surgically and medically.

Identifiants

pubmed: 38083902
doi: 10.1111/evj.14031
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Consejería de Educación y Empleo, Junta de Extremadura
ID : IB20005
Organisme : ERDF A Way of Making Europe
ID : PID2020-112723RBI00
Organisme : MCIN/AEI/10.13039/501100011033

Informations de copyright

© 2023 The Authors. Equine Veterinary Journal published by John Wiley & Sons Ltd on behalf of EVJ Ltd.

Références

Squires E. Current reproductive technologies impacting equine embryo production. J Equine Vet. 2020;89:102981. https://doi.org/10.1016/j.jevs.2020.102981
Brück I, Raun K, Synnestvedt B, Greve T. Follicle aspiration in the mare using a transvaginal ultrasound-guided technique. Equine Vet J. 1992;24:58-59. https://doi.org/10.1111/j.2042-3306.1992.tb02780.x
Galli C, Duchi R, Colleoni S, Lagutina I, Lazzari G. Ovum pick up, intracytoplasmic sperm injection and somatic cell nuclear transfer in cattle, buffalo and horses: from the research laboratory to clinical practice. Theriogenology. 2014;81:138-151. https://doi.org/10.1016/j.theriogenology.2013.09.008
Velez IC, Arnold C, Jacobson CC, Norris JD, Choi YH, Edwards JF, et al. Effects of repeated transvaginal aspiration of immature follicles on mare health and ovarian status: effect of transvaginal aspiration on health. Equine Vet J. 2012;44:78-83. https://doi.org/10.1111/j.2042-3306.2012.00606.x
Vanderwall DK, Woods GL. Severe internal hemorrhage resulting from transvaginal ultrasound-guided follicle aspiration in a mare. J Equine Vet. 2002;22:84-86. https://doi.org/10.1016/S0737-0806(02)70094-4
Stout TAE. Clinical application of in vitro embryo production in the horse. J Equine Vet. 2020;89:103011. https://doi.org/10.1016/j.jevs.2020.103011
Cuervo-Arango J, Claes AN, Stout TA. A retrospective comparison of the efficiency of different assisted reproductive techniques in the horse, emphasizing the impact of maternal age. Theriogenology. 2019;132:36-44. https://doi.org/10.1016/j.theriogenology.2019.04.010
Hinrichs K. Assisted reproductive techniques in mares. Reprod Domest Anim Zuchthyg. 2018;53(Suppl 2):4-13. https://doi.org/10.1111/rda.13259
Bøgh IB, Brink P, Jensen HE, Lehn-Jensen H, Greve T. Ovarian function and morphology in the mare after multiple follicular punctures. Equine Vet J. 2010;35:575-579. https://doi.org/10.2746/042516403775467243
Ramirez S, Sedrish SA, Paccamonti DL, French DD. Ultrasound as an aid for diagnosis of ovarian abscesses in two mares. Vet Radiol Htmlent Glyphamp Asciiamp Ultrasound. 1999;40:165-168. https://doi.org/10.1111/j.1740-8261.1999.tb01903.x
Rosen M, Breitkopf D, Waud K. Tubo-ovarian abscess management options for women who desire fertility. Obstet Gynecol Surv. 2009;64:681-689. https://doi.org/10.1097/OGX.0b013e3181b8b0d6
Carnevale EM. Advances in collection, transport and maturation of equine oocytes for assisted reproductive techniques. Vet Clin North Am Equine Pract. 2016;32:379-399. https://doi.org/10.1016/j.cveq.2016.07.002
Röcken M, Mosel G, Seyrek-Intas K, Seyrek-Intas D, Litzke F, Verver J, et al. Unilateral and bilateral laparoscopic ovariectomy in 157 mares: a retrospective multicenter study. Vet Surg. 2011;40:1009-1014. https://doi.org/10.1111/j.1532-950X.2011.00884.x
Woodie BJ. Uterus and ovaries. In: Auer JA, editor. Equine surgery. 5th ed. St. Louis, MO: Elsevier; 2018. p. 1083-1087.
Gjelland K, Ekerhovd E, Granberg S. Transvaginal ultrasound-guided aspiration for treatment of tubo-ovarian abscess: a study of 302 cases. Am J Obstet Gynecol. 2005;193:1323-1330. https://doi.org/10.1016/j.ajog.2005.06.019
Kairys N, Roepke C. Tubo-ovarian abscess. Treasure Island (FL): StatPearls Publishing; 2023.
Troedsson MHT. Endometritis. In: McKinnon AO, editor. Equine reprod. Volume 271. 2nd ed. Chichester, West Sussex, UK: Wiley-Blackwell; 2011. p. 2609.
Levi-Setti PE, Cirillo F, Scolaro V, Morenghi E, Heilbron F, Girardello D, et al. Appraisal of clinical complications after 23,827 oocyte retrievals in a large assisted reproductive technology program. Fertil Steril. 2018;109:1038-1043.e1. https://doi.org/10.1016/j.fertnstert.2018.02.002
Ludwig AK, Glawatz M, Griesinger G, Diedrich K, Ludwig M. Perioperative and post-operative complications of transvaginal ultrasound-guided oocyte retrieval: prospective study of >1000 oocyte retrievals. Hum Reprod. 2006;21:3235-3240. https://doi.org/10.1093/humrep/del278
Malaluang P, Åkerholm T, Nyman G, Lindahl J, Hansson I, Morrell JM. Bacteria in the healthy equine vagina during the estrous cycle. Theriogenology. 2024;213:11-18. https://doi.org/10.1016/j.theriogenology.2023.09.011
Pye J, Galuppo L, Whitcomb MB, Clothier K, Byrne B. Isolation of Campylobacter fetus subspecies fetus from an abdominal abscess in an adult mare. Can Vet J. 2020;61:1307-1311.
Berlin D, Kelmer G, Steinman A, Sutton GA. Successful medical management of intra-abdominal abscesses in 4 adult horses. Can Vet J. 2013;54:157-161.
Davis JL. Pharmacologic principles. In: Reed SM, Bayly WM, Sellon DC, editors. Equine internal medicine. 4th ed. St. Louis: Elsevier; 2018. p. 114.
Goje O, Markwei M, Kollikonda S, Chavan M, Soper DE. Outcomes of minimally invasive management of tubo-ovarian abscess: a systematic review. J Minim Invasive Gynecol. 2021;28:556-564. https://doi.org/10.1016/j.jmig.2020.09.014
Claes A, Stout TAE. Success rate in a clinical equine in vitro embryo production program. Theriogenology. 2022;187:215-218. https://doi.org/10.1016/j.theriogenology.2022.04.019
Orellana-Guerrero D, Dini P, Santos E, De La Fuente A, Meyers S, Koshak S, et al. Effect of transvaginal aspiration of oocytes on blood and peritoneal fluid parameters in mares. J Equine Vet. 2022;114:103949. https://doi.org/10.1016/j.jevs.2022.103949

Auteurs

Pablo Fernández-Hernández (P)

Departamento de Medicina Animal, Facultad de Veterinaria, Grupo de Investigación Medicina Interna Veterinaria (MINVET), Universidad de Extremadura, Cáceres, Spain.

Marta Valero-González (M)

Hospital Clínico Veterinario, Universidad de Extremadura, Cáceres, Spain.

Beatriz Fuentes-Romero (B)

Hospital Clínico Veterinario, Universidad de Extremadura, Cáceres, Spain.

Manuel Iglesias-García (M)

Hospital Clínico Veterinario, Universidad de Extremadura, Cáceres, Spain.

Luis Javier Ezquerra-Calvo (LJ)

Departamento de Medicina Animal, Grupo MECIAN, Universidad de Extremadura, Cáceres, Spain.

Maria Martín-Cuervo (M)

Departamento de Medicina Animal, Grupo MECIAN, Universidad de Extremadura, Cáceres, Spain.

Beatriz Macías-García (B)

Departamento de Medicina Animal, Facultad de Veterinaria, Grupo de Investigación Medicina Interna Veterinaria (MINVET), Universidad de Extremadura, Cáceres, Spain.

Classifications MeSH