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Pyometra

Pyometra is a condition that develops when the uterus becomes infected and collects pus within the lumen. This usually occurs in middle aged and older cats. Affected animals have usually been in season in the 8 weeks prior to illness.

Signs of disease include swelling of the abdomen, inappetance, dullness, and a discharge from the vagina. This discharge is not always obvious since many cats are fastidious about cleanliness.

Ultrasound or X-rays may be required to diagnose the problem, blood testing can be useful in doubtful cases.

The treatment of choice is removal of the uterus and ovaries (ovariohysterectomy). A course of antibiotics should be prescribed and intravenous fluids will rehydrate the animal and treat any concurrent toxaemia or azotaemia.

If surgery is successfully performed then the prognosis is good. If the uterus should rupture or if advanced septicaemia has developed then the prognosis becomes guarded.

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