Non-surgical management of hematometra in a dog

Abstract

Hematometra, a rare and often underdiagnosed canine reproductive disorder characterized by the accumulation of blood within the uterine lumen, presents both diagnostic and therapeutic challenges in clinical practice. This case study describes about the diagnosis and non-surgical management of hematometra in a 4-year-old female German shepherd dog presented with persistent vaginal bleeding and mild abdominal discomfort. Diagnostic evaluation included ultrasonography, complete blood count, liver, kidney and lipid profiles, revealing leucocytosis (WBC 12.3 × 10³/µL), mild azotaemia elevated urea (31 mg/dL) and abnormal lipid parameters. Treatment with intravenous fluids, antibiotics and anti-inflammatories resulted in clinical improvement with normalized WBC (8.05 × 10³/µL). This study highlights systemic effects, non-surgical management and documentation challenges, offering practical insights for veterinarians in resource-limited settings.