Cindy, a 12 year old Maltese terrier, came into BHVG for the first time in regards to her foul breath. She appeared fit and well but had rotten teeth and gums. Cindy had not been desexed and had had a litter of pups when young.
On physical examination prior to the dental work, Cindy was found to have a large solid mass in the lower abdomen near her bladder and pelvic rim. An ultrasound showed it to be a solid mass around the base of the bladder with varying degrees of denseness.
Blood tests and chest x-rays were clear prior to surgery.
Cindy was placed on an IV drip and anesthetised with IV Alfaxan then placed on 2% Isoflurane. Her arterial blood pressure was a nice 95mm Hg throughout the Anaesthetic
We performed an exploratory laboratory. On examining the bladder, a large soft tissue mass with an irregular shape had wrapped itself around the base of the bladder. The neck of the bladder and urethra were stretched over the mass.
The liver and kidney looked ok. Her uterus was slightly enlarged as were the ovaries.
We desexed Cindy and tied off the ovaries and uterus leaving them attached to the mass which appeared to originate off the vaginal wall.
Over 1&1/2 hours, the mass was slowly dissected away from the bladder and urethra which were very closely adhered to the tumour. Eventually the mass was removed and the bladder was gently squeezed to check it worked ok. Urine could be seen to travel down the neck of the bladder into the urethra.
The abdominal wounds were sutured and work began on her teeth which were in bad shape. There were many extractions so we placed 4 local nerve blocks in her jaws to lessen the pain on recovery.
Cindy was given post op pain relief and antibiotics. She as kept on a drip overnight and the next day she was standing up looking at us as if nothing had happened. She went home that afternoon and has not looked back.
She has eating and drinking well and urinating freely. She is walking with a new spring in her step and feels a lot happier now that the bad teeth have been removed and her gums are healing.
It is suspected the tumour is a malignant growth off the vagina, probably as a result of not being desexed when an immature pup. Hopefully it will take some time before it re-grows. In the meantime, Cindy is a happy dog once again.