Serial ultrasonographic appearance of postpartum uterine involution in Korea Jin-do dogs

This study was undertaken to detemine the normal appearance of the postpartum uterine involution. Postpartum changes in uterine shape, architecture, echogenicity and diameter were monitored with ultrasonography in 11 Korea Jin-do dogs. Serial ultrasonographic examination was done daily during the first week, 3 days interval from 8 to 30 days, and weekly from 31 to 100 days postpartum, respectively. Of 11 postpartum bitches, 10 bitches(90.9%) had normal involution and 1 bitch (9.1%) had subinvolution of the placental sites (SIPS) by gross findings, vaginal discharges, and by ultrasographic findings, uterine shape and echogenicity. The excretory period of vaginal discharges in 10 normal bitches of uterine involution was finished completely at 20.2+_4.6 days(Mean+_SD) postpartum, but in 1 SIPS at 50 days postpartum. The short axis shape of the uterus was initially often flaccid-appearing. It varied from circular to crescent shaped to polygonal.This lasted until 16.5+_3.7 days postpartum, during which time the short axis uterine shape gradually changed to circular. Also, the long axis shape of the uterus was created a beaded appearance of the horns until 29.9+_3.2 days postpartum. After 30 days, it was appeared as tubular shape without distinguished between placental and interplacental sites. The ultrasonographic image of the postpartum uterus consisted of four echogenicity distinct layers. Ulterine wall was represented the very hyperechoic serosa, hypoechoic mycomtrium, hyperechoic endometrium and anechoic structures of fluid in the uterine cavity until 7 days postpartum. The individual uterine layers were most prominent during the first weeek postpartum,and they became progressively less distinct throughout the course of uterine involution. Anechoic structrues of fluid inthe uterinecavity was detected until 25.0+_6.4 days prostpartum, after which time it was not reliably detected. The uterine diameter was decreased not only in the placental sites from 24.1+_2.5mm at 1 day to 15.4+_1.4mm at 7 days postpartum, but also in the interplacental sites 14.9+_1.5mm at 1 day, 10.6+_0.8mm at 7 days postpartum. There was a general trend of decresing uterine diameter, whichoccurred more rapidly at the placental sites. At 31 days postpartum, these diameter reached almost same size, after that time, they could be not distinguished between placental and interplacental sites. At 87 days postpartum, the uterine diameter was 5.6+_0.6mm both placental and interplacental sites, and the uterine horns were uniform hypoechoic, tubular structures without enlargement. Therefore, complete involution of the uterus occurred at that time. It was concluded that normal postpartum uterine involution in Korea Jin-do bitches appeared to be completed around 87 days postpartum by gross findings such as vaginal discharges, and by ultrasonographic findings, uterine shape and echogenicity. Also ultrasonographic characteristics of the postpartum uterine involution were described. Therefore, these result suggest that ultrasonographic assessment is a reliable method for diagnosing the SIPS and uterine dysfunction, such as pyometra in bitch.