Ovary: abscess in Rabbits (Lapis) | Vetlexicon
lapis - Articles

Ovary: abscess

ISSN 2398-2969

Contributor(s) :


Synonym(s): Tubo-ovarian abscess

Introduction

  • Cause: ascending or hematogenous spread of bacteria.
  • Signs: non-specific anorexia, ileus, abdominal pain, discharge from the vulva, reproductive failure.
  • Diagnosis: abdominal ultrasound, CT, MRI, exploratory laparotomy, necropsy.
  • Treatment: antibiotic therapy, ovariohysterectomy.
  • Prognosis: good to fair.

Presenting signs

  • Ovarian lesions may be an incidental finding in rabbits.
  • Anorexia, ileus.
  • Abdominal discomfort.
  • Abdominal distension.
  • May have discharge from the vulva, especially if concurrent pyometra is present.
  • Ovarian enlargement may be palpable.
  • Reproductive failure.

Acute presentation

  • Depression, lethargy and anorexia.
  • Abdominal discomfort or enlargement.
  • May have shown recent respiratory signs.

Geographic incidence

  • Not established but due to ubiquitous Pasteurella multocida Pasteurellosis infection in rabbits it is likely to be worldwide.

Age predisposition

  • Mature and ageing animals.

Public health considerations

Most bacterial pathogens associated with rabbit cellulitis are considered potential zoonoses. Gloves are advised when handling potentially infected tissues.

Cost considerations

  • Moderate cost requirements as investigations such as abdominal imaging and surgical management is likely to be required.

Special risks

  • Rabbit ovaries and uterus are fragile so care must be taken to avoid rupture during examination.
  • Gentle handling will be required to avoid rupture of concurrent pyometra Pyometra or pyosalpingitis.

Pathogenesis

Etiology

  • Infection of the reproductive tract with bacteria, most commonly Pasteurella multocida.

Predisposing factors

General

  • Poor environmental hygiene.
  • Overcrowding.
  • Exposure to rabbits carrying Pasteurella multocida.

Specific

  • Increasing age.
  • Positive Pasteurella multocida carrier status.
  • Mating with a carrier or symptomatic male.

Pathophysiology

  • Transmission of Pasteurella multocida from carrier animal to naïve rabbit occurs via several routes:
    • Feco-oral via coprophagy or cecotrophy.
    • Ingestion of bacteria via mutual grooming.
    • Transmission to young during birth.
    • Venereal transmission.
    • Aerosol transmission.
  • Ascending infection tends to occur in breeding females mated with a carrier male:
    • Can occur with or without successful copulation.
    • Bacteria ascend up the reproductive tract.
    • May induce metritis, pyometra or pyosalpingitis before reaching the ovary to form an abscess Abscess.
  • Hematogenous spread:
    • Can occur in unmated females.
    • Initial entry via wound or respiratory tract colonization.
    • Invasion into the blood stream.
    • Spread to internal organs with potential for abscessation including the liver, kidneys and reproductive tract.
    • May occur many weeks or months after initial infection.

Timecourse

  • Incubation varies from 2-3 weeks in acute cases and respiratory disease to prolonged periods for hematogenous forms of disease.
  • Abscessation may be acute, subacute or chronic.
  • Infection with Pasteurella may be lifelong.

Epidemiology

  • Pasteurella multocida Pasteurella multocida is the primary respiratory pathogen reported in rabbits but ovarian abscessation appears to be extremely rare.

Diagnosis

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Treatment

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Prevention

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Outcomes

Subscribe To View

This article is available to subscribers.

Try a free trial today or contact us for more information.

Further Reading

Publications

Refereed Papers

  • Recent references from PubMed and VetMedResource.
  • Bertram CA, Klopfleisch R & Muller K (2017) Ovarian lesions in 44 rabbits (Oryctolagus cuniculus). J Vet Med Sci 79 (12), 1994-1997 PubMed.
  • Deeb B J & DiGiacomo R E (2000) Respiratory disease of rabbits. Vet Clin North Am Exot Anim Pract 3 (2), 465-480 PubMed.
  • Johnson J H & Wolf A M (1993) Ovarian abscesses and pyometra in a domestic rabbit. JAVMA 203 (5), 667-669 PubMed.

Other sources of information

  • Barthold S W, Griffey S M & Percy D H (2016) Rabbit. In: Pathology of Laboratory Rabbits and Rodents. 4th edn. Wiley Blackwell, USA. pp 283-285.
  • Harcourt-Brown F & Chitty J (2014) Ultrasound. In: BSAVA Manual of Rabbit Surgery. Dentistry and Imaging. BSAVA, UK. pp 94-108.
  • Harcourt-Brown F & Chitty J (2014) Neutering. In: BSAVA Manual of Rabbit Surgery. Dentistry and Imaging. BSAVA, UK. pp 138-149.