Abordagem terapêutica hormonal para cistos foliculares ovarianos em vacas leiteiras - relato de casos / Hormonal therapeutic approach for ovarian follicular cysts in dairy cattle - case reports / Enfoque terapéutico hormonal para quistes foliculares ováricos en vacas lecheras - informe de casos

Vacas de alta produção de leite estão mais sujeitas a desequilíbrios metabólicos pós-parto, influenciando na performance reprodutiva subsequente. Alterações relacionadas a funcionalidade do ovário podem desencadear desequilíbrios hormonais e desordens reprodutivas, como a formação de cistos ovarianos, os quais podem interferir no processo de ovulação e impactar substancialmente na eficiência reprodutiva. Neste estudo de caso em específico, sete vacas leiteiras foram diagnosticadas com a presença de cistos foliculares ovarianos. Foram submetidas a terapia hormonal envolvendo o uso de análogos de Hormônio Liberador de Gonadotrofinas (GnRH) e prostaglandina-F2a (PGF-2a), a qual apresentou resultados satisfatórios. A abordagem terapêutica hormonal tem sido amplamente utilizada devido à sua efetividade na resolução dos cistos ováricos e melhoria da função reprodutiva. É fundamental que o médico veterinário tenha conhecimento clínico sobre a abordagem adequada de cistos ovarianos, a fim de proporcionar saúde e bem-estar aos animais, garantindo bons índices em produção de leite e desempenho reprodutivo.

High milk production cows are more likely to postpartum metabolic imbalances, which may influence subsequent reproductive performance. Changes in ovarian functionality can trigger hormonal alterations and reproductive disorders, such as the formation of ovarian cysts, which can interfere with the ovulation process and substantially impact reproductive efficiency. In this specific case study, seven dairy cows were diagnosed with the presence of ovarian follicular cysts. They were submitted to hormonal therapy involving the use of Gonadotropin-Releasing Hormone (GnRH) and prostaglandin F2a (PGF-2a) analogs, which presented satisfactory results. Hormonal therapeutic approaches have been widely employed due to their effectiveness in resolving ovarian cysts and improving reproductive function. It is essential for the veterinarian to have clinical knowledge about the appropriate management of ovarian cysts in order to provide the health and welfare of the animals, ensuring suitable rates in milk production and reproductive performance.

Las vacas de alta producción de leche tienen mayor probabilidad de desequilibrios metabólicos posparto, lo cual puede influir en el rendimiento reproductivo posterior. Los cambios en la funcionalidad ovárica pueden desencadenar alteraciones hormonales y trastornos reproductivos, como la formación de quistes ováricos, que pueden interferir en el proceso de ovulación y afectar sustancialmente la eficiencia reproductiva. En este estudio de caso específico, se diagnosticó la presencia de quistes foliculares ováricos en siete vacas lecheras. Se sometieron a terapia hormonal que incluyó el uso de análogos de Hormona Liberadora de Gonadotropinas (GnRH) y prostaglandina F2α (PGF-2a), lo cual arrojó resultados satisfactorios. Los enfoques terapéuticos hormonales se han utilizado ampliamente debido a su efectividad en la resolución de quistes ováricos y la mejora de la función reproductiva. Es fundamental que el médico veterinario tenga conocimiento clínico sobre el manejo adecuado de los quistes ováricos para garantizar la salud y el bienestar de los animales, asegurando adecuadas tasas de producción de leche y rendimiento reproductivo.

Hiperplasia endometrial cística em uma coelha-doméstica (Oryctolagus cuniculus domesticus) / Cystic endometrial hyperplasia in a domestic rabbit (Oryctolagus cuniculus domesticus)

Background: Cystic endometrial hyperplasia is a hormone-dependent disease induced by systemic increase in progesteronethat can occur in several domestic species, such as the rabbit. This disease may be associated with sex steroid hormones,especially progesterone, and may be asymptomatic, and it is diagnosed using complementary imaging tests such as totalabdominal ultrasound. However, surgical excisional biopsy with histopathological tissue analysis is the gold standard. Thisstudy reports a case of asymptomatic cystic endometrial hyperplasia in a female Miniature Lion Lop rabbit (Oryctolaguscuniculus domesticus) treated with therapeutic ovariohysterectomy.Case: A domestic, adult, female Miniature Lion Lop rabbit (Oryctolagus cuniculus domesticus), aged approximately 5 yearsand weighing 3.2 kg, was referred to specialized care to undergo ovariohysterectomy, an elective procedure. The tutor onlyreported the occurrence of a single episode of vulvar secretion more than 2 years ago, treated with antibiotics, with remissionof clinical signs. In the intraoperative period after celiotomy, the uterine horn and uterine body showed a significant increasein volume, with abnormal color changes and tissue consistency; however, both changes were clinically asymptomatic. Subsequently, biopsy was performed during the ovariohysterectomy procedure. The excised uterus and ovaries were placed in 10%formalin and histopathologically analyzed. The macroscopic histopathological examination of the sectioned tissue revealed aslight amount of brownish fluid inside the uterine horns, in addition to multiple cystic areas in the uterine mucosa. Microscopicexamination revealed marked hyperplasia of well-differentiated endometrial epithelial cells, occasionally forming cystic structuresof different sizes. Moderate congestion, mild multifocal hemorrhage, and mild multifocal inflammatory infiltrate in the lamina...

Pathomorphological lesions in the ovaries of water buffaloes

Background: Buffalo breeding is common in many countries. Buffalo's milk is used in the production of mozzarella, yoghurt, ice cream, and various dairy desserts; meat is preferred in sausage production. The female buffaloes are bred to benefit from their milk and to obtain offspring. These animals, which are not suitable for feeding in barns, generally live in pastures, especially on wet land, and are very difficult to follow. Therefore, diseases occur randomly in slaughterhouses. Studies on genital system problems are very limited. Water buffaloes (Bubalus bubalis) are animals with economic value as many buffalo products are provided. In this respect, inspection and control of female genital disorders is fundamental to ensure good reproductive performance of female buffaloes. The aim of the study was to investigate pathomorphological lesions occurring in the ovaries of water buffaloes which were sent to slaughterhouses. Materials, Methods & Results: A total of 198 ovaries of water buffaloes were collected from various slaughterhouses located in Adapazari, Istanbul, Kocaeli, Samsun and Trabzon cities of Turkey. After macroscopic examination; tissue samples were fixed in 10 % buffered formalin, processed routinely and were stained with hematoxylin-eosin (HE). As a histochemical staining, Masson's trichrome staining was applied to characterize the lesions. Immunohistochemistry (IHC) was performed on 10 % neutral formalin fixed, paraffin-embedded, 4-6-µm-thick sections from ovaries using progesterone receptor (PR) with streptavidin-biotin complex peroxidase (StrepABC-P) method. Histopathologically, follicular cysts (n:147) and luteal cysts (n:22) were seen. While the cyst lumens were sometimes surrounded by granulosa and/or luteal cells, most of them were limited by the connective tissue capsule structure. This capsule structure was shown in blue by Masson's trichrome staining. Hemorrhage was observed in some cystic corpus luteum, diagnosed as corpus hemorrhagicum. In addition, cysts giving papillary extension into the lumen and inflammation of some ovaries were observed. Immunohistochemically, the staining with PR antibody in ovarian cysts showed no immunolabelling around the follicular cyst, while the nuclei of some of the luteal cells forming the luteal cyst had strongly nuclear positivity and slightly cytoplasmic positivity. In the biochemical examination of the fluids obtained from cystic ovaries (n: 37), the average of estradiol was 2.84 ng/mL (min: 0.01 ng/mL, max: 4.30 ng/mL) and progesterone average is 49.09 ng/mL (min: 1.88 ng/mL, max: 254.2 ng/mL). Discussion: Ovarian cysts in buffaloes seem to be among the serious fertility problems as in cattle. Although the exact cause of ovarian cyts has not been determined yet, it is known that the hypothalamic-pituitary-gonadal (HPG) axis is disrupted in cyst formation in general. In this study, the mean estradiol value was within the standard range but close to the lower limit; progesterone value was above the limit. The increase in progesterone level was compatible with the pathogenesis of cyst genesis. Beside this result, staining with PR was positive in the luteal cells that formed the luteal cyst immunohistochemically. In addition, although the hemorrhages observed in the corpus luteum are considered physiological, it should not be forgotten that they can be vital if they rupture. All these results show us the animals sent for slaughtering mostly have serious genital problems threatening their fertility.

Indicações de ovariohisterectomia terapêutica em gatas / Indications of therapeutic ovariohisterectomy in female cats

Ovariohisterectomia (OH) é o procedimento cirúrgico mais realizado na rotina veterinária. Tal cirurgia pode ser realizada como tratamento de enfermidades, sendo denominada de OH terapêutica. Assim, o objetivo desta revisão é determinar quais as indicações de OH terapêutica em gatas. Para isso, foi realizada uma busca em sites de artigos científicos utilizando-se termos relacionados ao tema, abrangendo o período de 2012 a 2022 (10 anos). Os artigos sobre indicação de OH terapêutica em gatas foram analisados e os dados obtidos foram dispostos em tabela e gráfico. Foram analisadas 27 publicações, perfazendo 1.264 casos de OH terapêutica em gatas. Piometra foi a enfermidade mais frequente, totalizando 1.010 casos (79,90%). Cisto ovariano foi a segunda causa mais frequente, compreendendo 95 casos (7,51%). A terceira causa mais frequente de OH terapêutica foi a distocia, representando 81 casos (6,40%). A hiperplasia mamária foi indicação de OH terapêutica em 30 casos (2,37%). Prolapso uterino e torção uterina obtiveram a mesma frequência (11 casos; 0,87%). Maceração fetal foi uma indicação terapêutica em três relatos (0,23%) nos artigos analisados. Ocorreram dez outras indicações menos comuns de OH terapêutica em gatas. Desta forma, os resultados indicam a piometra como a doença mais frequente, entretanto, foram encontrados poucos artigos sobre o tema, indicando a necessidade de mais estudos envolvendo a espécie felina.

Ovariohysterectomy (OH) is the most performed surgical procedure in the veterinary routine. Such surgery can be carried out as a treatment for diseases, being called therapeutic OH. Thus, the present review aims to determine the indications for therapeutic OH in cats. For this purpose, a search was carried out on scientific article websites using terms related to the topic, covering the period from 2012 to 2022 (10 years). The articles on the indication of therapeutic OH in cats were analyzed and the data obtained were arranged in a table and graph. Twenty-seven publications were analyzed, totaling 1,264 cases of therapeutic OH in cats. Pyometra was the most frequent disease, totaling 1,010 cases (79.90%). Ovarian cyst was the second most frequent cause, comprising 95 cases (7.51%). The third most frequent cause of therapeutic HO was dystocia, representing 81 cases (6.40%). Breast hyperplasia was an indication for therapeutic OH in 30 cases (2.37%). Uterine prolapse and uterine torsion had the same frequency (11 cases; 0.87%). Fetal maceration was a therapeutic indication in three reports (0.23%) in the analyzed articles. There were ten other less common indications of therapeutic OH in cats. Thus, the results indicate pyometra as the most frequent disease; however, few articles were found on the subject, indicating the need for more studies involving the feline species.

Mycotoxin risk management for dairy cows by monitoring blood parameters, reproduction status and SCC in milk / [Gerenciamento de risco de micotoxinas para vacas leiteiras através do monitoramento de parâmetros sanguíneos, status de reprodução e SCC no leite]

The objective of this study was to determine the effectiveness of mycotoxin management with feed additive by monitoring biochemical blood parameters, reproduction status and udder health in cows. During the first 1-12-months, the reproduction performance was assessed. The cows were fed only total mixed ration (TMR) with naturally contaminated mycotoxins (ZEN;DON;AFB1;OTA) and the cows were regarded as a control group (CG). In months 13-15, two groups were created: control (CG)(n=30) and experimental (EG)(n=60). The CG was fed with contaminated TMR and the EG was fed with the same TMR+40g/cow mycotoxins management feed additive (TMXL1000). During this period, blood indicators and udder health were studied. Beginning with months 16-24, all cows were fed with contaminated TMR+40 g/cow (TMXL1000) and regarded as the EG. The IgA concentrations in the CG decreased in the 15th month (p<0.05). The concentrations of cortisol decreased by two times (p<0.05) in the EG. Ovarian cyst treatment was more effective by 14.98% (p<0.05) in the EG than in the CG (p<0.05). The EG performed an effective (18.02%) (p<0.05) response to applied ovsynch protocol compared with the CG. According to the obtained results, it can be concluded that feed additive for mycotoxins management had a positive impact on dairy cow health.

O objetivo deste estudo era determinar a eficácia do manejo de micotoxinas com aditivo alimentar através do monitoramento de parâmetros bioquímicos do sangue, estado de reprodução e saúde do úbere em vacas. Durante os primeiros 1-12 meses, o desempenho de reprodução foi avaliado. As vacas foram alimentadas apenas com ração total mista (TMR) com micotoxinas naturalmente contaminadas (ZEN;DON;AFB1;OTA) e as vacas foram consideradas como um grupo de controle (CG). Nos meses 13-15, dois grupos foram criados: controle (CG)(n=30) e experimental (EG)(n=60). O CG foi alimentado com TMR contaminado e o EG foi alimentado com o mesmo TMR+40g/ aditivo para o manejo de micotoxinas de vacas (TMXL1000). Durante este período, foram estudados os indicadores de sangue e a saúde do úbere. A partir dos meses 16-24, todas as vacas foram alimentadas com TMR+40 g/ vaca contaminada (TMXL1000) e consideradas como o EG. As concentrações de IgA no GC diminuíram no 15º mês (p<0,05). As concentrações de cortisol diminuíram duas vezes (p<0,05) no GE. O tratamento do cisto ovariano foi mais eficaz em 14,98% (p<0,05) no GE do que no GC (p<0,05). O GE realizou uma resposta efetiva (18,02%) (p<0,05) ao protocolo ovsynch aplicado em comparação com o GC. De acordo com os resultados obtidos, pode-se concluir que o aditivo alimentar para o manejo de micotoxinas teve um impacto positivo na saúde das vacas leiteiras.

Squamous metaplasia of the rete ovarii do not suppress ovarian cyclicity and pregnancy in cattle: case report / [Metaplasia escamosa da rete ovarii não interrompe a ciclicidade ovariana e a gestação em bovinos: relato de caso]

Squamous metaplasia of the rete ovarii is an ovarian pathologic change characterized by replacement of the normal single layered cuboidal epithelium of the rete ovarii by a stratified squamous keratinized epithelium. Uterus and ovaries from a local slaughterhouse pregnant crossbreed cow were evaluated through ultrasound, macroscopically and histologically. Grossly, there were multiple cysts in both ovaries, which were histologically characterized as rete ovarii cysts with squamous metaplasia and intraluminal accumulation of keratinized material. Squamous metaplasia of the rete ovarii has been previously reported in cows, however this is the first report of this condition in a pregnant animal, demonstrating that this ovarian change is compatible with pregnancy.(AU)

A metaplasia escamosa da rete ovarii é uma patologia ovariana caracterizada pela substituição do epitélio simples cuboidal normal da rete ovarii por um epitélio estratificado escamoso queratinizado. Útero e ovários de uma vaca mestiça gestante, proveniente de abatedouro, foram avaliados por ultrassonografia, macroscopia e histologia. Verificaram-se vários cistos em ambos os ovários, histologicamente caracterizados como cistos de rete ovarii com metaplasia escamosa, com acúmulo intraluminal de material queratinizado. Metaplasia escamosa da rete ovarii foi relatada anteriormente em vacas, porém este é o primeiro relato em que essa alteração ovariana é compatível com manutenção da ciclicidde ovariana e gestação na vaca.(AU)

Ovarian responses and FSH profiles at superovulation with a single epidural administration of gonadotropin in the Thai-Holstein crossbreed

Abstract The conventional method of ovarian superstimulation requires multiple injections of gonadotropins which is time-consuming and may be stressful for the cows. This study was designed to determine whether a single epidural injection of FSH (EI group) would induce the superovulatory response in the Thai-Holstein crossbreed and evaluate FSH plasma hormone concentrations. Eight cows (replication = 3; n=24) were assigned to one of 2 treatments in switch back design. Control group (n=12): cows were received 400 mg FSH twice daily by intramuscularly for 4 days (80, 80, 60, 60, 40, 40, 20 and 20 mg), EI group (n=12): cows were received 400 mg FSH by single epidural injection. Data were collected in term of ovarian follicle responses, superovulatory responses, ova/embryo collection. FSH concentrations were examined using ELISA. The total follicular responses during oestrus were not different between treatments; however, the large follicles were less frequent (P < 0.01) while the medium follicle sizes were higher (P < 0.05) in the EI group. The plasma concentration of FSH in EI was dramatically increased within 2 hours before decreasing sharply thereafter (P < 0.01) and did not remain above baseline after 10 hours of administration. The embryo quality was better in the control than the EI groups (P < 0.05). Interestingly, the number of ovulation cysts in the EI group was 50%. The ovarian responses and embryo quality in the cows with cysts were worse compared with the non-cyst groups (P < 0.05). In conclusion, alternative protocols decreased the superovulatory response and increased poor embryo quality in Thai-Holstein crossbred. Also, the incidence of ovarian follicular cysts is higher in the EI group.

Ovarian responses and FSH profiles at superovulation with a single epidural administration of gonadotropin in the Thai-Holstein crossbreed

The conventional method of ovarian superstimulation requires multiple injections of gonadotropins which is time-consuming and may be stressful for the cows. This study was designed to determine whether a single epidural injection of FSH (EI group) would induce the superovulatory response in the Thai-Holstein crossbreed and evaluate FSH plasma hormone concentrations. Eight cows (replication = 3; n=24) were assigned to one of 2 treatments in switch back design. Control group (n=12): cows were received 400 mg FSH twice daily by intramuscularly for 4 days (80, 80, 60, 60, 40, 40, 20 and 20 mg), EI group (n=12): cows were received 400 mg FSH by single epidural injection. Data were collected in term of ovarian follicle responses, superovulatory responses, ova/embryo collection. FSH concentrations were examined using ELISA. The total follicular responses during oestrus were not different between treatments; however, the large follicles were less frequent (P < 0.01) while the medium follicle sizes were higher (P < 0.05) in the EI group. The plasma concentration of FSH in EI was dramatically increased within 2 hours before decreasing sharply thereafter (P < 0.01) and did not remain above baseline after 10 hours of administration. The embryo quality was better in the control than the EI groups (P < 0.05). Interestingly, the number of ovulation cysts in the EI group was 50%. The ovarian responses and embryo quality in the cows with cysts were worse compared with the non-cyst groups (P < 0.05). In conclusion, alternative protocols decreased the superovulatory response and increased poor embryo quality in Thai-Holstein crossbred. Also, the incidence of ovarian follicular cysts is higher in the EI group.(AU)

Diagnóstico e tratamento videoassistido de tumor de células de Leydig em cadela com síndrome do ovário remanescente / Videoassisted diagnosis and treatment for Leydig cell tumor in a bitch with remaining ovary syndrome

Neoplasias ovarianas de origem primária são incomuns em cadelas, exigindo métodos diagnósticos e terapêuticos mais precisos. Fêmeas também possuem células intersticiais secretoras de esteróides, contudo o aparecimento do tumor de células de Leydig é considerado raro. Uma cadela sem raça definida e 12 anos apresentava sinais de estro após ovariohisterectomia pré-púbere. Na avaliação ultrassonográfica, foi identificada uma massa localizada na região abdominal lateral direita, sugestiva de ovário remanescente. Durante a inspeção laparoscópica foi identificada a massa distante caudalmente do coto ovariano direito, inserida em região de mesentério jejunal. O segmento intestinal foi apreendido e exteriorizado de maneira videoassistida, optando-se pela remoção do tumor associado à enterectomia do segmento afetado. A avaliação do coto ovariano esquerdo, revelou um cisto de 0,5cm de diâmetro que também foi removido. A análise histopatológica foi sugestiva de neoplasia de células intersticiais (tumor de células de Leydig) e um cisto epitelial ovariano. O tumor de células de Leydig é relatado com freqüência em machos, entretanto, sua aparição em fêmeas é considerada extremamente incomum acometendo principalmente animais não esterilizados. A neoplasia não aderida ao coto ovariano comprova ainda que resquícios de tecido ovariano que porventura fiquem livres na cavidade abdominal podem ser responsáveis pelo desenvolvimento da síndrome do ovário remanescente e neoplasias. O prognóstico para neoplasias ovarianas sem metástases é favorável, principalmente quando aplicada a intervenção cirúrgica como método terapêutico. O uso da videocirurgia para auxiliar no diagnóstico e tratamento demonstrou-se adequado para o caso descrito, mas que deve ser complementado pela análise histopatológica.

Primary ovarian neoplasms are uncommon in bitches, requiring more accurate diagnostic and therapeutic methods. Females also have steroid-secreting interstitial cells, however, the appearance of the Leydig cell tumor is considered rare. A 12-year-old mongrel bitch showed signs of estrus after prepubertal ovariohysterectomy. Ultrasound evaluation located a mass in the right lateral abdominal region, suggestive of a remaining ovary. During laparoscopic exploration, the mass was identified caudally distant from the right ovarian stump, adhered to the jejunal mesentery. The intestinal segment was apprehended and exteriorized by video-assisted technique, and removal of the tumor was performed associated with enterectomy of the affected segment. Evaluation of the left ovarian stump revealed a 0.5cm diameter cyst that was also removed. Histopathological analysis was suggestive of interstitial cell neoplasia (Leydig cell tumor) and an ovarian epithelial cyst. The Leydig cell tumor is frequently related in males, however, its appearance in bitches is considered uncommon, affecting mainly nonsterile animals. The mass non-adhered to the ovarian stump proves that remnants of ovarian tissue that may be free in the abdominal cavity and may be responsible for the development of the remaining ovary syndrome and neoplasms. The prognosis for ovarian neoplasms without metastasis is favorable, especially when surgical intervention is applied as a therapeutic method. The use of video surgery to assist in the diagnosis and treatment was considered appropriate for the case described, but it must be complemented by histopathological analysis.

Retirada de corpo estranho (dispositivo impregnado com progesterona) da cavidade abdominal de novilha da raça Jersey ­ relato de caso / Removal of a foreign body (progesterone impregnated device) from the abdominal cavity of a Jersey heifer ­ a case report / Extracción de cuerpo extraño (dispositivo impregnado con progesterona) de la cavidad abdominal de novilla raza Jersey - reporte de caso

A inseminação artificial em tempo fixo (IATF) é uma biotécnica com inúmeras vantagens para a produção de bovinos. Para a realização da IATF, as fêmeas bovinas devem receber um protocolo farmacológico que induz a ovulação de forma sincronizada. Esse protocolo inicia com a inserção de um dispositivo impregnado com progesterona que deve permanecer no fundo vaginal da fêmea por tempo determinado. O presente relato tem por objetivo descrever a remoção de um implante impregnado com progesterona que foi encontrado na cavidade abdominal de uma novilha. Durante um atendimento reprodutivo de rotina em uma propriedade rural, uma novilha da raça Jersey, recém-adquirida, com histórico de ter sido submetida à IATF, foi avaliada para diagnóstico de gestação. No exame a novilha não estava gestante e apresentava um cisto folicular ovariano. A novilha foi submetida novamente à IATF em que foi inserido e removido um implante, com isso o cisto regrediu e ao inseminar a novilha não foi possível passar a cérvix com o aplicador. Vinte dias após a inseminação a novilha manifestou estro e ao ser avaliada para nova inseminação, foi identificado um implante solto na cavidade abdominal da novilha. Foi realizada uma laparotomia pelo flanco esquerdo e o implante foi removido. Após a recuperação da cirurgia a novilha foi inseminada e novamente e ficou gestante. Os protocolos de IATF devem ser realizados por profissionais capacitados para evitar problemas como a presente situação em que um implante foi encontrado na cavidade abdominal de uma novilha.(AU)

The fixed-time artificial insemination (FTAI) is a biotechnique with numerous advantages for cattle production. In order to perform the FTAI, the cows must receive a pharmacological protocol to induce ovulation in a synchronized way. This protocol begins with the insertion of a device impregnated with progesterone that must remain in the vaginal fundus of the cow for a specific period of time. This report aims at describing the removal of a progesterone impregnated implant that was found in the abdominal cavity of a heifer. During a routine reproductive service in a rural property, a recently acquired Jersey heifer, with history of having been submitted to FTAI, was evaluated for pregnancy diagnosis. At the exam, it was observed that the heifer was not pregnant and presented an ovarian follicular cyst. The heifer was then submitted to FTAI again, where an implant was inserted and removed. This made the cyst to recede, and upon subsequent insemination, the applicator was not able to pass the cervix. Twenty days after insemination, the heifer was in estrus and when it was evaluated for insemination, a loose implant was identified in the abdominal cavity of the heifer. A laparotomy was performed through the left flank and the implant was removed. After recovery from the surgery, the heifer was inseminated again and became pregnant. The FTAI protocols should only be carried out by trained professionals to avoid problems such as the one presented herein, where an implant was found in the abdominal cavity of a heifer.(AU)

La inseminación artificial a tiempo fijo (FTAI) es una biotécnica con numerosas ventajas para la producción de ganado. Para realizar FTAI, las hembras bovinas deben recibir un protocolo farmacológico que induzca la ovulación de forma sincronizada. Este protocolo comienza con la inserción de un dispositivo impregnado con progesterona que debe permanecer en el fondo vaginal de la hembra durante un tiempo específico. Este informe tiene como objetivo describir la extracción de un implante impregnado de progesterona que se encontró en la cavidad abdominal de una novilla. Durante la atención reproductiva de rutina en una propiedad rural, se evaluó el diagnóstico de preñez de una novilla de Jersey recién adquirida con antecedentes de someterse a FTAI. En el examen, la novilla no estaba embarazada y tenía un quiste folicular ovárico. La novilla fue nuevamente sometida a FTAI, en la cual se insertó y removió un implante, con esto el quiste retrocedió y al inseminar a la novilla no fue posible pasar el cérvix con el aplicador. Veinte días después de la inseminación, la vaquilla manifestó estro y cuando se evaluó para una nueva inseminación, se identificó un implante suelto en la cavidad abdominal de la vaquilla. Se realizó una laparotomía a través del flanco izquierdo y se extrajo el implante. Después de recuperarse de la cirugía, la novilla fue inseminada y nuevamente quedó embarazada. Los protocolos FTAI deben ser realizados por profesionales capacitados para evitar problemas como la situación actual donde se encontró un implante en la cavidad abdominal de una novilla.(AU)

Ovário policístico em cadela / Policy ovarium in bitch

Os cistos ovarianos são frequentemente diagnosticados em cadelas, eles são classicamente definidos como estruturas repletas de líquido que se desenvolvem no interior dos ovários. Podem ser encontrados de forma única ou múltiplas unilaterais ou bilaterais. Quando os cistos são múltiplos, são nomeados de ovário policístico. Relata-se o caso de uma cadela, fêmea, da raça poodle com queixa de cio persistente a mais de 30 e sangramento persistente. Foi solicitada ultrassonografia no qual foram visualizados no ovário esquerdo vários cistos condizentes com o diagnóstico de ovário policístico. O protocolo instituído para esse animal foi o da ovário-histerectomia total.(AU)

Ovarian cysts are often diagnosed in female dogs, they are classically defined as fluid-filled structures that develop inside the ovaries. They can be found single or multiple unilaterally or bilaterally. When cysts are multiple, they are named polycystic ovary. We report the case of a female poodle dog with persistent heat stress over 30 years old and persistent bleeding. Ultrasound was requested in which several cysts consistent with the diagnosis of polycystic ovary were visualized in the left ovary. The protocol instituted for this animal was total ovarian hysterectomy.(AU)

Ovário policístico em cadela / Policy ovarium in bitch

Os cistos ovarianos são frequentemente diagnosticados em cadelas, eles são classicamente definidos como estruturas repletas de líquido que se desenvolvem no interior dos ovários. Podem ser encontrados de forma única ou múltiplas unilaterais ou bilaterais. Quando os cistos são múltiplos, são nomeados de ovário policístico. Relata-se o caso de uma cadela, fêmea, da raça poodle com queixa de cio persistente a mais de 30 e sangramento persistente. Foi solicitada ultrassonografia no qual foram visualizados no ovário esquerdo vários cistos condizentes com o diagnóstico de ovário policístico. O protocolo instituído para esse animal foi o da ovário-histerectomia total.

Ovarian cysts are often diagnosed in female dogs, they are classically defined as fluid-filled structures that develop inside the ovaries. They can be found single or multiple unilaterally or bilaterally. When cysts are multiple, they are named polycystic ovary. We report the case of a female poodle dog with persistent heat stress over 30 years old and persistent bleeding. Ultrasound was requested in which several cysts consistent with the diagnosis of polycystic ovary were visualized in the left ovary. The protocol instituted for this animal was total ovarian hysterectomy.

Ovários policisticos epidermóides e hipoplasia uterina em uma vaca bovina / Epidermoid polycystic ovaries and uterine hypoplasia in a cow

Background: Ovarian cysts originate from mature follicles that do not ovulate within the predicted time according to the oestrous cycle. Dermoid cysts are structures lined by keratinized stratified squamous epithelium, without adjacent epidermal structures, filled by keratinic debris and amorphous proteinaceus material. They are small, located below the cortex, near the hilus. There is controversy regarding the teratogenicity of the dermoid cyst. Some authors use the nomenclature of benign cystic ovarian teratoma, others, reports that although the fibrous wall and histological features are similar to teratomas, it is not associated with this germ cell-derived neoplasia. Case: Ovaries and uterus were received from a female, adult bovine, Nelore, from a slaughterhouse. The left ovary measured 6.5x5.0x3.9 cm and weighed 80 g; the right ovary measured 5.7x3.7x3.0 cm and weighed 60 g. Grossly, the ovaries were similar, presenting floating consistency, multilobulated and pointed aspect, and at the cut surface, there was extravasation of mucopurulent content of whitish colour. Regarding to the uterus, macroscopically, the uterine horns were infantile and decrease in the diameter. Fragments of the tissues were collected and fixed in 10% buffered formalin for histopathological examination and the staining of the slides was done with hematoxylin and eosin. Microscopically, in the ovaries, it was observed rare vestigial elements of ovary identifying an atresic follicle. Polycystic formation with cysts exhibiting partial or total coating of a keratinized squamous epithelium was also observed. In the lumen abundant keratinous material was present. The uterine microscopy revealed compact endometrium with areas variably infiltrated by lymphocytes, plasmocytes and occasional neutrophils. Areas devoid of endometrial glands were observed

Ovários policisticos epidermóides e hipoplasia uterina em uma vaca bovina / Epidermoid polycystic ovaries and uterine hypoplasia in a cow

Background: Ovarian cysts originate from mature follicles that do not ovulate within the predicted time according to the oestrous cycle. Dermoid cysts are structures lined by keratinized stratified squamous epithelium, without adjacent epidermal structures, filled by keratinic debris and amorphous proteinaceus material. They are small, located below the cortex, near the hilus. There is controversy regarding the teratogenicity of the dermoid cyst. Some authors use the nomenclature of benign cystic ovarian teratoma, others, reports that although the fibrous wall and histological features are similar to teratomas, it is not associated with this germ cell-derived neoplasia. Case: Ovaries and uterus were received from a female, adult bovine, Nelore, from a slaughterhouse. The left ovary measured 6.5x5.0x3.9 cm and weighed 80 g; the right ovary measured 5.7x3.7x3.0 cm and weighed 60 g. Grossly, the ovaries were similar, presenting floating consistency, multilobulated and pointed aspect, and at the cut surface, there was extravasation of mucopurulent content of whitish colour. Regarding to the uterus, macroscopically, the uterine horns were infantile and decrease in the diameter. Fragments of the tissues were collected and fixed in 10% buffered formalin for histopathological examination and the staining of the slides was done with hematoxylin and eosin. Microscopically, in the ovaries, it was observed rare vestigial elements of ovary identifying an atresic follicle. Polycystic formation with cysts exhibiting partial or total coating of a keratinized squamous epithelium was also observed. In the lumen abundant keratinous material was present. The uterine microscopy revealed compact endometrium with areas variably infiltrated by lymphocytes, plasmocytes and occasional neutrophils. Areas devoid of endometrial glands were observed…(AU)

Prevalência de cistos ovarianos em vacas de alta produção submetidas a sistema de confinamento e dieta total / Prevalence of ovarian cysts in production high cows under containment system and diet total

Objetivou-se avaliar prevalência de cistos ovarianos em vacas leiteiras de alta produção, no pós-parto, submetidas ao regime de dieta total em três sistemas diferentes: Compost Barn, Free Stall e confinamento a céu aberto no sudoeste do estado de Goiás. Foram avaliadas 1600 vacas, HPB, de sete rebanhos, das quais 792 (49,5%) estavam vazias e com atraso nos protocolos reprodutivos. Ao exame ultrassonográfico o escore ovariano foi classificado em: Grau 1 (61,4%), Grau 2 (18,1%), Grau 3 (4,0%) e Cistos Ovarianos (16,5%). Quanto ao sistema de produção as prevalências de cistos foram: 16% no Free Stall, 17,2% no Compost Barn e 16,2% no confinamento a céu aberto, diferenças somente numéricas, mas não significativas estatisticamente. 84,7% (n=131) dos animais estavam em anestro, na presença do diagnóstico cisto folicular. 67,7% desses animais, situavam-se entre 60 a 180 dias pós-parto. Divididos em 27,5% entre 60 e 90 dias, 24,5% entre 91 e 120 dias, 15,5% entre 121 e 150 dias e 32,5% entre 151 e 500. A prevalência dos cistos em função do número de lactações foi: 29,8% na primeira, 26,7% na segunda, 24,4% na terceira, 5,3% na quarta, 4,6% na quinta e 9,2% na sexta, resultados estatísticos significativos para maior ocorrência de cistos nas três primeiras lactações. Quanto ao escore de condição corporal 62,6% das vacas com cisto ovariano mostraram-se com escore entre 2,0 a 2,5, 25,2% entre 2,6 a 3,0 e 12,2% entre 3,1 a 4,0, resultados significativos, e a chance de vacas em balanço energético negativo desenvolverem cistos foi 5,1 vezes maior, quando comparadas com animais em escore corporal ideal. Os cistos foliculares apresentam-se com elevada casuística em vacas de alta produção leite, impactando em subfertilidade e prejuízos importantes na pecuária leiteira mundial, assim, faz-se necessário outros estudos visando o desenvolvimento de medidas preventivas mais eficazes no controle deste quadro.(AU)

This study aimed to evaluate the follicular cysts prevalence in high production dairy cows, post-partum, under total diet regime in three different systems: Compost Barn, Free Stall and opened feedlot. There were evaluated 1600 cows, HPB, seven flocks, of which 792 (49.5%) were empty and late in the reproductive protocols. The examination sonographic ovarian score was distributed as: Score 1 (61.4%), Score 2 (18,1) Score 3 (4.0%) and Cystic Ovary (16.5%). As for the production system the cysts prevalence were 16% in Free Stall, 17.2% in Compost Barn and 16.2% in opened feedlot, without significant difference. 84.7% (n = 131) of animals were in anestrus in the presence of diagnosis follicular cyst. 60.7% of animal with follicular cysts were 60 to 180 days postpartum. Divided in 27.5% between 60 and 90 days, 24.5% between 91 and 120 days, 15.5% between 121 and 150 days and 32.5% between 151 and 500 postpartum. The cysts prevalence according to lactation number were: 29.8% in first, 26.7% in second, 24.4% in third, 5.3% in fourth, 4.6% in fifth and 9.2% in sixth, statistically significant results to higher cysts occurrence in the first three lactations. For body condition score 62.6% of animals with ovarian cyst were with scores from 2.0 to 2.5, 25.2% with a score of 2.6 to 3.0 and 12.2% with score of 3.1 to 4.0 also significant results. Where the chance of cows with low body score develop cysts was 5.1 times higher compared to animals with good score. Follicular cysts present high prevalence in high producing dairy cows, impacting sub-fertility and causing important damage in global dairy farming, thus, it is necessary further studies for the development of more effective preventive measures to control this situation.(AU)

Prevalência de cistos ovarianos em vacas de alta produção submetidas a sistema de confinamento e dieta total / Prevalence of ovarian cysts in production high cows under containment system and diet total

Objetivou-se avaliar prevalência de cistos ovarianos em vacas leiteiras de alta produção, no pós-parto, submetidas ao regime de dieta total em três sistemas diferentes: Compost Barn, Free Stall e confinamento a céu aberto no sudoeste do estado de Goiás. Foram avaliadas 1600 vacas, HPB, de sete rebanhos, das quais 792 (49,5%) estavam vazias e com atraso nos protocolos reprodutivos. Ao exame ultrassonográfico o escore ovariano foi classificado em: Grau 1 (61,4%), Grau 2 (18,1%), Grau 3 (4,0%) e Cistos Ovarianos (16,5%). Quanto ao sistema de produção as prevalências de cistos foram: 16% no Free Stall, 17,2% no Compost Barn e 16,2% no confinamento a céu aberto, diferenças somente numéricas, mas não significativas estatisticamente. 84,7% (n=131) dos animais estavam em anestro, na presença do diagnóstico cisto folicular. 67,7% desses animais, situavam-se entre 60 a 180 dias pós-parto. Divididos em 27,5% entre 60 e 90 dias, 24,5% entre 91 e 120 dias, 15,5% entre 121 e 150 dias e 32,5% entre 151 e 500. A prevalência dos cistos em função do número de lactações foi: 29,8% na primeira, 26,7% na segunda, 24,4% na terceira, 5,3% na quarta, 4,6% na quinta e 9,2% na sexta, resultados estatísticos significativos para maior ocorrência de cistos nas três primeiras lactações. Quanto ao escore de condição corporal 62,6% das vacas com cisto ovariano mostraram-se com escore entre 2,0 a 2,5, 25,2% entre 2,6 a 3,0 e 12,2% entre 3,1 a 4,0, resultados significativos, e a chance de vacas em balanço energético negativo desenvolverem cistos foi 5,1 vezes maior, quando comparadas com animais em escore corporal ideal. Os cistos foliculares apresentam-se com elevada casuística em vacas de alta produção leite, impactando em subfertilidade e prejuízos importantes na pecuária leiteira mundial, assim, faz-se necessário outros estudos visando o desenvolvimento de medidas preventivas mais eficazes no controle deste quadro.

This study aimed to evaluate the follicular cysts prevalence in high production dairy cows, post-partum, under total diet regime in three different systems: Compost Barn, Free Stall and opened feedlot. There were evaluated 1600 cows, HPB, seven flocks, of which 792 (49.5%) were empty and late in the reproductive protocols. The examination sonographic ovarian score was distributed as: Score 1 (61.4%), Score 2 (18,1) Score 3 (4.0%) and Cystic Ovary (16.5%). As for the production system the cysts prevalence were 16% in Free Stall, 17.2% in Compost Barn and 16.2% in opened feedlot, without significant difference. 84.7% (n = 131) of animals were in anestrus in the presence of diagnosis follicular cyst. 60.7% of animal with follicular cysts were 60 to 180 days postpartum. Divided in 27.5% between 60 and 90 days, 24.5% between 91 and 120 days, 15.5% between 121 and 150 days and 32.5% between 151 and 500 postpartum. The cysts prevalence according to lactation number were: 29.8% in first, 26.7% in second, 24.4% in third, 5.3% in fourth, 4.6% in fifth and 9.2% in sixth, statistically significant results to higher cysts occurrence in the first three lactations. For body condition score 62.6% of animals with ovarian cyst were with scores from 2.0 to 2.5, 25.2% with a score of 2.6 to 3.0 and 12.2% with score of 3.1 to 4.0 also significant results. Where the chance of cows with low body score develop cysts was 5.1 times higher compared to animals with good score. Follicular cysts present high prevalence in high producing dairy cows, impacting sub-fertility and causing important damage in global dairy farming, thus, it is necessary further studies for the development of more effective preventive measures to control this situation.

Reproductive disorders in does experimentally infected by Toxoplasma gondii / Distúrbios reprodutivos em cabras experimentalmente infectadas por Toxoplasma gondii

The aim of this study was to describe the reproductive disorders related to experimental infection by artificial insemination with semen contaminated with Toxoplasma gondii of four goats in the chronic phase of the infection. In the end of the study, the does were submitted to necropsy, and PCR and histopathological evaluations were performed. Among infected does that exhibited embryonic loss, two were in anestrus and two exhibited repeated estrus. One of the latter animals exhibited clinical signs of estrus at seven-day intervals, whereas the other had a 21-day estrous cycle. However, both does were naturally mated on subsequent natural estrous and were not able to get pregnant until the end of the experiment (90 d). Two of the goats exhibited abnormalities in the ultrasound examinations, one of which was an ovarian cyst, while the other was a hydrosalpinx, both of which were confirmed in the post-mortem examination. The main microscopic injuries in this group were neutrophilic infiltration of the lungs, interstitial glomerulonephritis and neutrophilic infiltration of the liver. T. gondii DNA was found in the organs (heart and brain) of three does. In conclusion, does infected with Toxoplasma gondii in semen at the time of artificial insemination display reproductive disorders in the chronic phase of infection that might be associated with toxoplasmosis.

Objetivou-se descrever os distúrbios reprodutivos associados à infecção experimental por Toxoplasma gondii através da inseminação artificial com sêmen contaminado em quatro cabras no estágio crônico da infecção. As características do trato reprodutor foram avaliadas através de ultrassonografia transretal, visando o diagnóstico gestacional ou de desordens reprodutivas, após a infecção experimental. Ao final do experimento, os animais foram necropsiados e avaliações histopatológicas e PCR foram realizados. Dentre os animais infectados que exibiram mortalidade embrionária, duas apresentaram anestro e duas apresentaram repetição de estro, sendo que destas uma apresentou intervalos entre estros reduzido (sete dias) e outra em intervalo regular (21 dias). Todavia, ambas foram submetidas a monta natural durante os estros naturais subsequentese não foi confirmada gestação até o final do experimento (90 dias). Duas cabras exibiram alterações nos exames de ultrassonografia, sendo identificadas um cisto ovariano, e uma hidrossalpinge, ambas confirmadas no exame post-mortem. As principais lesões microscópicas nesse grupo foram infiltração neutrofílica dos pulmões, glomerulonefrite intersticial e infiltração neutrofílica do fígado. O DNA de T. gondii foi encontrado nos órgãos (coração e cérebro) de três cabras. Em conclusão, cabras infectadas comsêmen contendoT. gondii no momento da inseminação artificial apresentam distúrbios reprodutivos na fase crônica da infecção que podem estar associados à toxoplasmose.

Distúrbios reprodutivos em cabras experimentalmente infectadas por Toxoplasma gondii / Reproductive disorders in does experimentally infected by Toxoplasma gondii

Objetivou-se descrever os distúrbios reprodutivos associados à infecção experimental por Toxoplasma gondii através da inseminação artificial com sêmen contaminado em quatro cabras no estágio crônico da infecção. As características do trato reprodutor foram avaliadas através de ultrassonografia transretal, visando o diagnóstico gestacional ou de desordens reprodutivas, após a infecção experimental. Ao final do experimento, os animais foram necropsiados e avaliações histopatológicas e PCR foram realizados. Dentre os animais infectados que exibiram mortalidade embrionária, duas apresentaram anestro e duas apresentaram repetição de estro, sendo que destas uma apresentou intervalos entre estros reduzido (sete dias) e outra em intervalo regular (21 dias). Todavia, ambas foram submetidas a monta natural durante os estros naturais subsequentes e não foi confirmada gestação até o final do experimento (90 dias). Duas cabras exibiram alterações nos exames de ultrassonografia, sendo identificadas um cisto ovariano, e uma hidrossalpinge, ambas confirmadas no exame post-mortem. As principais lesões microscópicas nesse grupo foram infiltração neutrofílica dos pulmões, glomerulonefrite intersticial e infiltração neutrofílica do fígado. O DNA de T. gondii foi encontrado nos órgãos (coração e cérebro) de três cabras. Em conclusão, cabras infectadas com sêmen contendo T. gondii no momento da inseminação artificial apresentam distúrbios reprodutivos na fase crônica da infecção que podem estar associados à toxoplasmose.(AU)

The aim of this study was to describe the reproductive disorders related to experimental infection by artificial insemination with semen contaminated with Toxoplasma gondii of four goats in the chronic phase of the infection. In the end of the study, the does were submitted to necropsy, and PCR and histopathological evaluations were performed. Among infected does that exhibited embryonic loss, two were in anestrus and two exhibited repeated estrus. One of the latter animals exhibited clinical signs of estrus at seven-day intervals, whereas the other had a 21-day estrous cycle. However, both does were naturally mated on subsequent natural estrous and were not able to get pregnant until the end of the experiment (90 d). Two of the goats exhibited abnormalities in the ultrasound examinations, one of which was an ovarian cyst, while the other was a hydrosalpinx, both of which were confirmed in the post-mortem examination. The main microscopic injuries in this group were neutrophilic infiltration of the lungs, interstitial glomerulonephritis and neutrophilic infiltration of the liver. T. gondii DNA was found in the organs (heart and brain) of three does. In conclusion, does infected with Toxoplasma gondii in semen at the time of artificial insemination display reproductive disorders in the chronic phase of infection that might be associated with toxoplasmosis.(AU)

Distúrbios reprodutivos em cabras experimentalmente infectadas por Toxoplasma gondii / Reproductive disorders in does experimentally infected by Toxoplasma gondii

Objetivou-se descrever os distúrbios reprodutivos associados à infecção experimental por Toxoplasma gondii através da inseminação artificial com sêmen contaminado em quatro cabras no estágio crônico da infecção. As características do trato reprodutor foram avaliadas através de ultrassonografia transretal, visando o diagnóstico gestacional ou de desordens reprodutivas, após a infecção experimental. Ao final do experimento, os animais foram necropsiados e avaliações histopatológicas e PCR foram realizados. Dentre os animais infectados que exibiram mortalidade embrionária, duas apresentaram anestro e duas apresentaram repetição de estro, sendo que destas uma apresentou intervalos entre estros reduzido (sete dias) e outra em intervalo regular (21 dias). Todavia, ambas foram submetidas a monta natural durante os estros naturais subsequentes e não foi confirmada gestação até o final do experimento (90 dias). Duas cabras exibiram alterações nos exames de ultrassonografia, sendo identificadas um cisto ovariano, e uma hidrossalpinge, ambas confirmadas no exame post-mortem. As principais lesões microscópicas nesse grupo foram infiltração neutrofílica dos pulmões, glomerulonefrite intersticial e infiltração neutrofílica do fígado. O DNA de T. gondii foi encontrado nos órgãos (coração e cérebro) de três cabras. Em conclusão, cabras infectadas com sêmen contendo T. gondii no momento da inseminação artificial apresentam distúrbios reprodutivos na fase crônica da infecção que podem estar associados à toxoplasmose.

The aim of this study was to describe the reproductive disorders related to experimental infection by artificial insemination with semen contaminated with Toxoplasma gondii of four goats in the chronic phase of the infection. In the end of the study, the does were submitted to necropsy, and PCR and histopathological evaluations were performed. Among infected does that exhibited embryonic loss, two were in anestrus and two exhibited repeated estrus. One of the latter animals exhibited clinical signs of estrus at seven-day intervals, whereas the other had a 21-day estrous cycle. However, both does were naturally mated on subsequent natural estrous and were not able to get pregnant until the end of the experiment (90 d). Two of the goats exhibited abnormalities in the ultrasound examinations, one of which was an ovarian cyst, while the other was a hydrosalpinx, both of which were confirmed in the post-mortem examination. The main microscopic injuries in this group were neutrophilic infiltration of the lungs, interstitial glomerulonephritis and neutrophilic infiltration of the liver. T. gondii DNA was found in the organs (heart and brain) of three does. In conclusion, does infected with Toxoplasma gondii in semen at the time of artificial insemination display reproductive disorders in the chronic phase of infection that might be associated with toxoplasmosis.

Polycystic ovary syndrome in nile tilapia, Oreochromis niloticus / Síndrome do ovário policístico em tilápia do nilo, Oreochromis niloticus

This study presented a case report of a female of Oreochromis niloticus in the reproductive age. In the clinical analysis, the animal showed intense abdominal distension, severe cachexia, retraction of the eyeball and lethargic behavior. At the necropsy, it was observed the presence of neoplastic mass in the peritoneal cavity which presented smooth surface, circular appearance, soft consistency and reddish-blackened focal regions. There was the formation of multiple cysts, which presented a yellowish-green liquid content in the cut. In the histopathological examination, multiple dilatations were observed, filled with amorphous eosinophilic material with a delicate fibrocolagenous wall, as well as detachment of the granulosa and theca cells. The presence of macrophage infiltrates with hemosiderin pigments was also observed. The macroscopic and microscopic findings confirm the diagnosis of polycystic ovarian syndrome; however the causes of this cystic disease were not understood.

Este estudo apresentou um relato de caso de uma fêmea de Oreochromis niloticus na idade reprodutiva. Na análise clínica, o animal apresentava intensa distensão abdominal, caquexia severa, retração do globo ocular e comportamento letárgico. Na necropsia, observou-se a presença de massa neoplásica na cavidade peritoneal, apresentando superfície lisa, aspecto circular, consistência mole e regiões focais escurecidas de vermelho. Existia a formação de múltiplos cistos, que ao corte apresentavam um conteúdo líquido verde-amarelado. No exame histopatológico, foram observadas dilatações múltiplas, preenchidas com material eosinofílico amorfo com delicada parede fibrocolagenosa, além de descolamento das células da granulosa e da teca. A presença de infiltrados de macrófagos com pigmentos de hemossiderina também foi observada. Os achados macroscópicos e microscópicos confirmam o diagnóstico de síndrome do ovário policístico; no entanto, as causas desta doença cística não foram compreendidas.