title: Pyovagina and stump pyometra in a neutered XX sex-reversed beagle: a case report.
abstract: An 18-month-old, neutered male beagle presented with acute abdominal signs and a suppurative infection of the urogenital tract. Chromosomal sex was female (78, XX), gonadal sex was male (testicles), and phenotypic sex was ambiguous, with evidence of both male and female duct systems. The internal and external genitalia consisted of epididymides, an underdeveloped uterus with an immature spermatic cord, communication between the uterus or cranial vagina and the membranous urethra, a urethrographically male urethra, a hypoplastic os penis, and a hypoplastic penis with hypospadia. Based on these findings and the familial history of a similarly affected litter mate, the dog was diagnosed as having the XX male syndrome with pyovagina and uterine stump pyometra. Radiographic and ultrasonographic investigations are described, and abnormalities of chromosomal sex, gonadal sex, and phenotypic sex are discussed.
authors.affiliation: Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge 70803, USA.
authors.forename: J
authors.initials: J
authors.lastname: Williams
authors.forename: B P
authors.initials: BP
authors.lastname: Partington
authors.forename: B
authors.initials: B
authors.lastname: Smith
authors.forename: C S
authors.initials: CS
authors.lastname: Hedlund
authors.forename: J M
authors.initials: JM
authors.lastname: Law
mesh_terms: D000818:Animals; D012734:Disorders of Sex Development / Q000150:complications / Q000235:genetics / Q000662:veterinary*; D004283:Dog Diseases / Q000000981:diagnostic imaging / Q000209:etiology* / Q000235:genetics; D004285:Dogs; D005260:Female; D008297:Male; D009919:Orchiectomy / Q000662:veterinary; D014567:Urography / Q000662:veterinary; D014591:Uterine Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000662:veterinary*; D014623:Vaginal Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000662:veterinary*; D014960:X Chromosome