ORS results when functional normal or neoplastic ovarian tissue remains after ovariohysterectomy. • The primary differential diagnosis is adrenal disease. Similar clinical signs of estrus, vulvar swelling, and alopecia are noted. • A plasma androgen and estrogen hormonal panel (“adrenal” panel) analysis, abdominal ultrasonography, and exploratory laparotomy can aid in diagnosis. However, the “adrenal panel” will not allow differentiation between these two diseases. • Hormones within the “adrenal panel” have greater value in monitoring the effects of treatment. Upon removal of remnant ovarian tissue, clinical signs should resolve within days. • Clinical signs and history are the most useful diagnostic assessments. • Physical examination will detect a swollen vulva. • Abdominal palpation is generally unrewarding because ovarian remnants are rarely large enough to be felt. • Complete blood count (CBC) is of benefit to check for anemia and/or thrombocytopenia if the ferret has been showing signs of estrus for >3 weeks. Diagnosis of ovarian remnant by plain radiography is difficult because of small size of the remnant and opacity of ovarian tissue similar to that of surrounding abdominal tissue. Ultrasonography using B-mode ultrasound may allow imaging of the inner structure of a cystic ovarian remnant >2 cm in diameter.
Ovarian Remnant Syndrome
Basic Information
Clinical Presentation
Disease Forms/Subtypes
Diagnosis
Differential Diagnosis
Initial Database
Advanced or Confirmatory Testing
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Ovarian Remnant Syndrome
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