Clinical presentation,treatment and possible causes of persistent endometrial cups illustrated by two cases

Persistent endometrial cups are relatively rare in the mare and the occurrence in 2 successive pregnancies, as described in this issue, is an intriguing finding. This article describes an additional 2 cases of endometrial cups persisting in excess of 12 months in mares that had experienced pregnancy loss. Both mares demonstrated irregular ovarian activity in the form of repeated formation of haemorrhagic anovulatory follicles. A definitive diagnosis was made by visualisation of cup tissue by hysteroscopy and demonstration of equine chorionic gonadotropin (eCG) in the mares' serum. Biopsy of endometrial cups was made under visual direction and the mares were treated by chemical curettage with kerosene. The clinical presentation, treatment and possible causes of persistent endometrial cups are reviewed and discussed.