<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">OJPathology</journal-id><journal-title-group><journal-title>Open Journal of Pathology</journal-title></journal-title-group><issn pub-type="epub">2164-6775</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/ojpathology.2022.121001</article-id><article-id pub-id-type="publisher-id">OJPathology-113311</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  Gross and Microscopic Lesions of the Ovaries of Camels from Abattoirs in Eastern Province of Kingdom of Saudi Arabia
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Adel</surname><given-names>I. Al-Afaleq</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Abdel</surname><given-names>Gadir Musa Homeida</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Seif</surname><given-names>Eldawla Mustafa Barakat</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Mohamed</surname><given-names>Salim Moqbel</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib></contrib-group><aff id="aff4"><addr-line>Department of Pathology, College of Veterinary Medicine, King Faisal University, Al-Ahsa, KSA</addr-line></aff><aff id="aff1"><addr-line>College of Public Health, Imam Abdulrahman Bin Faisal University, Dammam, KSA</addr-line></aff><aff id="aff3"><addr-line>Department of Anatomy, College of Veterinary Medicine, King Faisal University, Al-Ahsa, KSA</addr-line></aff><aff id="aff2"><addr-line>Department of Biology, College of Science, Imam Abdulrahman Bin Faisal University, Dammam, KSA</addr-line></aff><pub-date pub-type="epub"><day>23</day><month>11</month><year>2021</year></pub-date><volume>12</volume><issue>01</issue><fpage>1</fpage><lpage>11</lpage><history><date date-type="received"><day>12,</day>	<month>August</month>	<year>2020</year></date><date date-type="rev-recd"><day>20,</day>	<month>November</month>	<year>2021</year>	</date><date date-type="accepted"><day>23,</day>	<month>November</month>	<year>2021</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  In the present investigation, gross and microscopic lesions of the ovaries were studied in two hundred and ten (210) adult non-pregnant she-camels. Fresh samples of ovaries were collected from she-camels at the point of slaughter in Al-Ahsa abattoir, Eastern region of Kingdom of Saudi Arabia. These samples were subjected to histopathological studies and stained by routine Hematoxylin and Eosin stain. Grossly, of the 210 ovarian tissues examined, 30 (14.28%) had ovarian lesions of one type or another, whereas 180 (85.71%) camels were apparently healthy. Only 6 (2.85%) ovaries showed unilateral ovarian hypoplasia, whereas 4 (1.9%) showed bilateral ovarian hypoplasia. Cystic ovaries were observed in a total of 13 of the collected samples of ovaries, of these 8 (3.8%) were diagnosed as follicular cystic ovaries, while 5 (2.38%) were luteal cystic ovaries. Ovarian abscess appeared in only one sample of the collected ovaries. While ovarian tumors were observed in a total of 6 of the collected samples distributed as, two fibromas, three dermoid cysts, and only one hemangioma. The present study indicates that follicular cysts, luteal cysts and ovarian hypoplasia were the most common ovarian disorders in non-pregnant she-camels in Al-Ahsa region of the Eastern Province of Kingdom of Saudi Arabia.
 
</p></abstract><kwd-group><kwd>Dromedary Camel</kwd><kwd> Ovarian Lesions</kwd><kwd> Saudi Arabia</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Compared to other animals, camels are considered the best in coexistence, reproduction and production under the harsh desert environmental conditions [<xref ref-type="bibr" rid="scirp.113311-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref2">2</xref>]. As in all types of livestock, their exposure to infections in the reproductive system causes infertility or low fertility [<xref ref-type="bibr" rid="scirp.113311-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref7">7</xref>].</p><p>Reproductive efficiency in camelidae is considered low [<xref ref-type="bibr" rid="scirp.113311-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref9">9</xref>]. It has been reported that calving rates rarely exceed 40% in travelling herds and 70% in more intensively managed herds [<xref ref-type="bibr" rid="scirp.113311-ref10">10</xref>]. Thus, identification of reproductive diseases is important, especially when dealing with genetically superior animals. The etiology, epidemiology, clinical aspects pathology, diagnosis and treatment of many diseases in camelids have been extensively studied [<xref ref-type="bibr" rid="scirp.113311-ref11">11</xref>]. However, only few research workers have studied the forms and incidence of ovarian disorders [<xref ref-type="bibr" rid="scirp.113311-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref15">15</xref>]. Previous reports have investigated the pathological disorders of the female reproductive system, of camels [<xref ref-type="bibr" rid="scirp.113311-ref3">3</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref16">16</xref>]. The aim of the present study was to determine the incidence rates of ovaries disorders of camels, in Al-Ahsa region in Eastern Province of Kingdom of Saudi Arabia, and to describe their gross and microscopic lesions.</p></sec><sec id="s2"><title>2. Materials and Methods</title><p>The ovaries of 210 apparently healthy adult she-camels were studied for gross and microscopic lesions after slaughter at Al-Ahsa abattoirs. For histopathological technique, all samples were fixed in 10% neutral formalin, embedded in paraffin, sectioned and stained with Hematoxylin and Eosin (H&amp;E) according to [<xref ref-type="bibr" rid="scirp.113311-ref17">17</xref>].</p></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Pathological Manifestations</title><sec id="s3_1_1"><title>3.1.1. Hypoplastic Ovaries</title><p>Grossly out of 210 ovarian tissues examined, 6 (2.85%), showed unilateral hypoplasia, whereas 4 (1.95%), had bilateral hypoplasia (<xref ref-type="table" rid="table1">Table 1</xref>). The affected ovaries were small in size and devoid of any signs of ovulation (<xref ref-type="fig" rid="fig1">Figure 1</xref>). The microscopic examination of the hypoplastic ovaries revealed the presence of atrophy in the cortex of the ovaries, which was formed from connective tissue and blood vessels. In addition, all the affected ovaries were free of oocytes and did not show any stage of follicular formation (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p></sec><sec id="s3_1_2"><title>3.1.2. Ovarian Cysts</title><p>1) Follicular cysts:</p><p>Grossly out of 210 ovarian tissues examined 8 (3.8%), showed follicular cysts. These cysts were either multiple or single (<xref ref-type="fig" rid="fig3">Figure 3</xref>) and averaged 3 to 5 cm in diameter. The follicular cysts also contained a clear, yellowish fluid, but some of them contained a bloody or coagulated fluid (<xref ref-type="fig" rid="fig4">Figure 4</xref>). The microscopic examination showed that the follicular cysts are lined with granulosa cells and their number of layers varied from case to case. The large cysts were lined with granulosa cells of 1 - 2 layers (<xref ref-type="fig" rid="fig5">Figure 5</xref> and <xref ref-type="fig" rid="fig6">Figure 6</xref>).</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Shows the numbers and proportions of pathological lesions of ovaries of camels (n = 210)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Percentage %</th><th align="center" valign="middle" >Number (n)</th><th align="center" valign="middle" >Type of Infection</th></tr></thead><tr><td align="center" valign="middle" >2.85 1.95</td><td align="center" valign="middle" >6 4</td><td align="center" valign="middle" >Ovarian Hypoplasia Unilateral Bilateral</td></tr><tr><td align="center" valign="middle" >3.8 2.38</td><td align="center" valign="middle" >8 5</td><td align="center" valign="middle" >Cystic Ovaries Follicular Luteal</td></tr><tr><td align="center" valign="middle" >0.476</td><td align="center" valign="middle" >1</td><td align="center" valign="middle" >Ovarian Abscesses</td></tr><tr><td align="center" valign="middle" >0.952 1.42 0.470</td><td align="center" valign="middle" >2 3 1</td><td align="center" valign="middle" >Ovarian Tumors Fibroma Dermoid Cyst Hemangioma</td></tr><tr><td align="center" valign="middle" >14.28</td><td align="center" valign="middle" >30</td><td align="center" valign="middle" >Total</td></tr></tbody></table></table-wrap><p>2) Luteal cysts:</p><p>The luteal cysts were prominent on the surface of the ovary, and were dark red, with a coaxial cavity filled with a clear white fluid (<xref ref-type="fig" rid="fig7">Figure 7</xref>). The central cavity was surrounded by connective tissue and many luteal cells, and these cells have been active and vacuolated. Numerous capillaries appeared between cells (<xref ref-type="fig" rid="fig8">Figure 8</xref>).</p></sec><sec id="s3_1_3"><title>3.1.3. Ovarian Tumors</title><p>1) Fibroma</p><p>The tumors were prominent on the surface as solid round blocks of 1-2 cm. Microscopy revealed that the tumors consisted of fibroblasts and collagen fibers in the form of arranged bundles running in different directions.</p><p>2) Dermoid cyst</p><p>The tumor began as a prominent cyst on the surface of the ovary ranging from 1 to 2 cm. The surface section showed that the cyst contains hair and grease surrounded by a thick wall (<xref ref-type="fig" rid="fig9">Figure 9</xref>). Microscopic examination showed the wall was lined with layers of epithelial cells, while the dermis layer contains wax and sweat glands, hair bulbs and hyaline cartilage (<xref ref-type="fig" rid="fig1">Figure 1</xref>0(a) and <xref ref-type="fig" rid="fig1">Figure 1</xref>0(b)).</p><p>3) Plexiform hemangioma</p><p>The tumor represents a prominent mass on the surface of the ovary, solid and brownish (<xref ref-type="fig" rid="fig1">Figure 1</xref>1). Microscopic examination revealed that the tumor consists of contiguous blood vessels interspersed with fibrous tissue of fibroblasts and collagen fibers (<xref ref-type="fig" rid="fig1">Figure 1</xref>2).</p></sec><sec id="s3_1_4"><title>3.1.4. Ovarian Purulent Inflammation (Ovarian Abscess)</title><p>Ovarian hypertrophy was observed, and the cross-section indicated the presence of a viscous pus covering all the area of the ovary and surrounded from the outside by a thick fibrous wallet. Ovarian adhesion to the follicle was also observed (<xref ref-type="fig" rid="fig1">Figure 1</xref>3). The cross-sectional sector showed the presence of a viscous pus covered all the area of the ovary and surrounded from the outside with a thick fibrous wallet.</p></sec></sec></sec><sec id="s4"><title>4. Discussion</title><p>Previous reports have shown that the camels have low reproductive efficiency [<xref ref-type="bibr" rid="scirp.113311-ref18">18</xref>]. Hence, it is of value to investigate the causes of this drop by studying the reproductive disorders in camels, as these reproductive defects are considered the main cause of infertility in dromedary camels. The present study showed that, 14.2% prevalence of gross ovarian lesions in camels in Al-Ahsa region was observed without evidence of any relevant clinical symptoms in ante mortem examination. The rate of incidence of ovarian lesions recorded in this study was lower than the previously reported by [<xref ref-type="bibr" rid="scirp.113311-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref16">16</xref>] and higher than that recorded by [<xref ref-type="bibr" rid="scirp.113311-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref20">20</xref>] who found that the incidence of ovarian affections of she-camel was 10.4% and 7% respectively. This difference in ratios may be due to several factors including, differences in nutrition, ages of the studied group of camels, temperatures and location of the study area, as well as genetic factors [<xref ref-type="bibr" rid="scirp.113311-ref21">21</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref22">22</xref>]. In this study, the total ratio of the prevalence of ovarian hypoplasia in slaughtered camels in Al-Ahsa abattoirs was 4.85%. Grossly the hypoplastic ovaries were in the form of small, thin and firm structure without any small follicles. This value is in agreement with that reported by [<xref ref-type="bibr" rid="scirp.113311-ref16">16</xref>] but higher than the finding of [<xref ref-type="bibr" rid="scirp.113311-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref23">23</xref>] and lower than the values reported by [<xref ref-type="bibr" rid="scirp.113311-ref9">9</xref>]. This variation in the occurrence of ovarian hypoplasia may be due to hereditary characters and other environmental factors such as body condition and nutritional factors. Cystic ovaries were detected in the present study with an incidence rate of, 3.8%, and 2.38% for follicular and luteal cysts respectively. Ovarian cysts have been described in dromedaries [<xref ref-type="bibr" rid="scirp.113311-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref22">22</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref24">24</xref>]. However, cystic ovary conditions in dromedary are not well documented as in cattle or other domestic animals. It has been mentioned that the presence of cysts is an indication of ovulation failure that may occur due to inadequate release of luteinizing hormone (LH) [<xref ref-type="bibr" rid="scirp.113311-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref25">25</xref>]. The average incidence rates of follicular and luteal cysts in she-camels in Al-Ahsa region recorded in this study is in agreement with that previously reported by [<xref ref-type="bibr" rid="scirp.113311-ref19">19</xref>] and vary from that observed in other countries [<xref ref-type="bibr" rid="scirp.113311-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref21">21</xref>].</p><p>In the present study, three types of ovarian tumors were observed, classified as, Fibromas (0.952%), Dermoid cysts (1.42%), and hemangioma, (0.470%). The overall prevalence of the incidence of ovarian tumors shown in this study was 2.842%. These findings are consistent with the previous observations of [<xref ref-type="bibr" rid="scirp.113311-ref16">16</xref>]. Several authors had previously reported dermoid cysts in the camel’s ovary [<xref ref-type="bibr" rid="scirp.113311-ref14">14</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref22">22</xref>] [<xref ref-type="bibr" rid="scirp.113311-ref26">26</xref>]. However the incidence of ovarian hemangioma and fibromas in camels was only recorded by [<xref ref-type="bibr" rid="scirp.113311-ref16">16</xref>]. Ovarian abscesses were detected in this study with an incidence of (1%) of all the collected samples. Generally, oophoritis is rare in domestic animals. However suppurative inflammation of the ovary was previously reported in dromedaries, leading to the formation of ovarian abscesses [<xref ref-type="bibr" rid="scirp.113311-ref9">9</xref>]. The ovarian abscess observed in this study may be from either a direct extension or hematogenous spread of infection in the uterus or uterine tubes.</p></sec><sec id="s5"><title>5. Conclusion</title><p>In conclusion, this study indicates that cystic ovaries and ovarian hypoplasia are the more common ovarian disorders in female dromedary camels in Al-Ahsa region, and may impair the reproductive efficiency in this species. Therefore, more studies should be carried out to investigate the clinical and endocrinological aspects of these disorders and their relation to camel infertility.</p></sec><sec id="s6"><title>Acknowledgements</title><p>The authors acknowledge the College of Veterinary Medicine at King Faisal University and College of Science at Imam Abdul Rahman Bin Faisal University, Dammam for providing research facilities.</p></sec><sec id="s7"><title>Conflicts of Interest</title><p>The authors report no conflicts of interest.</p></sec><sec id="s8"><title>Cite this paper</title><p>Al-Afaleq, A.I., Homeida, A.G.M., Barakat, S.E.M. and Moqbel, M.S. 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