History
2 Years old German Sheperd History provided:
- d 5 post op OHE & gastropexy, acutely vomiting & frank blood in diarrhea, mult loops of gast disttended bowle on FAST u/s
5 images
Findings
Three view abdominal radiographs are available for interpretation.
The stomach contains a small amount of gas. The small bowel is diffusely moderately to markedly distended with gas. The colon is fluid opaque as it courses through the pelvic inlet, though the remainder of the colon is difficult to definitively identify. Granular soft tissue material within the mid left abdomen may represent fecaloid material. On the lateral projections, there is an elongated soft tissue opacity spanning the entire ventral abdomen with numerous small gas bubbles. The spleen is not visualized on any projection. Serosal detail is decreased. The urinary bladder is not well visualized. Only one kidney is seen and it appears normal (the other kidney is not visualized due to superimposition with other structures). The caudal vena cava is narrow.
Impression: The appearance to the small intestines is consistent with mesenteric volvulus, though other differentials such as a distal obstruction or severe functional ileus cannot be definitively excluded. The opacity along the ventral abdomen may represent material within the small bowel, material within the large bowel, or a necrotic spleen (due to infarction or torsion). Decreased serosal detail is likely due to free abdominal fluid. Small caudal vena cava consistent with hypovolemia. If surgery is not pursued immediately, consider abdominal ultrasound.
Diagnosis
Mesenteric Volvulus
Surgery
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