Case of the week 3.7.22
Publication Date: 2022-03-04
History
6 month old Rottweiler. Vomiting for the last 48h. Not able to hold food or water.
6 images
Findings
Opposite lateral and VD radiographs of the abdomen were acquired.
The several detail is mildly decreased in the cranial and caudal aspects of the abdomen.
The stomach is severely distended with fluid, gas and striated soft tissue opaque material. Best seen on the left lateral projection, a portion of the striated soft tissue opaque material is highlighted by gas in the pyloric antrum and is seen extending dorsally toward the pylorus; the material curves caudally in the plane of the duodenum and is suspected to extend slightly caudal to the 13th ribs. Similarly on the VD projection, ill-defined striated material is seen in the plane of the proximal descending duodenum. There is a large volume of striated to stippled soft tissue and gas opaque material and numerous variably sized mineral opaque foci distended a small intestinal segment in the right caudal abdomen. Multiple additional small intestinal segments are abnormally moderately fluid and gas-distended.
Several small intestinal segments of normal diameter are present in the caudal abdomen.
The colon contains a small volume of gas but is largely empty.
The liver, spleen and unobscured margins of the kidneys and urinary bladder are normal. Open physes are present, consistent with the patient’s young age.
Diagnosis
- Gastric and small intestinal textile-like foreign bodies resulting in a pyloric outflow obstruction and additional small intestinal mechanical obstruction. Surgery is indicated.
Discussion
The patient underwent surgical exploration. A large amount of foreign material was identified within the stomach extending into the duodenum to the proximal jejunum. The foreign material was linear causing bunching of the intestines and 2 easily reducible intussusceptions. The remainder of the abdomen was unremarkable.
Notes
Case initially seen by Dr. Morandi
Files