Case Study

Duodenal foreign body in a 3 year old MN Pug

This 3-year-old neutered male Pug dog was presented for a rapid onset of vomiting, anorexia, and diarrhea. Severe abdominal pain was noted on physical exam. The CBC revealed moderate leukocytosis with a left shift, mild SAP elevation, and mild hypokalemia.

This 3-year-old neutered male Pug dog was presented for a rapid onset of vomiting, anorexia, and diarrhea. Severe abdominal pain was noted on physical exam. The CBC revealed moderate leukocytosis with a left shift, mild SAP elevation, and mild hypokalemia.

DX

Duodenal foreign body

Sonographic Differential Diagnosis

Duodenal foreign body with resultant gastric stasis secondary to mechanical ileus.

Image Interpretation

A moderately fluid-distended stomach and focally distended proximal duodenal lumen can be seen in video 1. In video 2, an echogenic, translucent structure is present in the duodenal lumen consistent with foreign body made of polyurethane or similar material. Lack of an accompanying distal acoustic shadowing could support soft, porous intraluminal material. In the far field, mild localized omental inflammation is present suggesting an emerging localized peritonitis.