Gastric Foreign Body in a 12 year old FS Portuguese Water Dog

Case Study

Gastric Foreign Body in a 12 year old FS Portuguese Water Dog

This 12-year-old FS Portuguese Water Dog presented for acute onset of anorexia, lethargy, vomiting and diarrhea. The physical exam revealed hematochezia present on rectal exam with mild dehydration and distended stomach.

This 12-year-old FS Portuguese Water Dog presented for acute onset of anorexia, lethargy, vomiting and diarrhea. The physical exam revealed hematochezia present on rectal exam with mild dehydration and distended stomach.

DX

Gastric foreign body

Sonographic Differential Diagnosis

Currently non-obstructing gastric foreign body.

Image Interpretation

An ovoid, significantly shadowing gastric luminal foreign body is present. The foreign body interface is fragmented and indistinct supporting a rough, irregular surface. The foreign body appears to be within the gastric fundus and non-obstructing at the time of ultrasound. The remaining gastric lumen is moderately filled with echogenic fluid and ingesta. Based on the history intermittent pyloric outflow obstruction is likely occurring.

Outcome

The patient recovered uneventfully and was doing well at a 1-month follow-up examination

Clinical Differential Diagnosis

GI pathology – Gastroenteritis, IBD/colitis, infectious, bowel infarction, HE, foreign body, neoplasia.

Sampling

Gastrotomy revealed a peach pit located in the gastric lumen

Patient Information

Patient Name : Zelda R
Gender : Female, Spayed
Species : Canine
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04_00065

Clinical Signs

  • Anorexia
  • Diarrhea
  • Lethargy
  • Vomiting

Exam Finding

  • Abdominal Distension
  • Dehydration
  • Fresh Blood in Stool

Images

gastric_fbthick_gastric_wall_with_fb

Clinical Signs

  • Anorexia
  • Diarrhea
  • Lethargy
  • Vomiting
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