A 12-year-old neutered male Keeshond dog was presented for chronic, intermittent and progressive vomiting of yellow to brown liquid and partial anorexia over a 1-month period. The physical exam revealed low body condition score and moderate halitosis with minor dental tartar. The CBC and blood chemistry analyses were normal. PT and aPTT were within normal limits. The patient was treated unsuccessfully with gastric protectants and antibiotics for 8 days until the sonogram was performed.

A 12-year-old neutered male Keeshond dog was presented for chronic, intermittent and progressive vomiting of yellow to brown liquid and partial anorexia over a 1-month period. The physical exam revealed low body condition score and moderate halitosis with minor dental tartar. The CBC and blood chemistry analyses were normal. PT and aPTT were within normal limits. The patient was treated unsuccessfully with gastric protectants and antibiotics for 8 days until the sonogram was performed.