A 6-year-old Labrador Retriever dog was presented with a history of seizure activity, currently being treated with phenobarbital. Abnormalities on CBC and serum biochemistry were hemoconcentration, monocytosis, elevated ALP and elevated GGT activity, hyponatremia, hypokalemia, and hypochloremia.
A 6-year-old Labrador Retriever dog was presented with a history of seizure activity, currently being treated with phenobarbital. Abnormalities on CBC and serum biochemistry were hemoconcentration, monocytosis, elevated ALP and elevated GGT activity, hyponatremia, hypokalemia, and hypochloremia.
Case Study
Small intestinal foreign body in a 6 year old Labrador Retriever dog
Sonographic Differential Diagnosis
Obstructive intestinal pattern: foreign body suspected where shadowing is occurring and focal neoplastic, FB or inflammatory change in image where there is no acoustic shadowing present.
Image Interpretation
Echogenic dome shape in a segment of jejunum causing acoustic shadowing. Fluid accumulation distal suggesting additional obstructive disease further down. Small intestine with poorly defined hyperechoic intraluminal region without acoustic shadowing. Difficult to determine if focally thickened wall or intraluminal structure is present in image. The descending colon is visibly empty which may be followed into the pelvic inlet to differentiate the hard shadowing jejunal foreign body in video 1 from colonic artifact.
DX
GI foreign body, small intestine.
Outcome
A gastrotomy and enterotomy was performed. A foreign body was found in the small intestine. The patient did well postoperatively. The owner reported that the pet was doing well during the recheck exam and suture removal.
Clinical Differential Diagnosis
Third space fluid loss – GI tract, peritoneal cavity, pleural space. Liver pathology (vacuolar hepatopathy, infectious); Gall bladder disease.
Sampling
None
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Patient Information
Patient Name :
Mia K
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00228
Clinical Signs
- Seizures
History
- Phenobarbital therapy
- Seizures
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- Chloride, Low
- GGT High
- Potassium, Low
- Sodium, Low
CBC
- Hematocrit, High
- Monocytes, High
Clinical Signs
- Seizures