The patient is a canine Boxer, NM, 3 years. Vomiting daily for one week, treated with Cerenia and small meals, vomiting stopped, but now significantly decreased appetite, quieter and the patient has lost 4 pounds. History of eating foreign bodies, carpet and unknown. Initially no abdominal pain now painful, x ray- no dilation. Physical Exam: mild cranial and mid abdomen pain not dehydrated. CBC: WNL. Chemistry: WNL
Gastric repletion. If the patient was N.P.O. at the time of the sonogram then gastric foreign matter is suspected. The remainder of the abdomen was unremarkable.
The stomach was filled with ingesta and a small amount of anechoic fluid.
Ultrasound was repeated 24 hours later and revealed 6-8 cm +, progressively shadowing foreign material was noted. This is consistent with carpet or fabric and is surrounded by mildly echogenic fluid that is more echogenic than sonogram that was performed 24 hours ago.
Recommend gastrotomy, gastric evacuation and gastrointestinal biopsies.
None
