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Obstructive duodenal foreign body in a 12 year old MN DSH cat

Case Study

Case Study

Obstructive duodenal foreign body in a 12 year old MN DSH cat

This 12 year old MN DSH cat presented for vomiting and anorexia of 24 hour duration. History of urinary obstruction.

Physical exam: 2/6 heart murmur, hypothermic, severerly dehydrated, lethargic

CBC/Chem: BUN 98, Crea 5.7, Phos 7.4, TP 8.9, Glob 5.1, Na 12, Cl 93

Urinalysis: trace protein, large amount of cocci, WBCs 2-3/hpf

This 12 year old MN DSH cat presented for vomiting and anorexia of 24 hour duration. History of urinary obstruction.

Physical exam: 2/6 heart murmur, hypothermic, severerly dehydrated, lethargic

CBC/Chem: BUN 98, Crea 5.7, Phos 7.4, TP 8.9, Glob 5.1, Na 12, Cl 93

Urinalysis: trace protein, large amount of cocci, WBCs 2-3/hpf

Image Interpretation

 

The gastrointestinal tract was obstructed in the upper duodenum with approximately 2 cm translucent foreign body consistent with polyurethane or similar. The stomach was severely dilated with fluid. The remainder of the intestinal tract appeared unremarkable. No evidence of peritonitis. Stomach revealed echogenic striating chyme owing to the obstruction. No peristalsis was noted. The stomach was completely static owing to mechanical ileus. . 

DX

obstructed duodenal foreign body

Outcome

Immediate surgery is recommended with enterotomy. Evacuation of the stomach at surgery may be the best option in this patient to relieve toxin absorption

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Patient Information

Patient Name : Tigger Liptak/Berks
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04_00552

Clinical Signs

  • Anorexia
  • Vomiting

History

  • Urethral Obstruction

Exam Finding

  • Dehydration
  • Heart Murmur
  • Hypothermia
  • Lethargy

Images

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Blood Chemistry

  • BUN high
  • Creatinine, High
  • Globulin, High
  • Phosphorus, High
  • Total Protein, High

Clinical Signs

  • Anorexia
  • Vomiting

Urinalysi

  • Protein Present
  • WBCs Present