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Foreign Body Obstructions

Case Of the Month

What Does This? A 4-year-old Labrador Retriever with persistent vomiting, partially responsive to Cerenia?
Case presented by Eric Lindquist DMV (Italy) DABVP & clinically managed by Chris Stancel DVM & staff at Ridgewood Veterinary Hospital, Ridgewood, NJ, USA.

Sonogram: Dale

What Does This? A 4-year-old Labrador Retriever with persistent vomiting, partially responsive to Cerenia?
Case presented by Eric Lindquist DMV (Italy) DABVP & clinically managed by Chris Stancel DVM & staff at Ridgewood Veterinary Hospital, Ridgewood, NJ, USA.

Sonogram: Dale

History: (Kathy Weider RVT): A 4-year-old MN Labrador retriever (Image 1) was presented for vomiting food and bile over the prior 5 days. The owner reported no potential for foreign body consumption. Physical exam revealed mild dehydration, depression, excessive panting, mild tender cranial abdomen, and slightly slow capillary refill time (2 seconds). Blood analysis was normal except for minor anemia and slight albumin elevation. Radiographs were uneventful. The patient responded slightly to IV fluid support and cerenia and only vomited once with minimal appetite.

Outcome

Dale feeling guilty about stealing the nipple from his 2-legged sibling.“I won’t do it again Mom, I promise!” Dale recovered uneventfully from surgery.

Comments

Come to the Resources section of SonoPath.com to read our study regarding Sonographic Criteria for GI Obstruction presented at ECVIM 2009, Porto, Portugal. Special thanks and congratulations to Dr. Chris Stancel, Dr. Dean Cerf, and Dr. Travis Cerf & staff at Ridgewood Veterinary Hospital, Ridgewood, NJ, USA for the medical and surgical management of this case.

Clinical Differential Diagnosis

(Remo Lobetti BVSc, MMedVet, PhD, DECVIM):
Upper GIT obstruction – foreign
body/neoplasia
Gastric ulceration
Pancreatitis
Focal peritonitis

Sonographic Differential Diagnosis

(Lindquist DMV, DABVP): Foreign body obstruction of the descending duodenum.

Image Interpretation

(Lindquist DMV, DABVP)

Patient Information

Gender : Male, Neutered
Species : Canine

Images

COM_1009_01COM_1009_02COM_1009_06COM_1009_07COM_1009_08COM_1009_09