Case Of the Month

Linear foreign body Obstruction in a 3-year-old FS Pot Bellied pig: Our November Case Of the Month 2015

The patient was presented for evaluation due to severe vomiting. The vomiting stopped but the patient was now anorexic. The patient was quiet with a thin body condition. CBC found a low WBC of 3.7. Blood chemistry found albumin 3.7, total protein 7.0, ALKP 43, BUN 43, and cholesterol 79.

DX

Linear foreign body with accordion pleating and emerging peritonitis.

Outcome

The patient was recommended for immediate exploratory surgery. Surgery was performed with two enterotomies, jejunum and duodenum. Plastic wrap was removed from both locations. The plastic had twisted into a linear shape. The duodenal foreign body extended into the stomach.

Image Interpretation

The stomach revealed shadowing foreign material. The gastrointestinal tract revealed linear foreign body with accordion pleating. Dilated bowel was noted. Severe gastric stasis was noted. Minor, regional hyperechoic fat was noted along with slight free fluid accumulation. Further material was lodged in the distal small intestine connecting to the material within the pylorus. The remainder of the abdomen was unremarkable. Slight free fluid was noted consistent with emerging peritonitis.