Case Study

04-00450 Penny L Jejunal FB——-NEED SI/SDX——–

A 4-year-old SF pug with a history of prior (6 weeks ago) possible GI foreign body and showing severe neutrophilia, monocytosis, mild hypokalemia, hyponatremia, azotemia, and elevated Pl; that responded to laxative therapy was presented for evaluation of vomiting and weight loss. The only significant abnormality was the presence of a firm round structure within the cranial abdomen.

Though the original rDVM saw the FB on films 6 weeks ago, the owner opted to try antibiotics first. The dog rebounded slightly but then went downhill until SX.

DX

Jejunal FB with adhesions, perforation, and septic peritonitis

Outcome

Exploratory was performed. The patient had a hard piece of plastic with foam inside in her mid jejunum. There were adhesions sequentially from her duodenum to 2 points in her jejunum, until the FB where it was stuck. The bowel perforated at that point, with septic fluid in the abdomen. They removed the FB, lavaged, and got most of the adhesions removed. She is doing well and eating. The patient went home a few days ago.