A 9-year-old SF Border Collie was presented for evaluation of a 2-day duration of diarrhea, anorexia, and lethargy. Additional history was medically treated hypothyroidism. On physical examination, tachycardia, polypnea, tense abdomen, and hematochezia were present. Abnormalities on CBC and serum biochemistry were mild neutrophilia, elevated PCV and proteins, and hypokalemia.
Distal small intestinal foreign body with regional inflammation and peritonitis. Chronic inflammatory bowel presentation in this area. Recommend aggressive resection and anastomosis ideally guided by intraoperative ultrasound and intestinal biopsies to assess for chronic disease, which is likely especially given the older patient with PICA. Guarded to good prognosis if surgical intervention occurs rapidly.
The caudal abdomen in this patient revealed shadowing material in the distal small intestine. This is likely jejunum with hyperechoic surrounding fat and localized free fluid. This is consistent with embedded foreign matter and likely an early perforation and peritonitis. Underlying chronic inflammatory disease is likely. This is likely a small intestinal obstructive pattern.
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GIT – IBD, non-specific enteritis (viral, bacterial, protozoal, dietary indiscretion, toxins), foreign body neoplasia, intussusception, perforation with focal peritonitis
Pancreas – pancreatitis, neoplasia
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