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04_00415 Diesel R Jejunal FB

Case Study

Case Study

04_00415 Diesel R Jejunal FB

A 6-year-old NM Labrador/Rottweiler mix was presented for evaluation of intermittent chronic vomiting, weight loss, and decreased appetite. He had been previously been diagnosed with vitamin B12 deficiency and had responded to supplementation and a hypoallergenic diet trial. Urinalysis showed mild proteinuria and hematuria. Abnormalities on laboratory testing were subnormal B12, elevated folate, and normal TLI.

A 6-year-old NM Labrador/Rottweiler mix was presented for evaluation of intermittent chronic vomiting, weight loss, and decreased appetite. He had been previously been diagnosed with vitamin B12 deficiency and had responded to supplementation and a hypoallergenic diet trial. Urinalysis showed mild proteinuria and hematuria. Abnormalities on laboratory testing were subnormal B12, elevated folate, and normal TLI.

DX

Jejunal FB

Sonographic Differential Diagnosis

Distal small intestinal obstruction.
Likely concurrent underlying inflammatory disease.
Hard linear foreign body.
Recommend immediate exploratory surgery with GI biopsies given the opportunity to assess for underlying chronic disease.

Image Interpretation

Gastrointestinal tract revealed a distal small intestinal obstruction with dilated loops of bowel followed by empty bowel and a hard shadowing foreign body in mid abdomen likely jejunum measuring approximately 3 to 4 cm. Retention of ingesta noted. Slight amount of free fluid noted.

Outcome

None

Clinical Differential Diagnosis

GIT – IBD, intestinal dysbiosis (SIBO) neoplasia, dietary hypersensitivity, ulceration, granulomatous disease, intussusception

UA PH

8.0

UA PH

8.0

Sampling

None

UA Specific Gravity Range

1.029

Video

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Patient Information

Gender : Male, Neutered
Species : Canine
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Anorexia
  • Vomiting
  • Weight loss

Images

gi_fb_and_sibo_dizel_ryback_mix_6_yrgi_fb_and_sibo_dizel_ryback_mix_6_yr_2

Clinical Signs

  • Anorexia
  • Vomiting
  • Weight loss

Special Testing

  • Folate high
  • Vitamin B12 low

Urinalysi

  • pH High
  • Protein Present