A 19-year-old NM Corgi with a history GI foreign body surgery was presented for evaluation of vomiting. Survey radiographs and biochemistry were all normal.
Case Study
04_00463 Crackers M Pyloric hypertrophy, concurrent duodenal FB
Sonographic Differential Diagnosis
Chronic disease, consistent with hypertrophic pyloric gastropathy, is evident in the stomach as well as a concurrent foreign body in the duodenum. There was no evidence of peritonitis noted. However, an immediate exploratory surgery is recommended with expectations towards duodenotomy and gastric biopsy in the level of the pyloric outflow for further definition.
Image Interpretation
The stomach in this patient presented concentric thickening with hypertrophied echogenic mucosal changes and hypertrophied muscularis. Pyloric wall measured 1.54 cm. The mid duodenum revealed a 3.11 x 0.84 cm isoechoic foreign structure. This is consistent with cork or similar material. An obstructive pattern was noted in the upper duodenum with dilated fluid prior to this foreign structure. The remainder of the intestine was unremarkable.
DX
Pyloric hypertrophy and duodenal foreign body
Outcome
None
Clinical Differential Diagnosis
GIT – non-specific gastritis (viral, bacterial, toxins, diet), foreign body, neoplasia, ulceration, dietary hypersensitivity
Pancreas – pancreatitis, neoplasia
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Vomiting
Images
Clinical Signs
- Vomiting