A 5-year-old NM German shepherd was presented for evaluation of acute vomiting, lethargy, and anorexia. Radiographs were suspicious for mechanical ileus.
Case Study
04_00506 Rocky F Jejunal foreign body with obstruction
Sonographic Differential Diagnosis
Shadowing obstructive material was noted. This is consistent with stuffing or fabric type material with thickened surrounding bowel. Areas of reactive mesentery were noted as well.
Biopsies or resection of this bowel may be necessary at the time of surgery. Underlying histopathology is essential in this case to rule out chronic disease.
Image Interpretation
The upper gastrointestinal tract was dilated with fluid from the stomach through the small intestine. Lack of peristalsis was noted. An obstructive pattern was noted with a large amount of anechoic fluid and chyme. Shadowing obstructive material was noted. Dilated small intestine along with empty small intestine was present. There was some loss of detail. Areas of reactive mesentery were noted around the region of obstruction.
DX
Jejunal foreign body with obstruction
Outcome
A large amount of cloth material was removed from the mid jejunum.
Clinical Differential Diagnosis
Foreign body, focal perforation with peritonitis, necrotic enteritis, ulceration, neoplasia, intussusception, partial gastric torsion
Sampling
None
Video
Patient Information
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Clinical Signs
- Anorexia
- Lethargy
- Vomiting
Images
Clinical Signs
- Anorexia
- Lethargy
- Vomiting