Skip to content
Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

04_00525 Tillie L Pyloric stenosis and/or foreign body

Case Study

04_00525 Tillie L Pyloric stenosis and/or foreign body

A 4-month-old intact female Boston Terrier was presented for evaluation of regurgitation that had been present since being purchased about 3 weeks ago. Appetite was normal but with random regurgitation. There had been no improvement with symptomatic therapy (Metronidazole, Zithromax, Metoclopramide and FortiFlora). Physical examination and thoracic radiographs were both normal.

 

Sonographic Differential Diagnosis

The pyloric outflow appears stenotic. A large amount of gastric fluid was present creating dilation of the gastroesophageal inlet and significant regurgitant pressure into the esophagus, which would explain the regurgitation history. Recommend exploratory surgery with expectations of evacuating the stomach, obtaining biopsies as well as manually manipulating the pyloric outflow and pyloroplasty is likely going to be necessary in this patient. Chest radiographs and assessment of the esophagus via radiographs would also be ideal. Screening for myasthenia would also be optimal in this case, though unlikely at this age.

Image Interpretation

Stomach in this patient was filled with fluid. Pyloric outflow in this patient presented progressively shadowing material 1.5 cm that may be persistent dependent chyme or foreign matter; however, the pyloric outflow appears stenotic. A large amount of gastric fluid was present creating dilation of the gastroesophageal inlet and significant regurgitant pressure into the esophagus, which would explain the regurgitation history.

DX

Pyloric stenosis and/or foreign body

Outcome

None

Clinical Differential Diagnosis

Persistent right aortic arch, gastric foreign body, pyloric stenosis, gastro-esophageal intussusception, hiatal hernia

Sampling

None

Patient Information

Gender : Female, Intact
Species : Canine
Type of Imaging : Ultrasound
Status : Complete

Clinical Signs

  • Regurgitation

Images

gsvs1gsvs2gsvs3

Clinical Signs

  • Regurgitation