Case Study

Fabric Foreign Body in a 6-year-old MN Scottish Terrier dog

A 6-year-old MN Scottish terrier dog was presented for evaluation of lethargy and elevated liver enzymes. Physical examination was within normal limits and BCS was 6/9. Abnormalities on serum biochemistry were elevated ALP, elevated ALT activity and elevated globulins.

A 6-year-old MN Scottish terrier dog was presented for evaluation of lethargy and elevated liver enzymes. Physical examination was within normal limits and BCS was 6/9. Abnormalities on serum biochemistry were elevated ALP, elevated ALT activity and elevated globulins.

Sonographic Differential Diagnosis

Fabric type gastrointestinal foreign body.

Image Interpretation

Examination of the gastrointestinal tract revealed a 3.0 cm, pyloric foreign body that continued into the small intestine. It appeared to continue distally to the ileocecal valve into the transverse and descending colon. This is consistent with a fabric type foreign body.

DX

Fabric type gastrointestinal foreign body

Outcome

The patient was transferred back to RDVM.

Comments

Immediate exploratory surgery with multiple enterotomies, gastrotomy and gastrointestinal biopsies would be warranted.

Clinical Differential Diagnosis

Liver pathology – vacuolar hepatopathy, neoplasia, liver enzyme deficiency of Scottish terriers, toxins, infectious (bacterial/viral/fungal) Gall bladder pathology – mucocele, cholecystitis, partial obstruction; Endocrine pathology – Hyperadrenocorticism; Duodenal pathology – IBD, neoplasia, foreign body