A 7-year-old MN Boxer was presented for vomiting. The patient was treated with anti-emetics, antacids, and was rehydrated. However, there was no response and he continued to vomit.
A 7-year-old MN Boxer was presented for vomiting. The patient was treated with anti-emetics, antacids, and was rehydrated. However, there was no response and he continued to vomit.
Case Study
Gastric and intestinal foreign body in a 7 year old MN Boxer dog
Sonographic Differential Diagnosis
Gastric and intestinal foreign bodies
Image Interpretation
Image 1 and Video 1: gastric fluid dilation and intraluminal hyperechoic border with deep acoustic shadow Video 2: intestinal proximal and distal hyperechoic irregular border with acoustic shadowing along entire surface
DX
Gastric and intestinal foreign body.
Outcome
Pre-surgical lab showed an elevated HCT and slight hyperglycemia. On exploratory laparotomy a canvas foreign body was identified in the stomach and another one in the mid jejunum, both of which were removed. The pet was discharged with a course of Zeniquin, Rimadyl, and Pepcid. Although post surgery there were a few episodes of vomiting, overall the pet has done well.
Clinical Differential Diagnosis
vomiting – foreign body obstruction, torsion, neoplasia, ulceration, intestinal perforation, IBD. Pancreatic neoplasia, pancreatitis, liver disease, Addison’s disease. Renal pathology- renal failure, pyelonephritis. CNS disease
Sampling
Full thickness surgical biopsies of the stomach and jejunum were within normal limits.
Video
Patient Information
Patient Name :
Dunkin A
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Book :
yes
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00179
Clinical Signs
- Dehydration
- Vomiting
Images
Clinical Signs
- Dehydration
- Vomiting