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Gastric foreign body in a 10 year old MN DSH cat

Case Study

Gastric foreign body in a 10 year old MN DSH cat

This 10-year-old MN DSH was presented for vomiting daily for several months with a history of vomiting Christmas ribbon 8 months prior. Physical exam revealed a palpable mass in the cranial abdomen. Blood analysis was normal.

This 10-year-old MN DSH was presented for vomiting daily for several months with a history of vomiting Christmas ribbon 8 months prior. Physical exam revealed a palpable mass in the cranial abdomen. Blood analysis was normal.

Sonographic Differential Diagnosis

One or more gastric foreign bodies with suspect resultant gastritis.

Image Interpretation

The first image demonstrates a partially shadowing luminal gastric foreign material with indistinct borders within the pyloric antrum. The second image reveals a large, fairly well-circumscribed, strongly shadowing luminal foreign body within the fundus of the stomach. Mild gastric wall thickening is suggested, most notably within the pyloric region; however, normally discernible wall layering is maintained

DX

Gastric foreign body

Outcome

The patient responded well postoperatively and demonstrated increased energy and appetite.

Clinical Differential Diagnosis

GI pathology – acute or chronic foreign body, trichobezoar, IBD, neoplasia; pancreatic pathology – pancreatitis; sequestrum

Sampling

Gastrotomy revealed an 8 cm hard ball of string and Christmas ribbon.

Patient Information

Patient Name : Smokey D
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04_00069

Clinical Signs

  • Vomiting

History

  • Foreign Body

Exam Finding

  • Palpable mass

Images

Smokey_1_02102010080305Smokey_2_02102010080347

Clinical Signs

  • Vomiting