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.

DX

Gastric foreign body

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

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
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