Gastric foreign body in an 8 year old MN DSH cat

Case Study

Gastric foreign body in an 8 year old MN DSH cat

An 8-year-old MN DSH cat with a history of a palpable abdominal mass and anorexia, was presented for evaluation. CBC was within normal limits whereas on serum chemistry hypercholesterolemia (414) and hyperamylasemia (1327) was present. Survey abdominal radiographs showed a large opacity in the cranial abdomen.

An 8-year-old MN DSH cat with a history of a palpable abdominal mass and anorexia, was presented for evaluation. CBC was within normal limits whereas on serum chemistry hypercholesterolemia (414) and hyperamylasemia (1327) was present. Survey abdominal radiographs showed a large opacity in the cranial abdomen.

Sonographic Differential Diagnosis

Large gastric foreign body, trichobezoar suspected but other foreign material possible.

Image Interpretation

Intraluminal gastric hyperechoic near field border with distal acoustic shadowing. Note some variability in near field sound absorption to the right side of the image.

DX

Gastric foreign body

Outcome

A gastrotomy was performed and a large amount of ribbon and shoelace removed. Post surgery recovery was uneventful.

Comments

No video is available on this patient.

Clinical Differential Diagnosis

Abdominal mass – Liver pathology (neoplasia, cyst, granuloma); Renal pathology (neoplasia, hydronephrosis); GI pathology (foreign body, neoplasia); Mesenteric pathology (neoplasia, granuloma); Pancreatic pathology (neoplasia, granuloma)

Sampling

None

Patient Information

Patient Name : Ripken F
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Status : Complete
Liz Wuz Here : Yes
Code : 04_00235

Clinical Signs

  • Anorexia

Exam Finding

  • Palpable mass

Images

FoleyStom

Blood Chemistry

  • Amylase, High
  • Cholesterol, High

Clinical Signs

  • Anorexia
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