A 16-year-old SF mixed breed dog was presented for evaluation of poor appetite that progressed to anorexia, vomiting over the past 24 hours, lethargy, and significant weight loss over the past week.
Case Study
GI foreign body with intestinal and gastric involvement in a 16 year old FS mixed breed dog
Sonographic Differential Diagnosis
Obstructive GI foreign body; intestinal and gastric involvement.
Undefined nodular hepatic changes. Differentials include nodular hyperplasia or potential occult neoplasia.
Image Interpretation
The small intestine was obstructed with a large amount of chyme accumulation. Shadowing foreign matter was noted consistent with fabric foreign body. Dilated small intestine was present with empty small intestine. A slight amount of free fluid was noted as well. Liver presented mild micronodular changes. Gallbladder was unremarkable.
DX
Jejunal foreign body with obstruction
Outcome
Immediate exploratory surgery with gastrotomy, enterotomy recommended as well as liver biopsy to ensure a concurrent disease is not present. Guarded prognosis.
Clinical Differential Diagnosis
Chronic kidney disease
Liver – acute hepatitis, chronic hepatopathy, neoplasia
GIT – neoplasia, foreign body
Pancreas – pancreatitis, neoplasia
Neoplasia
Video
Patient Information
Patient Name :
Dakota Sofie Giachetti/GSVS
Gender :
Female, Spayed
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00528
Clinical Signs
- Anorexia
- Lethargy
- Vomiting
- Weight loss
Images
Clinical Signs
- Anorexia
- Lethargy
- Vomiting
- Weight loss