A 12-year-old neutered male Cairn Terrier dog, with a chronic history of well managed diabetes and hyperadrenocorticism, was presented with a history of vomiting and anorexia over a 3 day period. The physical exam was normal other than mildly tacky mucous membranes and slight dehydration. The CBC was normal. Blood chemistry was stable with chronically moderately elevated SAP and mildly elevated ALT, which had been an issue over the prior 2 years. A urinalysis had not been performed.
A 12-year-old neutered male Cairn Terrier dog, with a chronic history of well managed diabetes and hyperadrenocorticism, was presented with a history of vomiting and anorexia over a 3 day period. The physical exam was normal other than mildly tacky mucous membranes and slight dehydration. The CBC was normal. Blood chemistry was stable with chronically moderately elevated SAP and mildly elevated ALT, which had been an issue over the prior 2 years. A urinalysis had not been performed.
Case Study
Jejunal foreign body and emerging peritonitis in a 12 year old MN Cairn Terrier
Sonographic Differential Diagnosis
Luminal shadowing obstructive foreign body and emerging peritonitis is the most likely scenario.
Image Interpretation
A luminal, markedly shadowing, intestinal foreign body was present with empty small intestine distal to and dilated small intestine proximal to the structure. Hyperechoic periserosal fat adhered to the serosa is suggestive for emerging peritonitis.
DX
Jejunal foreign body
Outcome
The patient recovered uneventfully. Intestinal biopsy was recommended to rule out concurrent underlying disease but was not performed.
Clinical Differential Diagnosis
Pancreatitis, gastritis, IBD, neoplasia, GI obstruction due to foreign body or neoplasia. A gall bladder mucocele was considered less likely.
Sampling
Exploratory surgery retrieved a 5 cm portion of tin foil from a mid-jejunal enterotomy.
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Patient Information
Patient Name :
Fritz O
Gender :
Male, Neutered
Species :
Canine
Type of Imaging : Ultrasound
Status :
Complete
Liz Wuz Here :
Yes
Code :
04_00130
Clinical Signs
- Anorexia
- Vomiting
History
- Diabetes, controlled
- PDH
Exam Finding
- Dehydration
Images
Blood Chemistry
- Alkaline Phosphatase (SAP), High
- ALT (SGPT), High
Clinical Signs
- Anorexia
- Vomiting