Case Study

RADS – Gastroenteritis with Possible Subileus in a 6 year old F Golden Doodle dog

The patient has been vomiting intermittently for 3 days (total of 2 times). Vomiting after eating, but not after drinking. There has been no recent diet change nor known dietary indiscretion; however the patient has ingested tampons and diapers in the past.

Physical Exam: BAR, T 100.3, P 96, R 24; abdomen is soft and non-painful; no abnormalities appreciated. Eructation during exam visit. CBC and chemistry are pending.

DX

Gastroenteritis

Image Interpretation

RADS- left lateral, right lateral and VD abdomen. Osseous structures: Within normal limits.
Extraabdominal soft tissue structures: The caudal vena cava and the pulmonary
vasculature was thin. The remainder of the extraabdominal soft tissues was within normal limits.
Intraabdominal structures: The serosal detail was normal. The liver and spleen were within normal limits. The urinary tract was within normal limits. The stomach was moderately distended with gas. There also was a mild amount of uniformly shaped soft tissue opaque material in the gravity dependent portion of the stomach. The fundic wall presented a mildly roughened mucosal surface. The small intestinal loops were non-dilated and of even diameter. There was a moderate amount of gas within the small intestine and several loops presented spasticity. The cecum and colon contained a moderate amount of fecal matter and gas.

Outcome

There was no radiographic sign of a complete mechanical obstruction nor a radio
opaque foreign body. A subileus cannot be ruled out.
For further work up ultrasound of the abdomen is recommended to verify the suspicion
of inflammatory gastrointestinal disease and rule out other causes for vomiting.

Patient Information

Patient Name : Marlee Phelan, Critical Vet Care

Gender : Female, Intact

Species : Canine

Type of Imaging : Ultrasound

Status : Complete

Clinical Signs

Vomiting

Images

Clinical Signs

Vomiting