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Small bowel foreign body in a 4 year old MN Himalayan cat

Case Study

Small bowel foreign body in a 4 year old MN Himalayan cat

This 4-year-old MN Himalayan cat was presented for 3 days of persistent vomiting, lethargy, and anorexia. The physical exam revealed moderate dehydration and tense abdomen; the cat would not allow deep palpation. The CBC revealed moderate leukocytosis with a left shift. Blood chemistry demonstrated moderate azotemia, mild hyperglycemia, mild hyponatremia and hypochloremia. The urine was concentrated with minor proteinuria.

This 4-year-old MN Himalayan cat was presented for 3 days of persistent vomiting, lethargy, and anorexia. The physical exam revealed moderate dehydration and tense abdomen; the cat would not allow deep palpation. The CBC revealed moderate leukocytosis with a left shift. Blood chemistry demonstrated moderate azotemia, mild hyperglycemia, mild hyponatremia and hypochloremia. The urine was concentrated with minor proteinuria.

DX

Small bowel foreign body

Sonographic Differential Diagnosis

Small bowel luminal foreign body.

Image Interpretation

An ovoid, smoothly marginated, peripherally echogenic, strongly shadowing, luminal foreign body is present within a segment of small bowel.

Outcome

The patient recovered gradually over 5 days of postoperative intensive care and presented no further issues.

Clinical Differential Diagnosis

Pancreatitis, gastrointestinal foreign body obstruction, toxicity, neoplasia.

Sampling

Laparotomy was performed with enterotomy removal of an intact acorn foreign body lodged in the distal jejunum.

Patient Information

Patient Name : Bijou L
Gender : Male, Neutered
Species : Feline
Type of Imaging : Ultrasound
Book : yes
Status : Complete
Liz Wuz Here : Yes
Code : 04_00122

Clinical Signs

  • Anorexia
  • Lethargy
  • Vomiting

Exam Finding

  • Abdominal Pain
  • Dehydration
  • Tense Abdomen

Images

StomachStasisDIlatedDuodenumfromObstructionDuodenalForeignBodyBijoulosassofelintacornfb2_06042011014400

Blood Chemistry

  • Azotemia
  • Chloride, Low
  • Glucose, High
  • Sodium, Low

CBC

  • Left Shift
  • WBC, High

Clinical Signs

  • Anorexia
  • Lethargy
  • Vomiting

Urinalysi

  • Protein Present