Hello,
Ricky is a 9 years old M/N Min Poodle X that presented for intermitent vomiting, especially after vomiting. X-rays identified some food like material in the stomach but no obvious obstructive pattern. Unfortunatelly no Left Abd X-ray was done. Did not responded to sympt, outpatient tx.
Hello,
Ricky is a 9 years old M/N Min Poodle X that presented for intermitent vomiting, especially after vomiting. X-rays identified some food like material in the stomach but no obvious obstructive pattern. Unfortunatelly no Left Abd X-ray was done. Did not responded to sympt, outpatient tx.
REcheck + Scanning revealed mild hypoechoic pancreas suggestive of pancreatitis, however the stomach was fluid distended with some hyperechoic gradual shadowing material in the pylorus. It looks like a FB but not onstructive ? partial ? Despite the shadowing the pylorus is not distended . This dog needs prokinetics but I’m concern to start them if it is a FB. Any thoughts?
Thank you,
Calin
Comments
Its afluid absorptive Fb
Its afluid absorptive Fb with obstructive pattern with the fluid back up. Seems embedded in the pylorus/duodenum. Tissue wads, tree roots, fabric chew toys, grass balls, stuffed aniumal stuffing… that sort of thing does this. Its easier to be more definitive with video but based on your stills this needs sx and GI bx to look for underlying disease given the older dog pica thing. See our abstract attached on this subject. Scan the patient again right before surgery to ensure this structure is still present and hasnt moved:)
From ECVIM 2016
PRIMARY GASTRO-INTESTINAL DISEASE IN CATS AND DOGS WITH GASTRO-INTESTINAL FOREIGN BODIES: 28 CASES
R. Lobetti1,2, E. Lindquist2, J. Frank2, J. McLean1
1Bryanston Veterinary Hospital, Box 67092, Bryanston, South Africa; 2SonoPath, New Jersey, USA.
Gastro-intestinal (GI) foreign bodies are not unusual in either cats or dogs of all ages. The diagnosis is often suspected on history, physical examination findings, radiographs, and ultrasonography; with the diagnosis being confirmed on laparotomy. A recent study showed that a gastric foreign body was a significant risk factor for the development of gastric dilatation and volvulus in dogs.
The purpose of this study was to correlate if cats or dogs with a GI foreign body had underlying GI disease. The hypothesis was that cats or dogs with a GI foreign body have primary underlying gastro-intestinal disease resulting in pica and the subsequent ingestion of a foreign body.
The records of 28 privately owned cats or dogs that had been diagnosed with a gastro-intestinal foreign body and had histopathology done of the gastro-intestinal tract were retrospectively evaluated. Inclusion criteria were a diagnosis of a GI foreign body together with histopathology of the GI tract from biopsies taken at the time of surgical removal of the foreign body.
Of the 28 cases, there were 11 cats and 17 dogs. The mean age of the cats was 9.2 years (range 4-15) and that of the dogs 9.1 years (range 2-14). All cats were classified as DSH and the dog breeds were varied. There were 5 males and 6 females within the cat group and 8 males and 9 females within the dog group. Histopathology diagnosis in the cats was lymphoplasmacytic enteritis (4), lymphoma (5), and carcinoma (2); whereas in dogs the histopathology diagnosis was lymphoplasmacytic enteritis (7), lymphoma (3), necrotic enteritis (3), carcinoma (2), and eosinophilic enteritis (2).
These findings indicate that cats or dogs with a GI foreign body can have underlying primary GI disease and that the presence of a foreign body may thus be an indicator of more serious GI disease. Therefore, in cats or dogs with a GI foreign body, biopsies of the gastro-intestinal should be done at the time of surgery to ensure that underlying disease is identified and correctly managed.
It moved, right before
It moved, right before getting ready for sx:)
Thank you
Nice good move scanning
Nice good move scanning before cutting! I can’t tell you how many times fluid tx will enhance Gi activity and move things down the pipe and you cut to a colonic fb. Glad it worked out!