Sonopath Forum

Vomiting in a 6 yr old FS Pitbull

6 yr old FS Pitbull presented for acute onset vomiting and diarrhea 3 days prior to initial ultrasound.
The patient did not respond to tx with metronidazole 250 mg BID, EN and fortiflora
Owner report dog ingested part of a rubber toy one month ago.
The patient has continued to vomited at least once every day since initial presentation.

6 yr old FS Pitbull presented for acute onset vomiting and diarrhea 3 days prior to initial ultrasound.
The patient did not respond to tx with metronidazole 250 mg BID, EN and fortiflora
Owner report dog ingested part of a rubber toy one month ago.
The patient has continued to vomited at least once every day since initial presentation.
Abdominal ultrasound performed yesterday was wnl except for the stomach was midly distended with ingest and chyme. Rule outs included lack of patient fasting, decreased gastric motility, and outflow obstruction (none seen).
Rescanned the patient today after a > 12 hour fast. The pylorus and pyloric outflow appear normal, however, there appears to be strong shadowing in the gastric lumen but there is no highy echogenic interface. I also scanned this patient standing (ST) and this was repeatable finding.
My rule outs include gastric FB, gastric wall abnormality, gastric fold/intussuception, and atypical gas pattern.
What are your thoughts?

rlobetti

April 11, 2020 at 3:30 pm -

With the history and

With the history and shadowing evident on the latest ultrasound, my diagnosis would be a gastric foreign body.

April 13, 2020 at 12:58 pm -

Looks like there’s a 2 cm

Looks like there’s a 2 cm isoechoic Fb there… maybe a cork or something? Is the owner a wine enthusiast?