Intestinal foreign body

Case contributed by Allison L Zwingenberger
Diagnosis certain

Presentation

Presents with acute onset of vomiting for several days. Lethargic and hyporexic.

Patient Data

Age: 5 years
Gender: Castrated male
Category: Domestic dog
Organism: Old German Shepherd

Abdomen

x-ray

The liver and spleen are normal in size and shape. The stomach appears empty. There are two large curvilinear mineral opacities in the caudal abdomen that appear to be bone fragments, within the small intestine. The colon is gas filled and is completely visible along its length. A smaller bone fragment is visible in another intestinal loop that contains granular material. The kidneys are normal in size and shape, and the urinary bladder is not visible. There is spondylosis deformans in the lumbar spine and S1 is a transitional vertebra. The intestinal foreign body is visible in the right caudal abdomen on the ventrodorsal projection.

Case Discussion

Small intestinal foreign body causing mechanical obstruction. A celiotomy was performed, and the foreign body was removed from the distal third of the jejunum. There was evidence of intestinal perforation and adherent omentum, necessitating an intestinal resection. The minimal dilation of the small intestine indicates this was a distal obstruction and/or only partially obstructive.

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