Intestinal foreign body - linear

Case contributed by Allison L Zwingenberger
Diagnosis certain

Presentation

Presents with 4-day history of vomiting, mostly water and mucus.

Patient Data

Age: 5 months
Gender: Castrated male
Category: Domestic dog
Organism: English Bulldog breed

Abdomen

x-ray

On the right lateral projection, the stomach wall appears thickened and the gastric rugae are prominent. There is an ill-defined soft tissue opacity in the dorsal portion of the lumen. On the left lateral projection, there is a very well-defined soft tissue object outlined by gas in the pylorus. This object is also visible in the stomach on the ventrodorsal projection. There is a segment of bowel that contains striated material and there is an enlarged bowel loop. There is moderately poor abdominal detail due to the animal's young age. Gastric and probable intestinal textile foreign material (linear foreign body).

Case Discussion

A 6 inch rope toy was surgically removed from the stomach and duodenum via a gastrotomy. The pyloric foreign material is very characteristic of a textile or linear foreign body. Plication of the small intestine was not found in this case, but is another imaging sign to look for. The striated material also indicates this type of obstruction.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.