Peer-reviewed veterinary case report
Duodenogastric intussusception with concurrent gastric foreign body in a dog: a case report and literature review.
- Journal:
- Journal of the American Animal Hospital Association
- Year:
- 2013
- Authors:
- Allman, David A & Pastori, Michael P
- Affiliation:
- Department of Small Animal Clinical Sciences · United States
- Species:
- dog
Plain-English summary
A 3-year-old spayed female boxer, weighing about 50 pounds, was brought to the vet because she was vomiting a lot and seemed to be straining to have a bowel movement. During the examination, the vet noticed her heart was racing, she was breathing fast, she was dehydrated, and her belly was painful. X-rays revealed a golf ball stuck in her stomach and a large mass in the area where the stomach connects to the intestine. Attempts to remove the golf ball using a camera were unsuccessful, and surgery was needed to properly diagnose and treat the condition, which involved parts of her stomach and intestine folding into each other. After surgery, where the foreign object was removed and steps were taken to prevent future issues, she was able to go home about a day and a half later and was doing well at her follow-up a year later.
Abstract
A 3 yr old spayed female boxer weighing 22.8 kg was presented for severe, acute vomiting and tenesmus. Tachycardia, tachypnea, dehydration, and abdominal pain were present on physical examination. Abdominal radiographs showed a foreign object (golf ball) in the fundus of the stomach, and a larger, round, soft-tissue opacity mass in the region of the pylorus. Endoscopic removal of the foreign object was unsuccessful. A large soft-tissue mass (duodenogastric intussusception) was visualized with endoscopy, but was not correctly diagnosed until surgery. A midline exploratory celiotomy was performed and the duodenogastric intussusception was diagnosed and manually reduced. Severe pyloric wall edema and minimal bruising were present. A routine fundic gastrotomy was performed and the foreign object was removed. A right-sided incisional gastropexy and duodenopexy were performed in attempt to prevent recurrence of the intussusception. The dog was discharged from the hospital 38 hrs after surgery, and was normal on follow-up 1 yr after surgery. The dog in this report is the sixth documented case of duodenogastric/pylorogastric intussusception in the veterinary literature. This is the first reported case with a concurrent gastric foreign body and endoscopic visualization of the intussusception.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/23148141/