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Peer-reviewed veterinary case report

Dog with stomach twisting causing vomiting and gas buildup

By Paravicini, Patricia Veronica et al.·Published in Journal of the American Animal Hospital Association·2020·From ACCESS Specialty Animal Hospitals, United States·View original on PubMed

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Original publication title: Gastric Dilatation Organoaxial Volvulus in a Dog.

Species:
dog
Dog vomitingStomach & digestionDogs

Plain-English summary

A 9-year-old male mixed-breed dog was brought to the vet for sudden vomiting. X-rays showed his stomach was swollen with gas, but it didn't improve with suctioning. An ultrasound revealed issues with his spleen and stomach positioning, leading to surgery where the vet found the stomach had twisted (organoaxial gastric volvulus). After carefully untwisting the stomach, the dog recovered well and went home the next day. This condition is rare in dogs, but surgery is usually the best treatment.

People also search for: dog vomiting treatment · dog stomach twist surgery · mixed-breed dog gas dilation

Abstract

A 9 yr old castrated male mixed-breed dog was presented for acute vomiting. Abdominal radiographs appeared to show a normal positioned stomach with marked gas dilation, which persisted despite frequent suctioning with a nasogastric tube. An abdominal ultrasound showed splenomegaly, malpositioning of the spleen, and the pyloroduodenal junction. A ventral midline celiotomy revealed an organoaxial gastric volvulus, rotating on the gastroesophageal, and pyloroduodenal junctions. The omentum was not overlying the stomach, typically seen in mesenteroaxial gastric volvulus. The body of the stomach was derotated with no evidence of gastric necrosis noted. The spleen was in the right cranial abdomen and returned to its normal anatomic position after derotation of the stomach. The patient recovered uneventfully and was discharged the next day. To the authors' knowledge, organoaxial gastric volvulus has not been reported in dogs. This is rare in humans but occurs most commonly in children <5 yr of age associated with hernias. The recommended treatment is surgical in majority of cases. As a result of the unusual orientation of the stomach, the diagnosis of gastric dilatation-volvulus was challenging. Organoaxial gastric volvulus demonstrates the need for further imaging and evaluation in cases of persistent gas dilation.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/31715111/