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Peer-reviewed veterinary case report

Surgical swab moved into jejunum causing chronic diarrhea in dog

By Day, J L et al.·Published in The Journal of small animal practice·2012·Department of Radiology, Australia·View original on PubMed

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Original publication title: Migration of a retained surgical swab into the jejunum in a dog.

Species:
dog

Plain-English summary

A 2-year-old spayed female shih-tzu was brought to the vet after experiencing lethargy, chronic diarrhea, and weight loss for 10 months. The vet found an abdominal mass and suspected a foreign body after imaging tests. During surgery, they discovered a surgical swab that had migrated into the dog's intestine, causing severe adhesions. After removing the swab, the dog was treated for the complications, and her condition improved.

People also search for: dog chronic diarrhea treatment · shih-tzu weight loss causes · foreign body surgery in dogs

Abstract

A two-year-old spayed female shih-tzu was referred with a 10-month history of lethargy, chronic diarrhoea and weight loss. On presentation, a partial response to antibiotics was noted. Physical examination revealed an abdominal mass, and serum biochemistry and haematology revealed a mature neutrophilia, hypoalbuminaemia and a non-regenerative anaemia. Contrast radiography and abdominal ultrasound were suggestive of an intraluminal foreign body. Exploratory laparotomy revealed a surgical swab in the lumen of the jejunum that was associated with severe adhesions. Histopathology showed evidence of transmural migration of the swab from the peritoneal cavity to the lumen of the jejunum.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/23020148/