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Peer-reviewed veterinary case report

Pneumatosis coli in a dog - a serial radiographic study: a case report

Journal:
Veterinární Medicína
Year:
2016
Authors:
T.S. Hwang et al.
Affiliation:
College of Veterinary Medicine, Institute of Animal Medicine, Gyeongsang National University, Jinju, Republic of Korea · CZ
Species:
dog

Plain-English summary

A 12-year-old female poodle was brought to the vet because she was having trouble passing stools, which were thin and ribbon-like. Blood tests showed she was anemic and had other issues like high blood sugar and low protein levels. Tests for parasites came back negative, but a culture of her stool revealed a lot of a bacteria called Clostridium. Imaging studies, including X-rays and ultrasounds, showed that there was gas trapped in the walls of her colon and rectum, leading to a diagnosis of pneumatosis coli (gas in the colon) caused by bacterial overgrowth. After being treated with antibiotics for 17 days, her symptoms improved within three days, and follow-up imaging showed less gas in her colon, indicating that the treatment was successful.

Abstract

A 12-year-old intact female poodle was presented with a history of an acute episode of tenesmus and passage of ribbon-shaped stools. Anaemia, leucocytosis, hypoalbuminaemia, hyperglycaemia, and elevated ALP were found. Faecal floatation and wet mount preparation were negative for parasites. Anaerobic faecal culture resulted in a heavy growth of Clostridium. Survey abdominal radiographs revealed extensive intramural emphysema of colon and rectum. Ultrasonography of the abdomen revealed bright echoes within the layers of the colon wall, confirming the accumulation of intramural gas. Abdominal computed tomography revealed extraluminal gas tracking along the colon and the rectum. Based on the radiographic, ultrasonographic, and computed tomographic findings, the present case was diagnosed as pneumatosis coli with an underlying cause of bacterial overgrowth. The patient was treated with antibiotics for seventeen days. Clinical signs were resolved after three days of treatment. Decreased intramural gas accumulation was evident during radiography of the abdomen performed at fourteen days after the initial evaluation. Therefore, pneumatosis coli should be considered when a dog is presented with clinical signs of colitis.

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Original publication: https://doi.org/10.17221/255/2015-VETMED