Enterotomy - Intestinal Foreign Body
(Towel dobby border )
Case overview : 7 months old Alaskan puppy presented for intermittent bilious vomiting for the last 2 days and being lethargic and off food
Case overview : 7 months old Alaskan puppy presented for intermittent bilious vomiting for the last 2 days and being lethargic and off food
Chewing habits: Known to chew on non-food items including toys and socks.
Defecation: No bowel movement in last 24 hours. Owner noted straining and discomfort.
Vomiting: Intermittent bile stained vomiting for the last 2 days
Abdominal Radiographs
Plication of intestines - Gas pattern suggests possible obstruction
Abdominal Ultrasound
Confirmed linear foreign body
Exploratory laparotomy was indicated and submitted for surgery
Foreign body was consistent of a towel dobby border owner recognized later
Ventral midline approach from xyphoid to the umbilicus
Exploration of the intestines - Long linear foreign body was observed
segmental intussusception observed while exploring
Plication ( severe ) over the foreign body
incision midway the extent of the fb- Multiple incision might be needed for such long ones
Enterotomy incision should be long enough to help in manipulation otherwise multiple incisions might be needed
Foreign body ( towel dobby border )
Removal of the obstructive material
Omental stay suture for omentalization
Omentalization help to prevent tissue to tissue adhesion
Final warm irrigation
content pass normally with no leak
Parts of the extracted material
Extracted material estimated around 1 meter long
© All Rights Reserved