Gastric outflow obstruction (GOO) is a condition characterized by a partial or complete blockage at the pylorus or proximal duodenum, preventing the normal passage of stomach contents into the small intestine it is a common life-threatening condition in dogs and cats and needs immediate intervention , usually caused by lodgment of foreign body
The cat was presented with a 3-day history of persistent vomiting, anorexia, and lethargy. The owner reported that the cat had stopped eating and drinking, and vomited even small amounts of water. No known ingestion of foreign material was observed.
On examination, the cat was depressed and 8% dehydrated, with mild abdominal distension and pain on palpation of the cranial abdomen. Mucous membranes were pale pink, and capillary refill time was normal. No palpable foreign mass was detected.
Abdominal radiographs revealed a markedly distended stomach filled with fluid and gas, with a distinct fluid–gas interface visible in the cranial abdomen
Ultrasonography confirmed a distended stomach containing hypoechoic fluid mixed with echogenic debris
The pylorus and proximal duodenum were mildly thickened, with a hyperechoic intraluminal structure casting distal acoustic shadowing consistent with a foreign body.
Fluid filled stomach due to duodenal obstruction causing improper emptying
Surgical site extends from xyphoid to the umbilicus
Gastric distension due to fluid accumulation
Duodenal fb causing the obstruction
Lap sponge isolation prevents the contamination
Enterotomy incision was made for fb removal
fb was consistent of a towel shreds
incision closed by double buried layers to prevent organ adhesion
Gastrotomy was mad to remove the accumulated fluids and debris with lavage
Additional omentalization also helps in preventing tissue adhesion
shreds with the aspirated fluid
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