Case : GOO Hair | Salemserag

Gastric Outflow obstruction Caused by Trichobezoar

Overview : 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

History

Clinical signs

Diagnosis

GOO often present with a continues or intermittent vomiting, Vomiting is frequently post-prandial and may occur several hours after meals, indicating delayed gastric emptying. The vomitus often contains undigested food or bile-stained fluid, and insome cases hematemesis).

Causes varies from simple stenosis to neoplastic cases here we due to foreign bodies causing the obstruction

Clinical signs varies :

Regurgitation of undigested food - Weight loss - Lethargy Dehydration - Anorexia or inappetence - Hematemesis (if ulceration is present)

Abdominal discomfort or distension

In severe cases, electrolyte imbalances

Abdominal radiographs: May show a gas--distended stomach with clogging clump

Abdominal ultrasound: was consistent of GOO due to hairball with fluid accumulation in the stomach