Intestinal Resection & Anastomosis - Intestinal intussusception with adhesion

Case overview : A 3 months old kitten presented to us after being treated for 1 weeks with no recovery with history of GIT, manifestations lately continuous vomiting and more dramatic severe signs

Ultrasonography was consistent of intestinal intussusception admitted for stabilization and then was submitted for surgery

History

Signs & Diagnostics

Treatment

A 3 months old kitten presented to us after being treated for 1 weeks with no recovery with history of GIT, manifestations lately continuous vomiting and more dramatic severe signs

Abdominal Ultrasound:

Classic “target sign” or “bullseye” appearance of bowel , confirming intussusception

No free abdominal fluid

Intussusception segment located in the duodenum

Exploratory laparotomy performed after stabilization

Double intussusception confirmed intraoperatively bowel viability assessed

Manual reduction attempted but unsuccessful due to tissue adhesion

Resection and anastomosis performed of the affected segment

Ventral midline approach from xyphoid to the umbilicus

Duodenal 1st layer of intussusception

Manual reduction of the intussusception

The 2nd layer was completely fused

Closer look at the adhesion site

Resection of the affected duodenal segment and anastomosis

Leak testing through milking intestinal content form the

Passage of the intestinal content with no leak detected

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