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Stomach, in and out?
1 · The case
Blackie, a 15-year-old cat was presented for severe bradyarrhythmia. An abdominal ultrasound was performed as part of the work-up for systemic disease that could cause 3d degree AV block. On blood work, there is a slight leukocytosis. See a short video clip of the left side of the abdomen. What is your diagnosis? Recommendations?
See the answer HERE
2 · Your answer
2 · The answer
Discussion (12)
Camilla Edwards
Looks like a gastric penetrating foreign body?
alina
foreigh body. endoscopy or enterotomy
alina
foreigh (liniar) body. endoscopy or enterotomy
Joanna Flores
Foreign body in stomach, possibly perforating it and compromising pancreas (pancreatitis). He had an associated peritoneal reaction. Exploratory surgery.
Juan Carlos Aguilar Ramos
Ultrasonographic findings: Mild plication of duodenum, free abdominal hyperechoic effusion (peritonitis), acoustic shadow inside of the stomach (foreign body).
Recommendations: abdominocentesis (citology, culture,rivalta test?),lactate measurement, full chem and electrolytes, supportive care (resucitation fluid therapy), pain management.
** do you have more clips of the rest of the abdomen please?
mwhdvm
Foreign body with severe secondary gastritis indicating chronicity. Consider gastrotomy.
BC
Pancreatitis
Bob
Foreign body that perforated out of the stomach with part of it still within the gastric lumen. This seems to be more likely to be a chronic condition since there is an organised, thickened and homogeneous hypoechoic wall enveloping the density acting like a tract. The highly echogenic material within it makes me think more of a plastic but it's anyone's guess until it is identified through surgery. Pancreatitis secondary to trauma from the redirected FB is possible as it is in the right location but cellulitis is another consideration. More views and localization of the pancreas would better confirm this. The free fluid present in that location may represent an accumulation within the gutters. A fine needle aspirate may also prove it either to be cellular as there are echos present within it. The other situation is inflammation secondary to the pancreatitis. Enzyme assays of the fluid could also be measured if the cytology is not definite. Interesting case. I hope that the kitten did well.
Calinca
Gastric perforated foreign body (woden stick or other), perforated on the stomach large curvature caudally with secondary local peritonitis.
Sabine
Foreign body; inflammation of the adjacent tissue.
Kara LaRue
Can you please highlight or tag the foreign body?
Dominique Author
Hi Kara, please view the annotated video where the stick is highlighted by 3 arrows. Dominique
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