Canine, Golden Retriever, 6 months old, male, 46 lbs.
The puppy first presented three weeks ago for intermittent diarrhea, weight loss and being very thin. The puppy was eating
acceptably. The puppy was treated with metronidazole, Albon, bland food, Drontal, Rimadyl and amoxicillin. The puppy presented
last night for worsening diarrhea, vomiting, and not eating. The puppy was admitted for intravenous fluids and radiographs.
Image 1 and Image 2.
The findings include rectal temperature 102.8° F, heart rate 160/min, slightly pale mucous membranes and normal capillary
refill time. Normal heart and lung sounds are heard. The puppy is quiet, alert and responsive, and is extremely thin, wasting
muscle mass, fluid-filled abdomen and segment of thickened bowel.
A complete blood count, serum chemistry profile, and urinalysis were performed and are outlined in Table 1.
Table 1: Results of laboratory tests
The thoracic radiographs are normal. The abdominal radiographs show multiple gas-distended loops of bowel and fluid filled
Thorough abdominal and right ocular ultrasonography was performed.
There is a small amount of free fluid accumulated within the abdominal cavity. The liver and gall bladder are not seen. The
spleen shows a uniform echogenicity in its parenchyma - no masses noted. The left and right kidneys are similar in size, shape
and echotexture. No masses or calculi were noted in either kidney. The urinary bladder is distended with urine and contains
some urine sediment material - no masses or calculi noted. There are what appears to be bowel loops seen inside bowel loops.
Image 3 and Image 4.
In this case, most likely intussusception or lodged foreign body with intestinal obstruction is the clinical diagnosis. No
matter what, an exploratory laparotomy needs to be done. It is possible that these latest signs shown by this puppy have just
happened in the last 24 hours.
Review of intussusception
An intussusception is a telescoping of one segment of the intestinal tract into an adjoining segment of intestinal tract.
Intussusceptions are seen in all dog breeds. It is seen in all age animals, but it is more common in young dogs, with the
exception of intussusceptions secondary to tumors, which are more common in older dogs.