Intussusception calls for exploratory laparotomy
Oct 01, 2003
Signalment: Canine, Golden Retriever, 6 months old, male, 46 lbs.
Physical examination: 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.
Radiograph examination: The thoracic radiographs are normal. The abdominal radiographs show multiple gas-distended loops of bowel and fluid filled abdomen.
Ultrasound examination: Thorough abdominal and right ocular ultrasonography was performed.
Case management: 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.