Today’s case is a 12-year-old Labrador Retriever with abdominal distension. Take a look at the radiographs and post your comments below. Residents and emergency practitioners: Would you send this dog to surgery?
On this study, the stomach is mildly gas filled. The fundus appears to be in normal position; however, the duodenum is visible cranial to the stomach on both the VD and DV views. The spleen is not visible on either the VD or DV views; however, on the lateral view it appears mildly enlarged. The colon, cecum, and small bowel loops are mildly displaced on the right side and caudally.
- GDV 270 degrees
Gastric dilation and volvulus of more than 180 degrees can be difficult to diagnose, especially if the stomach is not distended. In this example, the duodenum is seen on several views in an abnormal position. In a 270 or 360 degree volvulus, the rest of the stomach can appear to be in a relatively normal position. Make sure that you check for the duodenum as well.