Today’s case is a 2-year-old cross breed with 3-day history of lethargy, anorexia, and two bouts of vomiting. What are your findings?
There is marked focal dilation of multiple small intestinal loops which contain geometrically arranged radiolucent material. The colon contains gas and is corrugated. The peritoneal detail is decreased and the abdomen is moderately distended. The spleen has an irregular margin with a protruding nodule on the right lateral projection. There is spondylosis deformans in the lumbar spine, and multiple metal fragments are visible in the pelvic tissues.
Small intestinal mechanical obstruction, possibly by corn cob. The poor peritoneal detail may indicate effusion due to inflammation or peritonitis. Splenic nodule may be due to lymphoid hyperplasia or neoplasia. Spondylosis deformans and metallic foreign bodies in the soft tissues are incidental.
Two corn cob foreign bodies were found on exploratory laparotomy and removed via enterotomy. Septic peritonitis was present. The splenic masses were EMH and nodular hyperplasia.