This week’s case is a 3 year old male neutered Staffordshire Bull Terrier with vomiting and weight loss for two months. Take a look at the case and post your interpretations in the comments section!
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April 14th, 2008 at 4:51 pm
The stomach is full with granular material.
Also there is a lot of stool visible in the colon.
There are many bowel loops that contain granular material, and I suspect that some of them are small intestinal loops which is not a normal finding.
On the lateral views there are few distended SI loops, (around 2.5 vertebral bodies) which are also visible on the VD.
The combination of SI granular material and distention is compatible with an obstruction, which has to be partial since there is feces in the colon.
Though,less commonly, SI granular material is also seen in severe maldigestion/malabsorption cases.
A Pneumocolon study will be helpful in outlining the colon and assessing whether the granular material is in the SI or the colon.
Also repeating rads after 12 hours of fasting will be helpful.
Abdominal ultrasound will also be useful.
April 14th, 2008 at 6:27 pm
Excellent description! You will occasionally see uniform granular material in the small intestine in a dog withough GI signs, but I would mostly view it as an abnormal finding.Click on the case link to see the answers.