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!
FindingsOn the right lateral projection, there is focal, mild enlargement of several small intestinal loops. On the left lateral projection of the abdomen, there is a distended bowel loop that contains a fusiform, radiopaque object. The cranial continuation of this enlarged loop appears to be normal sized small intestine. A similar sized loop with opaque material cranial to this loop appears to be transverse colon with feces. The fecal material in the colon does not appear to be continuous with this loop. On the v/d projection, there is a small intestinal loop on the right side that is twice the diameter of other loops. The foreign body is not visible on this projection.
DiagnosisSmall intestinal foreign body obstruction
DiscussionConsidering the two month history of weight loss and vomiting, this foreign body was causing a chronic partial obstruction with focal, mild dilation of the proximal small intestine. Gas in the distended loop helped its visibility on the radiographs.
The foreign body was removed surgically from the mid-jejunum. It was the squeaker from a stuffed toy.