This week’s case is a 7-year-old male neutered Giant Schnauzer with abdominal discomfort and vomiting after being groomed. This case is a common presentation in the emergency room. What is your interpretation?
FindingsAbdomen: The stomach is mildly distended with gas. The fundus appears to be ventrally positioned on the lateral projection with rugal folds visible. The pylorus is dorsally positioned. On the ventrodorsal projection, both the fundus and pylorus are positioned on the left side of the abdomen. The duodenum appears to cross midline and join the pylorus on the left side. The spleen is malpositioned, with the proximal extremity not visible on the v/d, and the distal extremity and body in a curved shape in the ventral abdomen on the lateral projection. The remainder of the small intestine and colon appear normal.
Thorax: The cardiovascular structures are normal in size and shape. Megaesophagus is visible on multiple images. The left 5th and 6th costochondral junctions are prominent.
- Gastric dilation and volvulus with splenic torsion
- Secondary megaesophagus
- 180 degree gastric dilation and volvulus. Derotation and gastropexy were performed.