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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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7 year old Cocker Spaniel

November 30, 2018 By Allison Zwingenberger Leave a Comment

This week’s case is a 7-year-old male neutered Cocker Spaniel. Vomiting, lethargy, and coughing for one week. There is a subtle abnormality in this case. Can you find it?

R LAT Abdomen
L LAT Abdomen
VD Abdomen
cod181130-04
Show findings...

Findings

The abdomen is distended, and there is poor peritoneal detail. In the craniodorsal portion of the abdomen, there is gas lucency which appears to outline the liver lobes and proximal extremity of the spleen. The liver is enlarged. The urinary tract appears normal. The small intestine appears corrugated in some areas. There are several gas bubbles near the small intestinal loops that are not clearly contained within bowel.

A horizontal beam radiograph was obtained with the dog in right lateral recumbency. A small bubble of free gas is present at the highest point of the abdomen.

Show differential diagnosis…

Differential Diagnosis

Abdominal effusion and free peritoneal gas may be due to bowel rupture or penetrating wound resulting in septic peritonitis. Exploratory laparotomy or abdominal ultrasound is warranted to determine the cause.

Show diagnosis…

Diagnosis

Ruptured duodenal ulcer with septic peritonitis. The patient was also diagnosed with diabetes mellitus and a pancreatic abscess.

Filed Under: Abdomen, Canine, Case of the Day, Radiographs

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Recent Comments

  • jenvet: Thank you!
  • jenvet: is there also mild pleural effusion?
  • Allison Zwingenberger: Yes, the end result of both conditions is strangulation of the blood supply to the small...
  • jenvet: My first thought was that this looked a little like a mesenteric volvulus “cinnamon bun” on the...
  • galopdeglace: Hey, I don’t understand why a significant increase in fat opacity within the cranioventral thorax...

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