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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

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3 month old Maltese puppy

February 6, 2020 By Allison Zwingenberger

This week’s case is a 3-month-old Maltese puppy with difficulty defecating. Post your interpretations in the comments section!

R LAT Abdomen
VD Abdomen
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Findings

Orthogonal projections of the abdomen are available for review. There is a large amount of formed fecal material within the descending and transverse colon. There is abnormal pocketing of fecal material present caudal to the pelvic inlet in the region of the rectum. The rectum protrudes caudal to the pelvis, but there is no apparent wall thickening or abnormal deviation. The remainder of the abdomen appears within normal limits for the age of the patient.
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Differential Diagnosis

Obstipation – congenital anatomic abnormalities, neuromuscular causes
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Diagnosis

Bilateral congenital perineal hernias.
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Discussion

Surgical findings:
A straightforward perineal hernia was observed on the left side, and was repaired routinely. On the right side, there was no obvious hernia, but there was evidence of abnormal musculoskeletal development (only a small remnant of the coccygeal muscle was identified, and there was no sacrotuberous ligament present). This necessitated reflection of the right superficial gluteal muscle into the right perineal area for reconstruction of the perineal musculature.

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

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