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Veterinary Radiology

Teaching and learning about veterinary diagnostic imaging.

  • Modality
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3 year old Labrador Retriever mix

January 16, 2020 By Allison Zwingenberger

This is an unusual case of a dog with a 1-week history of vomiting. What are your differentials?

R LAT Abdomen
R LAT Abdomen
VD Abdomen
VD Abdomen
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Findings

Radiographs of the abdomen are available for review. There are metallic staples in the abdominal wall, and small regions of intra-abdominal free gas secondary to recent surgery. The stomach and small intestines are diffusely dilated, and contain various amounts of liquid and solidifying barium. The stomach is free of barium, and the colon contains a small amount with particles outlining the folds of the terminal rectum. The remainder of the abdominal organs appear normal.
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Differential Diagnosis

Diffuse ileus with markedly delayed intestinal transit time. Differential diagnoses include infectious or noninfectious inflammatory disease, metabolic disease, ischemia, or neuropathy.
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Diagnosis

Endoscopy and surgical biopsy both revealed evidence of severe immune mediated myositis of the gastrointestinal tract. The prognosis was poor due to severe loss of enteral musculature, and euthanasia was performed. No other sites of muscular inflammation were detected in the remainder of the body tissues.

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

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