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Gastric foreign body?

Hi! everyone

 

Pong-pong is a 4 year-old Pomeranian with marked abdominal cramp.

Chief Complain: 

  • Sudden vomiting and large bowel diarrhea (mild hematochezia).

History:

  • Vaccinated.
  • Live indoor only.
  • Negative for Parvo and Corona from previous hospital.
  • No food intake in the past 24 hours.

I found this echogenic object with acoustic shadow below within stomach, could this be foreign body?

Hi! everyone

 

Pong-pong is a 4 year-old Pomeranian with marked abdominal cramp.

Chief Complain: 

  • Sudden vomiting and large bowel diarrhea (mild hematochezia).

History:

  • Vaccinated.
  • Live indoor only.
  • Negative for Parvo and Corona from previous hospital.
  • No food intake in the past 24 hours.

I found this echogenic object with acoustic shadow below within stomach, could this be foreign body?

 

Thanks,

Poondej.

admin

6 responses to “Gastric foreign body?”

  1. Hi Poonjeh, there is a
    Hi Poonjeh, there is a shadowing Fb but its < 1/2 cm so not likely the issue and could be a part of a sucralfate or other medication for example that has not dissolved. There is some mucosal prominence and remodeling so likely an acute on chronic issue. i would tx gastritis for 36 hours and if not handling a food trial then scope. Cover for helicobacter and canned slurry tid feedings for a week. try hypoallergenic diet and see what resolves. Then rescan in 48 hours to see if that structure is still there. Nice pyloric shots:)

  2. Hi Poonjeh, there is a
    Hi Poonjeh, there is a shadowing Fb but its < 1/2 cm so not likely the issue and could be a part of a sucralfate or other medication for example that has not dissolved. There is some mucosal prominence and remodeling so likely an acute on chronic issue. i would tx gastritis for 36 hours and if not handling a food trial then scope. Cover for helicobacter and canned slurry tid feedings for a week. try hypoallergenic diet and see what resolves. Then rescan in 48 hours to see if that structure is still there. Nice pyloric shots:)

  3. Thanks Eric.
    The dog stop

    Thanks Eric.

    The dog stop vomiting  after NPO and ABO injection and I fed him Hill’s /D, no further vomitng so far. I rescan today and can’t see the foreign body anymore. Instead, I found left nephroliths, right ureteral calculi and UB calculi!! OMG!

     

    Poondej

  4. Thanks Eric.
    The dog stop

    Thanks Eric.

    The dog stop vomiting  after NPO and ABO injection and I fed him Hill’s /D, no further vomitng so far. I rescan today and can’t see the foreign body anymore. Instead, I found left nephroliths, right ureteral calculi and UB calculi!! OMG!

     

    Poondej

  5. Maybe it was a pill??
    Maybe it was a pill?? Sucralfate given the history??? Pills are often slow to dissolve when the stomach is empty and the GI is not functioning.

  6. Maybe it was a pill??
    Maybe it was a pill?? Sucralfate given the history??? Pills are often slow to dissolve when the stomach is empty and the GI is not functioning.

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