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CASE
FILE 1 |
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“Teprac”
the German Sheperd Dog |
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It is our
pleasure to introduce “Teprac” the German Sheperd
Dog. Although “Teprac” is not his actual name
it is a very fitting name for this curious dog.
He is a beautiful male 3 year-old darkly colored
GSD. Even though he is somewhat intimidating
on first impression “Teprac” is the friendliest
animal you could meet.
“Teprac” presented to us for symptoms of vomiting
and diarrhea that started a couple days after
the Thanksgiving Holiday. Although he appeared
bright and alert on presentation he shortly
vomited greenish-yellow fluid on the exam room
floor. His owner also complained that even though
a stranger might not notice “Teprac” was very
lethargic and just not his usual playful self.
It was very clear to us that “Teprac” wasn’t
feeling well and needed help.
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| Of course, everyone’s
initial thoughts were that he probably over-ate
during the Thanksgiving feast (as we all do),
and even though he most certainly did over-eat
it wasn’t turkey that “Teprac” had a taste for
consuming.
“Teprac’s” vital signs were normal and other
than vomiting no significant abnormalities could
be detected on physical exam. We then performed
venipuncture and obtained a blood sample for
laboratory testing. Again, the only abnormality
on the complete blood analysis was mild dehydration.
X-ray was the next logical diagnostic step.
Abdominal radiographs revealed a quite different
picture. |
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| The actual
x-rays are displayed. The x-ray photo to the
right is of a normal dog’s abdomen. Note the
normal gas shadow produced by the stomach. The
normal empty stomach is elongated with a somewhat
round and dark gas pattern in the center.
The photo below is an x-ray of “Teprac’s” abdomen.
(The head of the animal is to the viewer’s left
and rear to the right.) If you look closely
at “Teprac’s” stomach you can see that the normal
gas shadow of the stomach is not present. Instead
the stomach is filled with some sort of debris.
Although, on x-ray examination we could not
definitively say what was in the stomach we
knew it wasn’t good and it certainly wasn’t
turkey bones.
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At this point
our treatment options were dwindling. Antibiotics
and pain relievers alone were most likely not
going to cure the problem. A possible abdominal
exploratory surgery was looming in “Teprac’s”
future.
The findings were discussed with his owners –
who were now getting very anxious. It was decided
to hospitalize “Teprac”, place an intravenous
catheter, and start fluid therapy. At this point
it had been several days since “Teprac” had been
able to keep anything down and fluids would help
re-hydrate him while we formulated our next step.
Only an hour or two after starting the fluids
“Teprac” had another episode of vomiting. |
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| It was clear then that
an abdominal exploration was indicated to determine
the content of the stomach. Wanting to do the
best thing for “Teprac” his owner immediately
opted for surgery and knew this was the best
thing for his loyal companion. |
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| “Teprac” was prepped for
surgery and taken in to the operating room.
Once the initial abdominal incision had been
made and the abdominal cavity had been entered
the stomach was palpated to determine if there
was in fact something lodged within. A small
mass could be felt inside the stomach but we
still were not 100% sure if this was in fact
the source of the problem. A small incision
into the stomach was made and immediately the
problem was visible. It appeared at first to
be some sort of rope or large twine, but then
several small flat pieces of rubber began to
follow attached to the mass of fabric. The mass
was so large that the gastric incision had to
be widened in order to remove it all in one
piece. The photos below were taken during surgery
and show what was found within this poor dog’s
stomach. |
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| Once the green blob of
something other than turkey finally stopped
coming out of the stomach we inspected the interior
of the stomach to make sure it was completely
empty. We then examined the remainder of the
gastrointestinal tract to determine if more
of this debris remained at another distant location.
No more could be identified so at this point
the abdominal cavity was lavaged/flushed with
sterile solution to make sure no contamination
was left behind and “Teprac” was closed up and
placed in a warm bed to recover.
“Teprac” recovered from the surgery wonderfully!
The day following surgery he still wasn’t interested
food (understandably) but he did have a powerful
thirst and was offered small amounts of water.
His owner dropped by to visit and take him on
a short morning walk – during which time “Teprac”
passed the final 6 inches of rope the way nature
intended.
So – what was the amorphous glob of cloth (that
weighed 4 ounces and measured 8 inches in diameter)
that “Teprac” had consumed? It turns out that
about 10 days prior to the onset of vomiting
“Teprac’s” grandmother had thrown out a green
carpeted door mat that had been torn up by one
of their dogs. This mat was identical to the
material removed from “Teprac’s” stomach including
the rubber backing. By the way “Teprac” is carpet
spelled backward in case you didn’t realize
that already. “Teprac” is home now and making
a full recovery. However, his home is now completely
hardwood flooring without an array of designer
throw rugs.
We thank him for allowing us to display his
case and we wish him a long life without Thanksgiving
rugs! |
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| Gastrointestinal foreign
bodies can affect both cats and dogs. The most
typical symptoms include vomiting, diarrhea,
not eating/drinking, painful abdomen, and lethargy.
Occasionally an owner will actually see the
event occur, but usually vomiting is the first
symptom. Although, the case presented above
had a very happy ending this is not always the
case. If the problem is not treated in a timely
manner the intestines can become diseased beyond
repair.
If the ingested object is of sufficient size
or oriented in a way that occludes the blood
flow to that area of the intestinal tract that
portion of bowel can die. These compromised
sections of intestine need to be surgically
removed. Also, sharp objects can penetrate the
wall of the intestines and may lead to serious
infections within the abdominal cavity. It is
also true that many smaller items may pass normally
with time.
If you see your pet swallow an object or suspect
that a foreign body has been ingested call your
veterinarian. Even if you think the object is
small enough to pass naturally fluids and pain
medications may be necessary to aid the transit
through the GI tract. Furthermore, not all objects
can be seen on x-rays and further diagnostics
or treatment may be necessary to determine if
surgical intervention is warranted. |
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