Jejunal linear foreign body obstruction in a three year old female Boerboel

Abstract

A three year old Boerboel bitch was presented to the Veterinary Teaching Hospital, FUNAAB with complaint of lethargy and inappetence. Clinical signs observed included abdominal tenderness, watery bloody stool and palpable intestinal mass. Blood sample was obtained for complete blood counts, while transcutaneous abdominal ultrasound and lateral abdominal radiograph were also performed. Result of complete blood count showed severe neutrophilic leukocytosis. Transcutaneous abdominal ultrasound revealed dilated bowel loop containing a hyperechoic structure in the lumen, while radiographic contrast examination of the intestine revealed distended bowel loop and a radiopaque foreign body in the jejunum. Based on the findings, a tentative diagnosis of intestinal obstruction was made and an exploratory laparotomy was scheduled. After pre-anaesthetic medications with 3mg/kg intramuscular injection of 5% tramadol, 0.04mg/kg intramuscular injection of 0.1% atropine and 0.5mg/kg intramuscular injection of 2% Xylazine, anaesthesia was induced with a loading dose of 4mg/kg intravenous injection of 1% propofol and maintained with constant infusion of propofol at the rate of 0.12mg/kg/min. During laparotomy, the obstructed region was identified and enterotomy revealed the foreign body to be an ingested plastic bottle cap. Following removal of the foreign body, moderate inflammation of the segment of the intestine around the obstruction site was observed, necessitating the need for resection of the intestine to be performed and anastomosis using an end to end technique. The dog recovered without any complications after one week of postoperative antibiotic therapy and fluid administration. Prompt diagnosis of intestinal foreign body in dogs followed by appropriate selection of anaesthetic protocol and surgical technique with adequate intensive post-operative follow-up is essential for successful management.

Keywords: Dog, Foreign-body, Jejuno-ileal, Intestine, Obstruction