Intramural Abscess In A 3-Year-Old MN Canine Mixed Breed: Our Case of The Month September 2017
Being a young, very sweet and rambunctious dog with acute abdominal pain doesn't always add up to a foreign body. Sometimes it can be a sign of something more ominous and sometimes it's not what you thought at all. A positive Murphy sign during ultrasound with suspicion of possible foreign body vs. mass vs. other were the clinical differentials for this Case Of the Month. Many thanks to Dr. Edie Demaria of Pets Aloud Veterinary Services and her wonderful team in managing this case. SonoPath Mobile's Kelly Vazquez, C.V.T., SDEP Certified Clinical Sonographer provided the diagnostic images for this case study.
A 3-year-old, 60 lb, MN, Labrador Retriever mixed breed canine was presented with a history of possible dietary indiscretion while on a hike with his owner 48 hrs prior. The patient was ADR and had been intermittently vomiting for 24 hrs. Upon physical examination the patient exhibited pain in the caudal abdomen and an abnormal structure could be felt on palpation. Radiographs showed an irregular, semi-circular area in the caudal abdomen. The patient was hospitalized on I.V. fluids and supportive care pending ultrasound.
A portion of bowel in this patient appeared to be thickened and possibly intussuscepted measuring 4.0 cm with variable mural thickening that measured approximately 1.0 cm. The entire structure measured approximately 4-5 cm with shadowing material. The structure is likely fluid absorbing or passage of fluid is occurring as there is not a large, obstructive fluid pattern prior to the pathology. Intestinal mass or intussusception is suspected with embedded luminal material.