Mural Intestinal Abscess In A 2-Year-Old MN Doberman Pinscher: Our Case Of the Month June 2022
Doberman Pinscher + 1 sock = FB + exploratory x 1 month = same Doberman + yet another sock = 2nd FB + exploratory x adhesions = intestinal abscess. Dr. Donna Markland, owner of Island Mobile Paws Veterinary Services (serving the Cowichan Valley and Saltspring Island areas) provided the diagnostic imaging and work up for this mischievous Doberman with a taste for socks. Detailed interpreation by Eric Lindquist, DMV, DABVP, Cert. IVUSS owner of SonoPath.com.
A 2-year-old MN Doberman Pinscher presented on April 4th due to a sock foreign body. He underwent exploratory surgery with a resection and anastamosis. This was the second resection and anastomosis surgery for this patient since February. After the first surgery, the patient had a septic abdomen. After that surgery, he was managed with a drain in an emergency hospital for several days. He had initial hepatic enzyme elevations which resolved with resolution of sepsis. At the second surgery on April 4th, adhesions were noted throughout the abdomen. There was an area of adhesions in the left inguinal area that was extremely friable. A drain was placed following this surgery as well. Intracelluar bacteria were noted in the drainage fluid. The patient was discharged from the hospital on April 8th. The following medications were sent home: Cefaseptin, 750 mg BID x 5 days Baytril, 150 mg BID x 5 days, Metronidazole, 500 mg BID x 5 days Cerenia and codeine were also dispensed. Clinically the patient is doing very well. He is eating, drinking, urinating and defecating normally. His activity level is good. Blood work from April 7th: Alb=21 (better than pre-op) ALP=241, lymphocytes=0.88, monocytes=1.57, Neutrophils=12.15, suspected bands. A follow up ultrasound 14 days post-op from the second sock foreign body surgery was performed.
The upper gastrointestinal tract was unremarkable. A 3.0 cm abscess was noted deriving from what appears to be the intestinal wall with regional peritonitis. Some adhesions were noted with deviation of the normal intestinal contour. Localized free fluid was noted. This appears to be isolated and deriving from the jejunum.