Today’s case is a 10 year old female neutered Rottweiler with a 2 day history of vomiting after every meal. Ripped a quilt apart recently. What are your differential diagnoses?
10 year old Rottweiler
Teaching and learning about veterinary diagnostic imaging.
I was wondering about the antrum pylori and two empty intestinal loops caudal to the last right rib on the VD view-( if SI then it is 2x the diameter of the other SI loops, or ascending Colon ?, caecum very unlikely) could these be signs of a high mechanical ileus at the level of pylorus /prox. duodenum. An empty proximal duodenum might be associated with outflow obstruction or vomiting?
In the right lateral view : the gas distribution in the SI loops ventral at the level of the L4 is odd almost cap-like.
In my opinion the SI appears not completely normal and I would have done an ultrasound examination before surgery to exclude a high mechanical ileus or a possible not completely obstructive foreign body in the caudal SI loops.
Hi Flora,
The larger loops on the v/d projection are the cecum, and are normally somewhat larger in size than the small intestine. On the right lateral projection, I think you are looking at two end-on bowel loops which are circular in shape. This is just a result of the angle of the x-ray beam. Ultrasound is always an option to increase your confidence in the findings if you have it available.