Migration of a retained surgical swab into the jejunum in a dog

Authors

  • J. L. Day,

    1. Department of Radiology, University of Melbourne Veterinary Hospital, Werribee, Australia
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  • R. D. Pechman,

    1. Department of Radiology, University of Melbourne Veterinary Hospital, Werribee, Australia
    2. Diagnostic Imaging, School of Veterinary Medicine, Louisiana State University, Baton Rouge, LA, USA
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  • R. J. Bahr

    1. Department of Radiology, University of Melbourne Veterinary Hospital, Werribee, Australia
    2. Department of Veterinary Clinical Sciences, Oklahoma State University, Stillwater, OK, USA
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ABSTRACT

A two-year-old spayed female shih-tzu was referred with a 10-month history of lethargy, chronic diarrhoea and weight loss. On presentation, a partial response to antibiotics was noted. Physical examination revealed an abdominal mass, and serum biochemistry and haematology revealed a mature neutrophilia, hypoalbuminaemia and a non-regenerative anaemia. Contrast radiography and abdominal ultrasound were suggestive of an intraluminal foreign body. Exploratory laparotomy revealed a surgical swab in the lumen of the jejunum that was associated with severe adhesions. Histopathology showed evidence of transmural migration of the swab from the peritoneal cavity to the lumen of the jejunum.

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