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

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...

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Bibliographic Details
Published in:Journal of small animal practice 2012-12, Vol.53 (12), p.705-708
Main Authors: Day, J. L., Pechman, R. D., Bahr, R. J.
Format: Article
Language:English
Subjects:
Animals
Dog Diseases - diagnosis
Dog Diseases - surgery
Dogs
Female
Foreign-Body Migration - diagnosis
Foreign-Body Migration - surgery
Foreign-Body Migration - veterinary
Jejunal Diseases - diagnosis
Jejunal Diseases - surgery
Jejunal Diseases - veterinary
Medical diagnosis
Postoperative Complications - veterinary
Surgical Sponges
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Summary: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.
ISSN:0022-4510
1748-5827
DOI:10.1111/j.1748-5827.2012.01286.x