Intestinal rupture due to a non-perforating foreign body

Background: Intestinal obstruction by a foreign body is a common occurrence in domestic animals, needing the attention of veterinarians and owners, given that a serious complication of this condition is intestinal rupture, with consequentperitonitis. Perforating objects are the ones most often associated with rupture, but any object that obstructs the intestinaltract, if not removed properly, can lead to intestinal rupture, generating a poor prognosis. This article reports a case ofintestinal rupture caused by a non-perforating foreign body in a dog.Case: A 1-year-old Chow-Chow dog was taken by its owner to the Portal Pet private clinic, with a history of foreignbody ingestion and emesis. The owner reported that he took the animal to veterinary care in another establishment on theday he noticed vomiting, with no other abnormality being detected. An injectable medication was administered, but theowner did not know what it was, and the dog was discharged. After 15 days, the owner sought care at the clinic initiallymentioned, due to the persistence of emesis, in addition to the onset of diarrhea and apparent apathy. On physical examination, the dog was apathetic, with pale mucosa and pain on abdominal palpation. A firm structure was felt, located in theepigastric region, compatible with a foreign body. The dog was referred for hospitalization and an abdominal ultrasoundwas requested, in addition to blood samples for hematological and serum biochemical tests (urea, creatinine, alanineaminotransferase, and alkaline phosphatase). Serology for parvovirus was also performed. The blood count revealedleukopenia (4,800 thousand/mm3) and biochemical analysis showed an increase in alkaline phosphatase (895.5 U/l). Theresults for parvovirus were negative. Ultrasonography confirmed the presence of a foreign body. The animal was referred...

Intestinal rupture due to a non-perforating foreign body

Background: Intestinal obstruction by a foreign body is a common occurrence in domestic animals, needing the attention of veterinarians and owners, given that a serious complication of this condition is intestinal rupture, with consequentperitonitis. Perforating objects are the ones most often associated with rupture, but any object that obstructs the intestinaltract, if not removed properly, can lead to intestinal rupture, generating a poor prognosis. This article reports a case ofintestinal rupture caused by a non-perforating foreign body in a dog.Case: A 1-year-old Chow-Chow dog was taken by its owner to the Portal Pet private clinic, with a history of foreignbody ingestion and emesis. The owner reported that he took the animal to veterinary care in another establishment on theday he noticed vomiting, with no other abnormality being detected. An injectable medication was administered, but theowner did not know what it was, and the dog was discharged. After 15 days, the owner sought care at the clinic initiallymentioned, due to the persistence of emesis, in addition to the onset of diarrhea and apparent apathy. On physical examination, the dog was apathetic, with pale mucosa and pain on abdominal palpation. A firm structure was felt, located in theepigastric region, compatible with a foreign body. The dog was referred for hospitalization and an abdominal ultrasoundwas requested, in addition to blood samples for hematological and serum biochemical tests (urea, creatinine, alanineaminotransferase, and alkaline phosphatase). Serology for parvovirus was also performed. The blood count revealedleukopenia (4,800 thousand/mm3) and biochemical analysis showed an increase in alkaline phosphatase (895.5 U/l). Theresults for parvovirus were negative. Ultrasonography confirmed the presence of a foreign body. The animal was referred...(AU)

Perfuração intestinal como complicação de ovariosalpingohisterectomiavia NOTES transluminal pura em cadela relato de caso / Intestinal perforation as a complication of ovariosalpingohysterectomy via NOTES pure translumenalin bitches - case report

Descreve-se um caso de perfuração de reto como complicação de ovariosalpingohisterectomia (OSH)via cirurgia endoscópica transluminal por orifícios naturais (NOTES) total transvaginal em cadela. Paraa ovariosalpingohisterectomia, realizou-se incisão da mucosa vaginal onde alocou-se uma cânula de11mm, através da qual foi introduzido um endoscópio rígido com canal de trabalho. Devido a repleçãodo intestino grosso, a extremidade do endoscópio ocasionou a perfuração da porção final do reto. Semremover o endoscópio, converteu-se o procedimento para celiotomia mediana associada à osteotomiapúbica para exposição do sítio de perfuração e síntese intestinal. Conclui-se que a perfuração intestinal éuma complicação passível de ocorrer durante a cirurgia de NOTES total, sendo a conduta cirúrgica adotadasatisfatória no controle da infecção abdominal e no manejo dessa complicação.AU

Describes a case of rectal perforation as a complication of ovariosalpingohisterectomy (OSH) via transluminalendoscopic surgery by natural orifices (NOTES) total transvaginal on bitches. For the OSH, theyperformed an incision of the vaginal mucosa which was allocated through a 11mm cannula, throughwhich a rigid endoscope was introduced as the working channel. Due to the repletion of the large intestine,the endoscope extremity resulted in the perforation of the final portion of the rectum. Without removingthe endoscope, the procedure was converted to median celiotomy associated with pubic osteotomyfor the exposure of the perforation site and intestinal synthesis. The authors conclude that intestinal perforationis a complication liable to occur during the total NOTES surgery, whereas the adopted surgicalprocedure was satisfactory in the control and management of this complication.AU

Perfuração intestinal como complicação de ovariosalpingohisterectomiavia NOTES transluminal pura em cadela – relato de caso / Intestinal perforation as a complication of ovariosalpingohysterectomy via NOTES pure translumenalin bitches - case report

Descreve-se um caso de perfuração de reto como complicação de ovariosalpingohisterectomia (OSH)via cirurgia endoscópica transluminal por orifícios naturais (NOTES) total transvaginal em cadela. Paraa ovariosalpingohisterectomia, realizou-se incisão da mucosa vaginal onde alocou-se uma cânula de11mm, através da qual foi introduzido um endoscópio rígido com canal de trabalho. Devido a repleçãodo intestino grosso, a extremidade do endoscópio ocasionou a perfuração da porção final do reto. Semremover o endoscópio, converteu-se o procedimento para celiotomia mediana associada à osteotomiapúbica para exposição do sítio de perfuração e síntese intestinal. Conclui-se que a perfuração intestinal éuma complicação passível de ocorrer durante a cirurgia de NOTES total, sendo a conduta cirúrgica adotadasatisfatória no controle da infecção abdominal e no manejo dessa complicação.

Describes a case of rectal perforation as a complication of ovariosalpingohisterectomy (OSH) via transluminalendoscopic surgery by natural orifices (NOTES) total transvaginal on bitches. For the OSH, theyperformed an incision of the vaginal mucosa which was allocated through a 11mm cannula, throughwhich a rigid endoscope was introduced as the working channel. Due to the repletion of the large intestine,the endoscope extremity resulted in the perforation of the final portion of the rectum. Without removingthe endoscope, the procedure was converted to median celiotomy associated with pubic osteotomyfor the exposure of the perforation site and intestinal synthesis. The authors conclude that intestinal perforationis a complication liable to occur during the total NOTES surgery, whereas the adopted surgicalprocedure was satisfactory in the control and management of this complication.