Small intestinal enterolith in a dog presenting for a suspected gastric foreign body

On ultrasonographic examination of the abdomen, the appearance of healthy intestine, enteritis secondary to an intestinal foreign body, and postpartum involution of the uterus may be visualized in some imaging planes as a target-like structure that is subsequently misinterpreted as intestinal intussusception. To avoid misdiagnosis, the ultrasonographer should ensure multi-plane scanning of the lesion, paying particular attention to the completeness of the lesion’s peripheral ring structure and the overall width of the concentric rings of the target-like lesion. The presence of a semilunar or G-shaped hyperechoic center and the visualization of the inner intussusceptum (extending into the intussusception lumen) can be useful ultrasonographic findings that distinguish an intussusception from other lesions or from healthy tissues. These principles are illustrated through the following case presentations.

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Push Enteroscopy Guided Removal of a Sharp Foreign Body from the Midjejunum in a Child

Journal of Digestive Endoscopy ◽

10.1055/s-0040-1713489 ◽

2020 ◽

Vol 11 (02) ◽

pp. 170-172

Author(s):

Sridhar Sundaram ◽

Suprabhat Giri ◽

Biswaranjan Patra ◽

Harish Darak ◽

Shobna Bhatia

Keyword(s):

Small Intestine ◽

Foreign Body ◽

Foreign Bodies ◽

Pediatric Population ◽

Push Enteroscopy ◽

Foreign Body Removal ◽

Case Presentation ◽

Resource Limited ◽

Small Intestinal ◽

Sharp Foreign Body

Abstract Background The majority of foreign bodies entering the small intestine are passed spontaneously. However, in case of a sharp object, its removal is an urgency due to a higher risk of intestinal perforation, and endoscopic intervention is an appropriate management strategy as surgery is associated with greater morbidity. Although enteroscopy is the standard practice for the removal of a foreign body in the small intestine, gastroduodenoscopy may be used for small intestinal foreign body removal. Case Presentation We describe here the case of a 21-month-old child in whom a 5-cm, sharp-pointed nail in the midjejunum was removed successfully by a gastroduodenoscopy. This case highlights the difficulties in the removal of a sharp foreign body in a pediatric patient and the use of push enteroscopy. Conclusion Gastroduodenoscopy can be used for the removal of a foreign body in the small intestine in pediatric population in a resource-limited setup by performing push enteroscopy.

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SMALL INTESTINAL INTRAMURAL HEMATOMA SECONDARY TO A MIGRATING WIRE FOREIGN BODY IN A DOG

Veterinary Radiology & Ultrasound ◽

10.1111/vru.12485 ◽

2017 ◽

Vol 59 (6) ◽

pp. E61-E65

Author(s):

Mukul Padalkar ◽

Mason Savage ◽

Eli B. Cohen

Keyword(s):

Foreign Body ◽

Intramural Hematoma ◽

Small Intestinal

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Management of a linear foreign body gastrointestinal obstruction in a miniature pig

Veterinary Record Case Reports ◽

10.1136/vetreccr-2018-000791 ◽

2019 ◽

Vol 7 (3) ◽

pp. e000791

Author(s):

Anna Ehrle ◽

Amy Gillespie ◽

Luis M Rubio-Martinez

Keyword(s):

Foreign Body ◽

Hospital Care ◽

Intestinal Resection ◽

Exploratory Laparotomy ◽

Uneventful Recovery ◽

Proximal Jejunum ◽

Miniature Pig ◽

Foreign Material ◽

Gastrointestinal Obstruction ◽

Small Intestinal

A four-year-old miniature pot-bellied pig was presented for treatment of suspected foreign body ingestion. Exploratory laparotomy identified a linear foreign body obstructing the pylorus, duodenum and proximal jejunum. In order to avoid small intestinal resection, combined gastrotomy and enterotomy of the proximal jejunum was performed to evacuate the foreign body. Necrotic areas at the enteromesenteric junction were oversewn. The foreign material was found to be part of a duvet the owners had provided as bedding for the pig. The pig made an uneventful recovery and was discharged from hospital care four days after surgery.

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