Michael |
History and Physical Examination:
Michael is a 1 1/2 year old male castrated German Shepherd
presented with a history of bloody diarrhea for 2 weeks. Frank blood has been noted
in the stool. On physical examination, a mid-abdominal, movable tubular mass was
palpated. Pain was elicited on palpation. Fecal examination revealed whipworms.
Imaging
Review the plain film lateral abdominal radiograph and upper gastrointestinal
barium series (Fig 1-2). (The ventro-dorsal projections were not contributory.)
Fig. 1 |
Fig. 2 |
A ventral midline exploratory laparotomy was
performed, and the ileo-ceco-colic region was exposed. (Fig. 3: Ileum to the
right, colon to the left)
Fig. 3 |
A colotomy was performed on the antimesenteric aspect of the proximal colon and a structure was extruded
from the colonic lumen. (Fig. 4)
Fig. 4 |
What abnormalities are seen on the radiographs? (Fig 1-2)
What is the structure that came out of the colon? (Fig. 4)
What is the diagnosis?
Answers coming soon!
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