Linear foreign body causing intestinal rupture and peritonitis in a dog: emergency surgical intervention and full recovery
DOI:
https://doi.org/10.34188/bjaerv9n3-250Palavras-chave:
multimodal analgesia, enteroanastomosis, septic peritonitis, intestinal plicationResumo
Linear foreign bodies (LFBs) in dogs are considered high-risk surgical emergencies, frequently associated with intestinal plication, perforation, and septic peritonitis, resulting in a guarded prognosis. The present report describes the successful management of a complex case of LFB complicated by intestinal rupture and diffuse peritonitis in a geriatric Dachshund female dog. An 11-year-old female dog was referred with severe lethargy, vomiting, and leukocytosis with a left shift. Abdominal ultrasonography demonstrated a gastric foreign body, duodenal/jejunal plication characteristic of LFB, and the presence of abdominal effusion consistent with diffuse peritonitis. After hemodynamic stabilization, an exploratory laparotomy was performed. Intraoperatively, a nonviable segment of the duodenum and jejunum (approximately 20 cm) was identified, with rupture and necrosis associated with the linear material, and segmental enterectomy followed by end-to-end enteroanastomosis was performed, with reinforcement by omentopexy. Postoperative management included intensive monitoring, multimodal analgesia with epidural blockade, progressive nutritional support, and broad-spectrum antibiotic therapy. Clinical evolution was favorable, with stabilization of physiological parameters and return of food intake within eight days. Subsequent hematological and ultrasonographic evaluations confirmed resolution of the inflammatory process and intestinal integrity. This case demonstrates that therapeutic success in peritonitis secondary to LFB, even in geriatric patients undergoing extensive intestinal resection, depends on the integration between early diagnosis, appropriate surgical intervention, and intensive perioperative support.
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