| Oscar presented
to us for persistent vomiting. He was bright, playful and
running around like a lunatic, but every few hours he would
stop and vomit.
When he was presented initially he was treated for gastroenteritis
and sent home.
Unfortunately Oscar continued to vomit despite the medication
he had received.
Oscar was a known scavenger - his way of exploring the world
was through his mouth. A stomach or intestinal obstruction
was suspected, so a survey x-ray of his abdomen was taken.
(See first x-ray) This revealed no obvious changes.
He was then fed a meal of barium (x-ray contrast agent)
and the plan was to take a repeat x-ray of his abdomen after
several hours and again the next day to see whether the
barium was moving through the gastrointestinal system in
a normal way or not.
The next morning the repeat x-ray was taken to check on
the passage of the barium – most had moved into the
lower bowel, however there was a suspicious ring of barium
that had not exited the stomach! (See second x-ray)
An exploratory abdominal surgery was performed. (See picture)
This revealed a foreign body in the stomach. It was a hair
band that involved a 30cm long piece of elastic! This was
causing an intestinal “linear foreign body”
obstruction – one part of the foreign body gets anchored
somewhere in the gastrointestinal system and the rest of
the length of the foreign body passes along the intestinal
tract. This can cause severe damage to the intestinal lining
and eventually cause the intestines to “scrunch”
up and stop working properly. If left untreated, this condition
can lead to intestinal rupture.
During a lengthy surgery, the linear foreign body was carefully
removed from Oscar’s gastrointestinal system. (See
picture)
Oscar recovered without complication. He is now back to
normal, bouncing around and leaping off the walls. The only
reminders of the incident being an unusable, slightly digested
hairband and a big scar on Oscar’s tummy!
Then again… chicks dig scars.... don’t they
Oscar!
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