NOVEMBER 2022

Gastric and intestinal ulcers

Identification and history

  • Name: Margot
  • Report and medical history: Dog, Yorkshire Terrier, F, 1 year old.

The patient presented with vomiting and diarrhoea while on heat. Haemorrhagic  vomiting and diarrhoea persisted after sterilisation.

Diagnostics

Gastric and intestinal ulcers 1

The ultrasound image shows diffuse hyperechogenic spots in the hepatic parenchyma, indicating the presence of air.

Gastric and intestinal ulcers 2

Abdominal ultrasound of the hepatic portal vessels shows the passage of air bubbles in these vessels.

Gastric and intestinal ulcers 3

This ultrasound scan shows an intestinal ulcer on the verge of perforation.

Images were acquired with the MyLab™9VET.

Conclusions and treatment

The ultrasound scan showed the presence of gas in the hepatic area caused by multiple gastric and intestinal ulcers that allowed air to enter the portal system. Treatment consisted of the prescription of highly digestible food and gastro protectants (omeprazole and sulcrafate). 
The patient recovered over the course of one month.

Laura Martinelli, DVM, MSc
Faculty of Veterinary Medicine, University of Milan, Italy

Laura Martinelli, DVM, MSc - Faculty of Veterinary Medicine, University of Milan, Italy.

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