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CASE REPORT article

Front. Vet. Sci.
Sec. Veterinary Surgery
Volume 11 - 2024 | doi: 10.3389/fvets.2024.1427218

Case report: Surgical treatment of pyloric obstruction with intramural gastric abscess induced by fragmented crystalline foreign materials in a dog

Provisionally accepted
Sungin Lee Sungin Lee 1*Jihun Kim Jihun Kim 1Hyunglak Son Hyunglak Son 1,2
  • 1 College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea
  • 2 Heamaru Referral Hospital, Seongnam, Republic of Korea

The final, formatted version of the article will be published soon.

    An 11-year-old neutered male Maltese presented with a 2-day history of persistent vomiting and lethargy. Abdominal ultrasonography revealed a hypoechoic marginal mass with gastric wall thickening in the pyloric region of the stomach. Computed tomography revealed a non-contrastenhanced mass in the pyloric antrum causing pyloric outflow obstruction. Imaging studies suggested a tumor and surgical treatment was performed due to the deterioration of the patient's condition. The pyloric mass was excised, and the stomach and duodenum were anastomosed via pylorectomy and gastroduodenostomy (Billroth I procedure). Postoperatively, the pyloric outflow obstruction resolved, clinical symptoms improved, and no significant complications were observed. Histopathological examination revealed a gastric abscess characterized by a mass-like area with abundant necrosis. Angular fragmented crystalline foreign materials were observed within the lesion. To our knowledge, this is the first reported case of an intramural gastric abscess caused by fragmented crystalline foreign materials in a dog. Although rare, this case highlights the importance of considering gastric abscesses in the differential diagnoses of gastric masses. If the cause of the gastric abscess is an invisible foreign material, postoperative follow-up should be considered to monitor for potential recurrence.

    Keywords: Dogs, billroth I procedure, Foreign material, Gastric abscess, pyloric outflow obstruction

    Received: 30 May 2024; Accepted: 29 Jul 2024.

    Copyright: © 2024 Lee, Kim and Son. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Sungin Lee, College of Veterinary Medicine, Chungbuk National University, Cheongju, Republic of Korea

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