Injection port aids linear foreign body removal in a cat

Jejunal linear foreign body obstruction in a three year old female Boerboel

“…Intestinal foreign bodies are commonly encountered in companion animal practice and may present with a variety of clinical signs depending on the location, the degree and the duration of the obstruction resulting from them (Aronson et al, 2000;Papazoglou et al, 2003). Foreign bodies commonly reported include bones, migrating wires (Padalkar et al, 2017), sterile injection port (Allan, 2015) and female tampon (Yang et al, 2018). Intestinal obstruction may result in disturbances of fluid balance, acid-base status and serum electrolyte concentrations (Boag et al, 2005).…”

“…This may be due to induction of haemorrhagic diarrhoea as a result of bacteria localization in the obstructed end of the GIT or release of histamines by the intestinal mucosa cells (Yang et al, 2018) Intestinal foreign bodies could be linear or nonlinear. Linear foreign bodies are reported to be associated with higher mortality than non-linear foreign bodies in cats and often results in plication of the small intestine (Allan, 2015). Non-linear intestinal foreign bodies can cause partial or complete obstruction leading to compromise of blood supply to the intestinal segment by luminal distention leading to intestinal wall oedema and progressive necrosis (Hayes, 2009).…”

“…Common anchorage point for linear foreign bodies in dogs is the pylorus, distal duodenum and the proximal jejunum (Hayes, 2009). Other sites are mid-jejunum and jejuno-ileum (Allan, 2015) Reported linear foreign bodies in dogs include fabrics, plastic, thread, sewing needles, wires and textile materials (Hayes, 2009;Pratt et al, 2014;Allan, 2015;Padalkar et al, 2017) The major challenges with the management of intestinal foreign bodies are early diagnosis of the condition, risk associated with anaesthesia of patient with compromised electrolyte and acid base status. Surgical management and wound healing are compromised by intestinal wall viability, intraluminal bacterial overgrowth, ileus and hypoproteinaemia (Ralphs et al, 2003).…”