Radiographic and ultrasonographic appearance of a jejunal torsion-volvulus in a dog

Vet Radiol Ultrasound. 2023 Sep;64(5):E55-E59. doi: 10.1111/vru.13266. Epub 2023 Jul 13.

Abstract

A 1.5-year-old male neutered, 5 kg, Dachshund was referred for anorexia and vomiting for several days' duration. Radiographs revealed concern for a small intestinal obstruction. Ultrasonography revealed a severely distended segment of jejunum containing echogenic fluid that abruptly narrowed, twisted, and transitioned into normal jejunum, along with the presence of a distinct "whirl sign" that resulted from the intestinal segments twisting around themselves. This, in addition to the absence of flow on power Doppler interrogation, was compatible with a focal jejunal torsion-volvulus. The torsion-volvulus was surgically confirmed, a resection and anastomosis was performed, and the dog recovered uneventfully.

Keywords: canine; mechanical obstruction; small intestine; ultrasound; whirl sign.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Dog Diseases* / diagnostic imaging
  • Dog Diseases* / surgery
  • Dogs
  • Intestinal Obstruction* / diagnostic imaging
  • Intestinal Obstruction* / etiology
  • Intestinal Obstruction* / surgery
  • Intestinal Obstruction* / veterinary
  • Intestinal Volvulus* / diagnostic imaging
  • Intestinal Volvulus* / veterinary
  • Intestine, Small
  • Jejunum / diagnostic imaging
  • Jejunum / surgery
  • Male
  • Radiography