Intramural Abscess Causing Obstruction at a Previous Jejunal Enterotomy Site in a Dog

J Am Anim Hosp Assoc. 2018 Sep/Oct;54(5):e54506. doi: 10.5326/JAAHA-MS-6653. Epub 2018 Jul 24.

Abstract

This case report documents a novel late surgical complication in a 2 yr old dog following an enterotomy to remove a jejunal foreign body. Twenty-six days following the original surgery, the dog was re-presented with signs consistent with an intestinal obstruction. A mural intestinal abscess was found as the cause of the obstruction during exploratory surgery, and the site was successfully removed with a resection and anastomosis. Histopathology showed multifocal abscessation with cyst-like structures partially lined with mucosa. The dog recovered without complication and remains healthy 4 mo later. The exact cause of the lesion is not known; however, local contamination through a focal mucosal defect or complications related to the use of barbed suture in the original enterotomy repair may have contributed.

MeSH terms

  • Abdominal Abscess / drug therapy
  • Abdominal Abscess / etiology
  • Abdominal Abscess / surgery
  • Abdominal Abscess / veterinary*
  • Anastomosis, Surgical / veterinary
  • Animals
  • Dog Diseases / etiology*
  • Dog Diseases / pathology
  • Dogs
  • Foreign Bodies / surgery
  • Intestinal Diseases / microbiology
  • Intestinal Diseases / pathology
  • Intestinal Diseases / surgery
  • Intestinal Diseases / veterinary
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / veterinary
  • Jejunum / surgery*
  • Postoperative Complications