October 26, 2015

Gastroesophageal Intussusception in a male 7 week German Shepherd

The owners noticed that this individual puppy would vomit intermittently about 24 hours after purchasing him from a breeder. The owners brought him into the veternarian after finding a round worm in his vomit. However, the vets issued an ultrasound of the dog's abdominal region.

After X-rays and an ultrasound of the abdominal cavity, the veternarians observed that the dog's spleen was inside his distal esophagus. The veternarians were able to laparoscopically by stitching the stomach to the abdominal wall on both sides. Although cases of GEI typically have a high mortality rate, this individually puppy survived the procedures and made a full recovery. The veternarians believed that diagnosing GEI by ultrasound provides a more accurate and faster diagnosis that will reduce the mortality rate of GEI. The ultrasound provides a much more three-dimensional image in comparison to the X-Ray images which give a flat image where it is difficult to see the soft tissues.

German Shepherd males are the breed that GEI is mainly observed in. The stomach, duodenum, or spleen are the most common organs involved in Intussusception. 

Emery, L., Biller, D., Nuth, E. and Haynes, A., September 2015. Ultrasonic Diagnosis of Gastroesophageal Intussusception in a 7 Week Old German Shepherd. Israel Journal of Veterinary Medicine 70 (3): 41-46.