Mobile Ultrasound & Teleradiology Solutions by SVS Imaging

Going on an Ultrasound Foreign Body Hunt

Written by Fred Gromalak, DVM | Jan 8, 2025 9:13:21 PM
The Emergency Foreign Body Hunt 

As veterinarians, one of the most critical aspects of diagnosing abdominal issues is the ability to effectively interpret ultrasound images. Whether it’s dealing with gastrointestinal blockages or detecting hidden foreign bodies, ultrasound can offer invaluable insights into a pet’s condition.

In the video below, Dr. Fred Gromalak, DVM is going to through an emergency “foreign body hunt” using ultrasound images obtained by SVS Imaging Mobile Sonographer Kim Liedberg. This live demonstration shows how we identify and assess possible obstructions.

 
Step-By-Step Foreign Body Hunt 

Now, let’s walk through the key steps to investigate a suspected foreign body in the gastrointestinal tract.

 
1. Starting with the Basics: Bladder, Small Intestine, and Colon
2. Examining the Stomach and Pylorous


 3. Investigating the Duodenum and Pancreas
4. Identify Suspicious Findings: Gas, Fluid, and Inflammation in the small intestine
 
5. The Final Clue: Dilation and Suspected Foreign Body

After reviewing all the structures and imaging, we notice a segment of the small intestine that stands out due to its dilation and suspicious appearance. While we don’t see clear evidence of a foreign body in this segment, the combination of luminal dilation, regional inflammation, and wall thickening raises strong suspicion for a foreign object blocking the intestine.



  • This area of concern, coupled with the distended duodenum and sluggish intestinal movement, strongly suggests that we may be dealing with a foreign body in the small intestine—potentially lodged in the jejunum or duodenum.

 

6. Conclusion: Taking Action

At this point in the exam, we’ve gathered enough evidence to recommend further exploration. While ultrasound can provide valuable clues, it’s essential to take a closer look and confirm the presence of a foreign body through more invasive procedures, such as surgery or endoscopy, if necessary.

Foreign bodies are a common issue in veterinary medicine, and detecting them early is key to preventing complications. By using ultrasound to closely examine the abdomen, we can pinpoint areas of concern and take action quickly, ensuring the best outcome for our patients. By following the steps outlined in this blog post, you can see how we systematically assess the abdominal organs and use ultrasound to detect abnormalities that might otherwise go unnoticed.

The “foreign body hunt” isn’t always straightforward, but with a careful and thorough approach, we can find and address issues early on, helping our patients feel better faster.

Stay tuned for more insights on veterinary diagnostics, and remember: when it comes to foreign bodies, always trust your instincts and keep hunting for the clues that will lead you to the right diagnosis!

 
 
Want to learn more?
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