6 Year-old, Female, Intact, Feline, Domestic Shorthair

History: Vomited several times yesterday; lethargic.

Findings:

A round mineral opaque structure within the ventral aspect of the right caudal/middle abdomen with evidence of fetal bones and a fetal skull associated with this structure. 

The stomach is moderately gas and fluid distended and small intestinal segments contain fluid/gas and are intermittently enlarged with variable serosal undulation concerning for plication. 

Radiographic Diagnosis:

The mineral opaque structure within the ventral aspect of the right caudal/middle abdomen is consistent with a fetal mummy.  A retained dead fetus within the abdomen related to prior pregnancy is responsible for this appearance. 

The appearance of the stomach and small intestine is concerning for a linear gastrointestinal foreign body and is thought to be the primary cause of the patient’s clinical signs.

One comment

  1. Findings:
    There is a right laterolateral and ventrodorsal projection of the abdominal cavity of a cat.
    The stomach is mildly distended with a gas opacity. There is a mildly dilated small intestine in mesogastrium containing a mixture of soft-tissue and gas opacities. Other small intestinal loops are mostly of fluid opacity. The large intestine is normal. A big mass of mineral and fat opacity in ventral mesogastrium. The remainder of the abdominal cavity and the surroundings are unremarkable.
    Conclusion:
    There is suspicion of mechanical obstruction of the small intestine. Very likely is a linear foreign body.
    The mass in ventral mesogastrium is composed of mineral and fat opacities and it could represent a fat necrosis/mineralization. It is an accidental finding.
    Recommendation:
    Laparotomy with enterotomy (foreign body).

Leave a Reply