Small intestinal obstruction associated with extruded intraluminal polydioxanone suture following enterectomy closure in a dog

Abstract

AbstractA 2‐year‐old, neutered, female Yorkshire Terrier was presented for investigation of chronic vomiting and inappetence. A hand‐sewn end‐to‐end anastomosis using polydioxanone in a modified simple continuous pattern had been performed 8 weeks earlier for management of intestinal foreign body obstruction. Abdominal ultrasound showed an intestinal linear foreign body, and exploratory coeliotomy revealed focal jejunal plication aborad to the previous enterectomy site. An enterotomy revealed plant foreign material anchored to a strand of persistent polydioxanone suture material extruding into the jejunal lumen, and both were removed. The enterotomy was apposed with poliglecaprone 25 sutures in a simple continuous pattern. However, septic peritonitis developed 72 hours postoperatively. Slowly absorbable suture material can be associated with intestinal foreign body entrapment following intestinal anastomosis apposed with a simple continuous pattern. A shorter duration absorbable material or simple interrupted pattern may be considered for apposition of intestinal wound anastomosis to avoid this complication.