Surgical treatment of large intestinal intussusception in a Rottweiler puppy

Abstract

A 3-month Rottweiler female dog approximately weighing 5 kg was referred to veterinary clinic with history of defecation ceasing symptoms for about 48 h. In the clinical examinations, anorexia, lethargy, and frequent vomiting were observed. The blood work showed an increase in neutrophils. The mucosa was dark color and the animal CRT was increased. According to the clinical symptoms and blood work findings, a simple radiograph was considered to be taken from the abdominal cavity and the layering of gas-filled intestine was seen, which decided to take the radiograph with the contrast media. In the radiologic examination, intussusception was diagnosed and immediately decided to do exploratory laparotomy. Anesthesia was induced in animal with ketamine (30 mg/kg) and midazolam (0.2 mg/kg) and maintained by isoflurane gas (2% in 98% oxygen). All viscera were exposed to surgeon and hyperemic, distended intestine with obvious intussusception was diagnosed in ileocolic region with the length of 8 cm. With distance of 5 cm from each side of affected area was chosen, enterectomy and anastomosis were performed. After the leak test and the absence of leakage of the contents, on the intestine suture lining, greater omentum was patched and fixed with a few stitches to enhancing the healing in the suture line. Postoperatively, the animal received systemic antibiotics (Ceftriaxone 20 mg/kg) for 7 days and fed by soft commercial food like fish or chicken soup. The case treated successfully after 10 days and discharged without any complication.