VCA West Los Angeles Animal Hospital, 1900 S. Sepulveda Boulevard, Los Angeles, California 90025, USA (Li, Mallard, Hyde, Zampieri, Walton); Emergency and Critical Care, Iowa State University College of Veterinary Medicine, 1809 S. Riverside Drive, Ames, Iowa 50011, USA (Walton).
Can Vet J. 2024 Oct;65(10):994-998.
A 6-month-old intact female English bulldog was presented following witnessed ingestion of a sewing needle. The dog underwent attempted endoscopic retrieval under general anesthesia. The needle foreign body was visualized but could not be removed due to orientation, and subsequent attempts at visualization were unsuccessful. Due to the unsuccessful removal, radiographs were obtained before intended surgical exploration, and no sewing needle was identified. The needle was subsequently identified in the working channel of the endoscope, and the dog recovered uneventfully. This is the first report to describe inadvertent endoscopic suctioning of a sharp, needle foreign body. Key clinical message: Endoscopy is a key tool in the management and treatment of sharp gastric foreign bodies. Complications are uncommon and typically patient-focused, including gastric perforation or irritation. However, this case report identifies an additional complication that should be considered when endoscopy is not successful.
一只 6 个月大的未绝育雌性英国斗牛犬,在目击到吞食了一根缝纫针后被带到医院。这只狗在全身麻醉下接受了内镜取针尝试。虽然可以看到异物针,但由于其位置,无法取出,随后的观察尝试也未成功。由于未能取出,在计划进行手术探查前进行了 X 光检查,未发现缝纫针。后来在胃镜的工作通道中发现了这根针,狗恢复得很顺利。这是第一篇描述意外将尖锐的针状异物经内镜抽吸的报告。关键临床信息:内镜是处理和治疗尖锐胃内异物的关键工具。并发症并不常见,通常以患者为中心,包括胃穿孔或刺激。然而,本病例报告确定了内镜治疗失败时应考虑的另一种并发症。