Caring Quality Service
160 Main North Road, Papanui, Christchurch
Northlands Animal Hospital
Science DietNorthlands Animal Care Hospital
Braveheart Award Braveheart of the Month - Jazz

Figure 1

History

Jazz presented to us for a history of inappetance, drinking more water and very quiet which was not like Jazz at all.  Jazz and her sister loved to go swimming at the river and would often carry stones in her mouth.  There was no history of vomiting or exposure to chemicals of toxins.

Physical Examination

On initial presentation Jazz was depressed in herself, she had a tachycardia (fast heart rate) and tense on palpation of her abdomen.  She wasn’t dehydrated and her faeces were normal.

Blood tests were run to check her white blood cell count (WBCC) and her red blood cell count (RBCC) which showed both her WBCC and RBCC were elevated.

Tests were run to check her liver, kidney, and glucose levels.

Figure 2

Radiographs of her chest were considered normal

Radiographs of her abdomen showed FOUR white round foreign objects in her intestines!!! (figure 1)

Jazz was prepared for surgery where an Exploratory laparotomy was preformed to find and remove the foreign objects (figure 2)

One stone was lodged in her small intestine. This stone was very large and had cut off all the blood supply to the intestine so an anastomosis was performed.  This is where the dead bit of intestine is removed and 2 new healthy ends of tissue are sutured back to together to form a new section of intestine (figure 3)

The 3 other stones were removed by a simple enterotomy (this is where one longitudinal cut is made in the top piece of the intestine and the foreign bodies are milked out through the whole)

Intestinal Resection

Figure 3

Without opening Jazz up and removing the stuck stone, the intestine would have most likely died and the contents of the intestine would have spilled out and caused a peritonitis (infection in the abdomen surrounding the organs) and most likely, sub sequential death.  This is a major type of surgery where after care is very important as there is still a chance the new ends of the intestine may leak or break down.

Outcome

Jazz is now fully recovered and enjoying her normal life.  She had a wee reaction to the suture material which complicated matters but with great care from her parents she recovered 100%

Good on you Jazz, just no more eating stones!!!