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Foreign Body

A 2-year-old MN Doberman Pinscher presented on April 4th due to a sock foreign body. He underwent exploratory surgery with a resection and anastamosis. This was the second resection and anastomosis surgery for this patient since February. After the first surgery, the patient had a septic abdomen. After that surgery, he was managed with a drain in an emergency hospital for several days. He had initial hepatic enzyme elevations which resolved with resolution of sepsis. At the second surgery on April 4th, adhesions were noted throughout the abdomen. There was an area of adhesions in the left inguinal area that was extremely friable. A drain was placed following this surgery as well. Intracelluar bacteria were noted in the drainage fluid. The patient was discharged from the hospital on April 8th. The following medications were sent home: Cefaseptin, 750 mg BID x 5 days Baytril, 150 mg BID x 5 days, Metronidazole, 500 mg BID x 5 days Cerenia and codeine were also dispensed. Clinically the patient is doing very well. He is eating, drinking, urinating and defecating normally. His activity level is good. Blood work from April 7th: Alb=21 (better than pre-op) ALP=241, lymphocytes=0.88, monocytes=1.57, Neutrophils=12.15, suspected bands. A follow up ultrasound 14 days post-op from the second sock foreign body surgery was performed.

The patient was presented for drainage tract between the 2nd and 3rd digits in the front left foot. Previous probing for the grass awn was unsuccessful; an ultrasound was performed to aid in the process of pinpointing the location of the grass awn and image the surrounding tissues.