Guest
The following clinical case posed an endoscopic challenge. On this occasion, we present the endoscopic extraction of a large-sized foreign body (6 cm) from the duodenum of a 4-year-old, 36 kg Labrador Retriever. The patient was referred for emergency care following radiographic confirmation of the presence of a gastrointestinal foreign body. Upon patient admission, stabilization was necessary as the patient exhibited severe dehydration and hypovolemic and endotoxic shock. Although the patient's condition was critical, immediate intervention was deemed essential for the proper assessment of the animal. During the endoscopy, the presence of grade II esophagitis, delayed gastric emptying, and a large-sized foreign body completely obstructing the duodenum, blocking the major duodenal papilla, were confirmed. Fortunately, the foreign body was a soft rubber toy and could potentially be captured and extracted. Endoscopy is a non-surgical procedure that allows for the successful and minimally invasive extraction of most esophageal and gastric foreign bodies (95%). In the case of intestinal foreign bodies, the extraction percentage is lower. However, if a foreign body is within reach of the endoscope in the intestines, attempting endoscopic removal is advisable, as it can lead to faster patient recovery.
