Trichobezoar obstruction after stapled jejunal anastomosis in a dog.
OBJECTIVE
To describe an unusual long-term complication of circular end-to-end anastomosis (CEEA) stapling in a dog.


METHODS
Clinical case report.


METHODS
An 11-year-old, female neutered, Labrador Retriever.


METHODS
The dog was referred for clinical signs of bowel obstruction. An enterectomy was performed 2 years before presentation using a CEEA stapling device. Palpation, plain radiographs, and ultrasound of the abdomen confirmed the presence of a mass in the bowel, causing obstruction, and requiring surgical approach.


RESULTS
An exploratory celiotomy revealed a 5 cm mass in the jejunum, involving the site of the previous surgery. The mass was removed by enterectomy. Dissection of the mass revealed the presence of many staples at the previous enterectomy site, and a trichobezoar entangled in the exposed parts of the staples.


CONCLUSIONS
An enterectomy was required to treat an intestinal obstruction caused by a trichobezoar entangled in a CEEA-stapled anastomosis.


CONCLUSIONS
Development of trichobezoar and subsequent bowel obstruction should be considered an unusual but potential long-term complication of CEEA-stapled anastomosis.
Carobbi
Barbara
B
Dick White Referrals, Six Mile Bottom, Newmarket, UK. barbaracarobbi@msn.com
Foale
Robert D
RD
White
Richard A S
RA
D000005:Abdomen / Q000000981:diagnostic imaging / Q000473:pathology; D000714:Anastomosis, Surgical / Q000662:veterinary; D000818:Animals; D001630:Bezoars / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D004283:Dog Diseases / Q000175:diagnosis / Q000601:surgery*; D004285:Dogs; D005260:Female; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery / Q000662:veterinary*; D007583:Jejunum / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000662:veterinary; D011860:Radiography, Abdominal / Q000662:veterinary; D017792:Surgical Stapling / Q000009:adverse effects / Q000662:veterinary*; D014463:Ultrasonography