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Case Reports
. 2015 Oct;56(10):1053-6.

Gastric malpositioning and chronic, intermittent vomiting following prophylactic gastropexy in a 20-month-old great Dane dog

Jessie S Sutton  1 , Michele A Steffey  1 , Cecily M Bonadio  1 , Stanley L Marks  1
Affiliations
Case Reports

Gastric malpositioning and chronic, intermittent vomiting following prophylactic gastropexy in a 20-month-old great Dane dog

Jessie S Sutton et al. Can Vet J. 2015 Oct.

Abstract
in English, French

A 20-month-old castrated male great Dane dog was presented for evaluation of chronic intermittent vomiting of 2 months' duration. A prophylactic incisional gastropexy performed at 6 mo of age resulted in gastric malpositioning and subsequent partial gastric outflow tract obstruction.

Malposition gastrique et vomissements intermittents chroniques après une gastropexie prophylactique chez un chien Grand danois âgé de 20 mois. Un chien Grand danois mâle castré âgé de 20 mois a été présenté pour une évaluation de vomissements chroniques durant depuis 2 mois. Une gastropexie incisionnelle prophylactique réalisée à l’âge de 6 mois a produit une malposition gastrique et une obstruction partielle de l’échappement du tractus gastrique.(Traduit par Isabelle Vallières).

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Figures

Figure 1
Figure 1
Standard ventrodorsal image obtained during the pre-operative upper gastrointestinal series. The gastric axis is clearly identified due to the presence of positive contrast material (barium). Note the unusual location of the pylorus on midline.
Figure 2
Figure 2
Intra-operative image obtained during exploratory celiotomy. The patient is in dorsal recumbency. The location of the previously performed incisional gastropexy (dotted line) is visible approximately 2 cm lateral to the linea alba. The ventral position of the pyloric antrum resulted in folding of the gastric body just orad to the pyloric antrum (arrow). This positioning led to an acute flexure at the level of the pyloric outflow tract (*), resulting in a suspected partial outflow tract obstruction. These effects were exacerbated when the linea was in a normal anatomic position and not retracted.
Figure 3
Figure 3
Ventrodorsal image obtained during the re-check upper gastrointestinal series performed 1 y after surgery. The stomach is undergoing a peristaltic contraction. Note the new position of the pylorus in the right, cranial quadrant of the abdominal cavity.
See this image and copyright information in PMC

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