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Gastric Dilatation and Volvulus (view source)
Revision as of 09:09, 21 August 2009
, 09:09, 21 August 2009→Diagnostic imaging
===Diagnostic imaging===
===Diagnostic imaging===
Best performed after fluid therapy and gastric decompression. It allows distinction between GD and GDV:
Best performed after fluid therapy and gastric decompression. It allows distinction between GD and GDV:
*Gastric dilatation: gas distension, on Right Lateral shows air in the fundus.
*Gastric dilatation: gas distension, on right lateral shows air in the fundus.
*Gastric dilatation and volvulus: pylorus moves dorsally and left with a compartmentalized stomach.
*Gastric dilatation and volvulus: pylorus moves dorsally and left with a compartmentalized stomach.
A right lateral view will show a large fundus ventrally, with a smaller gas filled pylorus located dorsally to that. These are seperated by a soft tissue strip. The contrast of the abdomen may be lost indicating peritonitis or haemabdomen. Gastric rupture would show as pneumoperitoneum and increased contrast.
A right lateral view will show a large fundus ventrally, with a smaller gas filled pylorus located dorsally to that. These are seperated by a soft tissue strip. The contrast of the abdomen may be lost indicating peritonitis or haemabdomen. Gastric rupture would show as pneumoperitoneum and increased contrast.