When Butch, an English bull dog, was referred to the Cornell University Hospital for Animals, the outlook was bleak. He was vomiting and regurgitating. He was lethargic and his temperature was elevated to 106.9. Presumptively diagnosed with gastrointestinal ulceration, Butch was admitted to CUHA’s 24/7 emergency clinic, literally fighting for his life.
Once at Cornell, Butch was stabilized and transferred to the Internal Medicine Service where various tests were conducted. Butch had a tense and uncomfortable abdomen and continued to regurgitate. In-depth investigation found no definitive evidence
of intestinal perforation so medical and supportive care was continued until Butch was stable enough to undergo endoscopy. The initial upper gastrointestinal endoscopy revealed moderate esophagitis, a diffusely thick stomach with multifocal punctate erosions, and more than 10 deep/severe ulcers at the opening of the duodenum (see picture on endoscopy screen at right). Butch received medication to help his ulcers and esophagitis heal and an endocapsule was administered to determine if his intestinal damage was resolving. The endocapsule revealed the duodenal ulcers had healed, and Butch was released to his owner’s care.