Friday, April 2, 2010

I Can Swallow Whatever I Want 3 : The Durian Season.

Hi folks, it's durian season again. A lot of you must be avid durian lover. Same as this dog here. He just loooove durian. He's an English Cocker Spaniel and lives with a durian crazy family. But, unfortunately it wasn't a pretty experience the last time he swallowed a durian with its seed, that's without the owner's knowledge . It happened last week. The clinical signs? Vomit, vomit and vomit whatever he took in. Otherwise, the dog looked healthy.

We did an ultrasound scanning to diagnose the problem. And, sure enough the durian seed was there, inside the small intestine.

So, we decided to carry out surgery to take out the durian seed. Mind you that we do not perform surgery in every durian swallowing case. In some cases, the dog actually vomitted out the seed after several days.



This was the small intestine where the seed got stucked in.


We put so called "stay sutures" at both ends of the intestine where the seed was for easier manipulation during surgery. The instestine was later cut to release the seed.




The seed was removed and later the intestine was sutured back by using absorbable suture. The intestine is full of actively dividing cells. It will heal very fast in fact in just 2 to 3 days time. Usually, we will use fast absorbing sutures to close the wound.




And, finally the durian seed was removed. It was about 4.5cm in length.


By the way, readers are welcome to make any comments or maybe share your cases. Thanks.