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Foreign Bodies
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I was trained to start at the point of fixation, in this case, Snowball’s stomach. The luxury of pulling a linear foreign body out of a single incision is unusual, especially for an object as intent on getting out the other end as this one, so opening the stomach affords the surgeon his or her first glimpse of the culprit as well as an opportunity to cut the anchor, breaking the drawstring effect and releasing the tension on the bowel.

It takes two more small incisions in the intestine to remove the entire problem, and after everything is sutured up and Snowball is resting comfortably in recovery, I head to the waiting room.The Duggan family sits watching television, but they are up on their feet as soon as they see me approach.

The answer to this mysterious foreign body had been in front of my eyes the whole time. Mrs. Duggan was wearing pumps. Mr. Duggan, a pair of well-worn work boots. Kerry Duggan sported a pair of old sneakers made unusual by one feature common to both feet—crisp, white, brand-new shoelaces. Guess what happened to the old ones?

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This article first appeared in The Bark,
Issue 47: Mar/Apr 2008
Nick Trout is a Diplomate of the American and European Colleges of Veterinary Surgeons and a staff surgeon at Angell Animal Medical Center in Boston. facebook.com/DrNickTrout

Illustration by Thorina Rose

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