SUCCESSFUL MEDICAL MANAGEMENT OF A BEZOAR IN A PERUVIAN GUINEA PIG (CAVIA PORCELLUS)

摘要

A 3-year-old male neutered Peruvian guinea pig (Cavia porcellus) presented with a 24-hour history of lethargy, anorexia, and decreased fecal output. Abdominal palpation revealed a distended and painful abdomen. Abdominal radiographs confirmed pronounced stomach dilation due to accumulation of intraluminal dense and heterogeneous material surrounded by a crescent of air. A clinical diagnosis of gastric bezoar was assumed. Despite the classical recommendation of surgical management, a medical approach was chosen. Analgesic, prokinetic, gastric protectant, antigas medication, and fluid therapy were administered. Nasogastric intubation was performed to facilitate hydration of stomach contents, provide assisted feeding, and to administer oral therapies. Follow-up showed a gradual reduction in bezoar size until it was radiologically absent. Concurrently, clinical signs diminished and clinical improvement was obvious. The guinea pig was discharged 6 days after admission with recommendations for prokinetic therapy, dietary corrections, and regular hair grooming. The guinea pig was regularly examined, and no relapse has occurred to date. Copyright 2018 Elsevier Inc. All rights reserved.