Successful vascularized jejunal patch graft to treat severe orad duodenal injury secondary to foreign body obstruction in a dog

OBJECTIVE: To report the surgical treatment and outcome of an adult dog with a duodenal perforation treated with a vascularized jejunal patch graft. STUDY DESIGN: Case report. ANIMAL: A 1-year-old castrated male boxer dog. METHODS: Damage to a duodenal segment containing the major and minor papillae was repaired with a vascularized jejunal graft. A segment of healthy jejunum was mobilized maintaining the jejunal vessels, and a donor site anastomosis was performed. The vascularized jejunal graft was incised on the antimesenteric border creating a rectangular segment, which was trimmed and sutured to the duodenal recipient site as a patch graft to repair the defect. RESULTS: The dog recovered well without major complications. Within 2 weeks, appetite and bowel movements were normal, with no episodes of vomiting. Infrequent regurgitation resolved without medical therapy. CONCLUSION: A vascularized jejunal patch graft is a feasible option for successful surgical repair of duodenal injury in the dog. CLINICAL SIGNIFICANCE: This report describes a novel surgical repair technique for treatment of gastrointestinal injuries.