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.