Vol. 10, Issue 11, Part A (2025)

Author(s): Dhatrika Vamshi Krishna, Biswadeep Jena, Edara Silendra Kumar, Sunaina Dash, Shivnithvar Saragini, Roja Misra, Nikita Bhargav and Sourav Neti

Abstract: A 3-month-old male Labrador retriever puppy was presented with a history of intermittent vomiting, inappetence, and abdominal discomfort for three days. Clinical examination revealed dehydration, abdominal tenderness, and a palpable cylindrical mass in the mid-abdomen. Haematological analysis showed leucocytosis with a left shift, while radiography demonstrated loss of serosal detail and soft-tissue opacity in the mid-abdominal region. Ultrasonography revealed concentric ring patterns the characteristic “triple-circle sign” confirming a diagnosis of double intussusception. Exploratory laparotomy confirmed an ileo-ileo-colic intussusception with an additional jejuno-jejunal invagination. Surgical reduction followed by resection and end-to-end anastomosis was performed. Post-operative care included fluid therapy, broad-spectrum antibiotics, analgesics, and gradual dietary reintroduction. The patient recovered uneventfully without recurrence. This case emphasizes the importance of diagnostic imaging in identifying complex intestinal invaginations and highlights successful surgical correction as the mainstay of treatment in double intussusception.

DOI: 10.22271/veterinary.2025.v10.i11a.2693