Pneumoperitoneum and gastric perforation in a minimally clinically affected dog

A 13-year-old female sheepdog had a reduced appetite, depression, vomiting and moderate tympanic abdominal distension. A severe pneumoperitoneum was detected radiographically. The cause of the pneumoperitoneum was a small perforation in the gastric cardia secondary to necrosis. This report describes severe pneumoperitoneum due to gastric perforation in a minimally clinically affected patient.