Successful Surgical Management of a Perforating Oesophageal Foreign Body in a Cat
| Autor: | Matthieu P L Cariou, Victoria J. Lipscomb |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Esophageal Perforation business.industry General surgery Perforation (oil well) Anastomosis Cat Diseases Foreign Bodies medicine.disease Dysphagia Surgery Esophagectomy Treatment Outcome Pneumothorax Intensive care Cats Animals Medicine Female Pneumomediastinum medicine.symptom Foreign body Small Animals business Subcutaneous emphysema |
| Zdroj: | Journal of Feline Medicine and Surgery. 13:50-55 |
| ISSN: | 1532-2750 1098-612X |
| DOI: | 10.1016/j.jfms.2010.11.010 |
| Popis: | Case presentation and surgical intervention A 3-year-old cat was presented with a recent history of dysphagia and intermittent regurgitation. Radiography revealed a bony oesophageal foreign body at the level of the thoracic inlet. Endoscopic retrieval was attempted but resulted in severe dyspnoea due to the development of pneumomediastinum, pneumothorax and subcutaneous emphysema secondary to perforation of the oesophageal wall. Immediate surgical exploration was carried out. Extensive necrosis of the oesophagus resulting from the presence of the foreign body led to a decision to perform an oesophageal resection and anastomosis. Clinical relevance This is the first clinical report of a cat treated successfully by oesophagectomy following oesophageal perforation due to an obstructive foreign body. The authors suggest that prompt surgical intervention, the ability to convert to a surgical procedure under the same anaesthetic as a non-surgical retrieval, placement of a gastrostomy tube and the availability of advanced anaesthetic and critical care support are important factors to consider when managing feline patients with a perforating oesophageal foreign body. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|