Management of Oesophageal Obstruction in A Dog

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

Indian Vet. J.

, July 2011, 88 (7) : 64 - 65

Management of Oesophageal Obstruction in a Dog


N.V.V. Hari Krishna1, V. Devi Prasad and Makkena Sreenu
Department of Surgery and Radiology, NTR College of Veterinary Science, Sri Venkateswara Veterinary University,
Gannavaram-521 101, Andhra Pradesh

(Received : 19-01-2010; Accepted : 08-03-2010)

Oesophageal foreign bodies are common in in- firmed the presence of radioopaque foreign body
discriminate eaters like dogs and more frequent in the esophagus at the level of 5th cervical verte-
in small breeds of dogs, during the first three bra without any appreciable dilatation proximal
years of life. The most common site of lodgment to the site of obstruction except some gas filled
of oesophageal foreign bodies in dogs is thoracic area (Fig.1).
inlet, at the level of base of heart and epiphrenic
area (Kyles, 2003). A case of unusual cervical Treatment and Discussion
esophageal obstruction, managed by esophagot-
omy is reported in the present paper. The dog was premedicated with atropine sul-
phate @ 0.04 mg/kg, s/c followed by Zylazine and
Case History and Observations ketamine hydrochloride anaesthesia @ 0.5 mg/
kg and 5 mg/kg bw respectively. The dog was
A male Pomeranian dog aged 8 months was pre- restrained in right lateral recumbency and inci-
sented with a history of vomiting since 14 days, sion was made left to the trachea from mid cer-
immediately after taking solid food but not when vical to anterior to thoracic inlet and the mus-
fed with liquids. There was no definite history cles were separated to expose the oesophagus.
of foreign body ingestion. It was treated at lo- A 3 cm long incision was made on the oesopha-
cal hospital without success. On clinical exami- gus anterior to the foreign body and a flat bone
nation, the dog was found to be dull and had a with projections embedded in the mucosa was
wasting appearance. Palpation revealed a hard retrieved (Fig.2). The oesophagotomy incision
mass in the distal third of the esophagus with was closed in double layer using 2-0 chromic cat
pain. Lateral radiograph of neck and thorax con- gut. The mucosal layer was closed in simple con-

Fig. 1 Lateral radiograph of neck showing the radioopaque Fig. 2 Bone recovered from oesophagus.
foreign body (Arrows).

1
Corresponding author : Email : [email protected]

The Indian Veterinary Journal (July, 2011)


N.V.V. Hari Krishna et al. 65
tinuous pattern with the knots placed intralu- in the present case as the projections of the bone
minally and the submucosa and muscular layers were not long enough to cause it. Michael and
in simple interrupted pattern. The neck muscles Laura Lee (2008) reported that oesophageal ob-
and skin incision were closed routinely. Post-op- struction was common in small dogs with signs
eratively cefotoxime 250 mg, i/m bid, for 7 days, of vomiting, anorexia and lethargy which are in
meloxicam 0.3 mg/ kg, i/m sid, for 5 days and line with the present case. In the present case
Ringers lactate 150 ml and DNS 200 ml i/v per there was no dilatation proximal to the site of
day for 3 days were administered. The dog was obstruction and the dog survived even with ob-
given liquid diet from 3rd day onwards and slow- struction for long time. It might be due to flat
ly shifted to solid diet from 7th day. Retrieval of surface of the obstructing bone and liquid food
foreign body resolved the symptoms and the dog was passing by the side into the stomach with-
made an uneventful recovery. out showing the symptoms of complete obstruc-
tion.
Caywood(1996) reports that the common
complications of oesophageal surgery include References
esophagitis, fistulation, leakage and infectious
pleuritis, which were not observed in the pres- Caywood, D.D., Lipowitz, A.J., Newton, C.D. and Scheartz, A.
(1996) Complications in Small Animal Surgery. Williams and
ent case. Houlton et al. (1985) opined that cer- Wilkins, London, p. 195.
vical oesophageal foreign bodies should not be
Houlton, J.E.F., Herrtage, M.E., Taylor, P.M. and Watkins, S.B.
pulled out blindly and could be better managed (1985) J. Small Anim. Pract. 26: 521.
by surgical intervention. In the preent case it
Kyles, A.E. (2003) Oesophagus. In: Text book of Small Animal
was successfully handled through oesophagoto- Surgery, 3rd Edn. Saunders, USA, p. 582.
my as the bone was embedded in the mucosa.
Michael, S.L. and Laura Lee, S. (2008) J.Am. Vet. Med. As-
Oesophageal perforation due to foreign bodies soc. 232:1021.
as reported by Kyles (loc. cit) was not observed

Indian Vet. J., July 2011, 88 (7) : 65 - 66

A Case of Choke in a She Buffalo


N.V.V. Hari Krishna1, V. Devi Prasad and Makkena Sreenu
Department of TVCSC, NTR College of Veterinary Science, Sri Venkateswara Veterinary University, Gannavaram 521 102, Andhra Pradesh

(Received : 27-03-2010; Accepted : 11-05-2010)

Foreign body obstruction or “choke” is a common Case History and Observations


esophageal disorder in calttle is and has been
occasionally recorded in buffaloes. This paper A nine year old milch buffalo in mid lactation was
reports about a case of esophageal obstruction presented to the clinic with a history of sudden
due to palm kernel in a she buffalo. development of bloat with moderate salivation
since morning. Further enquiry revealed that
1
Corresponding author : Email : [email protected]

The Indian Veterinary Journal (July, 2011)

You might also like