1. Esophageal perforation diagnosis, treatment, complications, and outcome in a Standardbred colt.
- Author
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Albrecht, Myriah, MacGillivray, Katherine Cole, Juez, Beatriz, and Freeland, Russell
- Abstract
• Foal with full thickness esophageal laceration. • Diagnosed via contrast radiography and endoscopy. • Fasciotomies and placement of an esophageal feeding tube elected. • Complications of recurrent bilateral pneumothorax and incomplete fistula. • Full recovery at one year follow up. A 4.5-month-old Standardbred colt presented for neck swelling and fever. Endoscopy and contrast radiography identified a full thickness esophageal perforation. Surgical intervention with fasciotomies and placement of an esophageal feeding tube was elected. Intensive postoperative treatment was carried out with broad-spectrum antibiotics, gastroprotectants and probiotics, calculated feeding plan, esophagostomy and fasciotomy site lavages, care, and cleaning. Complications included recurrent bilateral pneumothorax and development of an incomplete fistula at the esophagostomy site following removal of the feeding tube, necessitating primary closure. One year following presentation, the colt appears to have made a full recovery with an excellent body and muscle condition score and undergoing athletic training. Anticipated price of sale as a yearling was achieved. This study highlights a viable treatment route for youngstock with esophageal perforation that necessitate an esophagostomy. Despite intensive dietary needs of growing foals, appropriate nutritional requirements and normal growth rates can be achieved in such cases. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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