Persistent oesophageal obstruction (choke) associated with a diverticulum of the terminal oesophagus in a pony

Swain, J. M.; McGorum, Bruce; Scudamore, Cheryl L.; Pirie, R. S.

doi:10.1111/j.2042-3292.2004.tb00297.x

Cited by 4 publications

(5 citation statements)

References 5 publications

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“…In horses, diverticula are an occasional cause of oesophageal dysfunction that usually occur in the cervical portion of the oesophagus (Aanes 1976;Hackett et al 1978;Frauenfelder and Adams 1982;Vrins et al 1983;MacDonald et al 1987;Craig et al 1989;Harrison and Cartee 1990;Ford et al 1991) and rarely, in the thoracic portion (van Wuijckhuise-Sjouke 1983;Ford et al 1991). Swain et al (2004) reported a unique case of a diverticulum in the distal intra-abdominal oesophagus. With rare exceptions (van Wuijckhuise-Sjouke 1983), oesophageal diverticula in horses have been associated with chronic intermittent obstruction and, if localised in the cervical portion, with a neck swelling that increases in size after eating (Aanes 1976;Hackett et al 1978;Frauenfelder and Adams 1982;MacDonald et al 1987;Craig et al 1989;Harrison and Cartee 1990;Murray and Gaughan 1993).…”

Section: Introductionmentioning

confidence: 99%

Perforated epiphrenic diverticulum with secondary septic pleuritis in two horses

Gonzalez

Swor

Hines

2008

Equine Veterinary Education

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This report describes 2 cases of oesophageal diverticula in horses in which the perforation of the diverticulum led to septic pleuritis. Both cases presented as emergencies with the clinical complaint of colic and had evidence of endotoxic/septic shock. Due to its rareness and its tendency to masquerade as a variety of more common conditions, the recognition and management of intrathoracic oesophageal perforation in horses can be difficult, and neither of the horses presented here had clinical signs consistent with oesophageal obstruction upon presentation.The cases reported here illustrate the importance of a complete physical evaluation, and of taking into consideration the thorax as a source of colic signs and systemic inflammatory response syndrome in horses.

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Section: Introductionmentioning

confidence: 99%

Perforated epiphrenic diverticulum with secondary septic pleuritis in two horses

Gonzalez

Swor

Hines

2008

Equine Veterinary Education

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“…Contrast radiography has been described as an aid in diagnosing diverticula, strictures, mega-esophagus or motility disorders. In the literature, limited information is available on the normal equine esophagogram and different techniques have been used (Butler et al, 2000;Tillotson et al, 2010;Swain et al, 2004;Prutton et al, 2015;Broekman et al, 2002;Greet, 1982;Greet and Whitwell, 1986).…”

Section: Discussionmentioning

confidence: 99%

Radiografisch en echografisch onderzoek van de slokdarm bij het paard

Palmers¹,

Vekens²,

Paulussen³

et al. 2016

Vlaams Diergeneeskundig Tijdschrift

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The purpose of this study was to describe the radiographic and ultrasonographic appearance of the esophagus of ten healthy horses. Contrast radiography showed variations in the long-axis shape of the esophagus at the thoracic inlet. Administration of a large volume contrast medium by intubation showed stasis of contrast material for several minutes in two of the ten horses. The wall thickness of the non-distended esophagus on ultrasound was 2.6 ± 0.3 mm with significant differences depending on the location. Distention of the esophagus by intubation or by a bolus of water or concentrate resulted in a decrease in wall thickness and it facilitated measuring with less variation. Stasis at the thoracic inlet was seen in five of the ten horses, when a water bolus was administered. Ultrasonographic evaluation of 100g spontaneously swallowed commercial concentrate was better than fluid (water bolus or 2.5mL/kg contrast medium) administration via intubation to assess esophageal motility at the thoracic inlet. Stasis seen at the thoracic inlet after bolus administration by intubation should not be regarded as an abnormal finding, and swallowing, with the subsequent peristaltic wave, has a positive influence on the bolus passage time.

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“…The preceding report of oesophageal obstruction in a pony (Swain et al 2004) illustrates well the adage, 'when on a dark night you hear hoofbeats approaching, think of horses but remember zebra'. As the authors describe, oesophageal obstruction (choke) is the most common consequence of oesophageal disease in the horse and such cases form a small but significant proportion of emergency calls in any busy equine veterinary practice.…”

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confidence: 80%

Oesophageal dysfunction in the horse

Hillyer¹

2004

Equine Veterinary Education

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Persistent oesophageal obstruction (choke) associated with a diverticulum of the terminal oesophagus in a pony

Cited by 4 publications

References 5 publications

Perforated epiphrenic diverticulum with secondary septic pleuritis in two horses

Perforated epiphrenic diverticulum with secondary septic pleuritis in two horses

Radiografisch en echografisch onderzoek van de slokdarm bij het paard

Oesophageal dysfunction in the horse

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