Читать книгу Small Animal Surgical Emergencies - Группа авторов - Страница 163

A four‐year‐old male neutered Mastiff was presented after a four‐day period of regurgitation. No history of bone ingestion was noted but survey radiography demonstrated a very large bone (Case Figure 4.1) within the lumen of the distal esophagus. Forceps manipulation was unsuccessful as the bone was tightly wedged against the inflamed mucosa and was too large to be grasped by esophageal forceps. A left lateral thoracotomy was performed at the eighth intercostal space and an esophagotomy was performed. The esophagotomy site was closed in two layers and covered with an omental pedicle that had been tunneled through the diaphragm. A gastrostomy tube was placed via a paracostal incision, and a thoracic drain was inserted (Case Figure 4.2). Supportive treatment included management of the esophagitis (ranitidine 2 mg/kg twice a day IV for five days and sucralfate 2 g three times a day orally for five days), antibiotics (cefuroxime 10 mg/kg IV three times a day perioperatively), and analgesia. The dog recovered uneventfully.

Case Figure 4.1 Lateral thoracic radiograph identifying a very large bone within the lumen of the distal esophagus.

Case Figure 4.2 A thoracic drain and a gastrostomy tube are placed after removal of an esophageal foreign body via transthoracic esophagotomy.