Peer-reviewed veterinary case report
Colt with neck swelling and esophageal perforation - treatment and
By Albrecht, Myriah et al.·Published in Journal of equine veterinary science·2024·Hagyard Equine Medical Institute, United States·View original on PubMed →
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Original publication title: Esophageal perforation diagnosis, treatment, complications, and outcome in a Standardbred colt.
- Species:
- horse
Plain-English summary
A 4.5-month-old Standardbred colt was brought in with neck swelling and a fever. After tests, the vet found a serious tear in the colt's esophagus. The treatment involved surgery to repair the tear and placing a feeding tube, along with a strict plan for antibiotics and nutrition. Although there were some complications, like lung issues and a minor problem at the feeding tube site, the colt fully recovered within a year and is now in great shape for training.
People also search for: colt neck swelling treatment · esophageal perforation in foals · Standardbred colt recovery after surgery
Abstract
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.
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Search related cases →Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/39187135/