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Peer-reviewed veterinary case report

Cat with food swallowing trouble from esophagus narrowing and hernia

By Chae, Yeon et al.·Published in Veterinary medicine and science·2024·College of Veterinary Medicine, South Korea·View original on PubMed

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Original publication title: Oesophageal stricture in a cat with true pleuroperitoneal hernia.

Species:
cat

Plain-English summary

A 2-year-old neutered male Bengal cat was brought in because he was having trouble swallowing solid food and was regurgitating frequently for over five months. After various tests, the vet discovered a pleuroperitoneal hernia, which is when abdominal organs move into the chest cavity, and an esophageal stricture, a narrowing of the esophagus. The vet performed an endoscopy and used a balloon to widen the stricture, which initially resolved the regurgitation. However, the problem returned two months later, leading to another endoscopy that successfully treated the stricture again, allowing the cat to eat comfortably without needing surgery for the hernia.

People also search for: cat regurgitation treatment · Bengal cat swallowing problems · esophageal stricture in cats · pleuroperitoneal hernia in cats

Abstract

A 2-year-old neutered male Bengal cat presented with solid food dysphagia and chronic regurgitation for >5 months. There were no clinical abnormalities on haematological or radiographic examinations. Thoracic radiography revealed a soft tissue opacity mass adjacent to the diaphragm in the caudoventral thorax. Ultrasonography revealed a protruding liver lobe surrounded by a hyperechoic lining from the diaphragm towards the thorax, and a pleuroperitoneal hernia was diagnosed. An endoscopy was performed to examine the cause of regurgitation, and an oesophageal stricture was observed. Endoscopic balloon dilation of the oesophageal stricture was performed, and the regurgitation was resolved immediately. However, regurgitation relapsed 2 months later, and computed tomography was performed to ascertain the cause. Computed tomography revealed oesophageal mural thickening and true pleuroperitoneal hernia with partial liver lobe herniation. A second endoscopy with balloon dilation was performed to treat the relapsing oesophageal stricture, and the clinical signs resolved without the need for herniorrhaphy. Nevertheless, oesophageal stricture could occur due to gastroesophageal reflux related to a pleuroperitoneal hernia; however, a definite link could not be elucidated in this case. This report describes a case of oesophageal stricture and concurrent true pleuroperitoneal hernia in a cat.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/38389312/