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Peer-reviewed veterinary case report

Cow with breathing trouble due to throat mass - how it was treated

By Boileau, Mélanie J et al.·Published in Journal of the American Veterinary Medical Association·2009·Department of Veterinary Clinical Sciences, United States·View original on PubMed

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Original publication title: Use of a chain écraseur for excision of a pharyngeal granuloma in a cow.

Species:
cattle
Breathing & cough

Plain-English summary

A 10-year-old pregnant Longhorn cow was having increasing trouble breathing for about six weeks. A vet found a large soft tissue growth in her throat that was blocking her airway, and tests suggested it was a bacterial granuloma. The cow underwent surgery to remove the mass using a special tool called a chain écarteur, and further tests confirmed the growth was due to a bacterial infection called actinobacillosis. Eight months after the surgery, the owner reported that the cow was doing well and had not experienced any more breathing problems.

Abstract

CASE DESCRIPTION: A 10-year-old Longhorn cow pregnant with a valuable fetus was evaluated because of progressive inspiratory dyspnea of 6 weeks' duration. CLINICAL FINDINGS: Physical examination findings were consistent with upper respiratory tract obstruction. A large pedunculated soft tissue mass was evident in the mid-dorsal aspect of the pharynx during palpation and endoscopic examination. Results of microscopic examination of transendoscopic fine-needle aspirates and a biopsy specimen were suggestive of a bacterial granuloma. TREATMENT AND OUTCOME: Transtracheal intubation was performed, and the mass was excised with a chain écraseur. Results of histologic examination were consistent with a diagnosis of actinobacillosis. The owner reported that the cow was doing well without any recurrence of respiratory distress 8 months after surgery. CLINICAL RELEVANCE: Findings suggested that pharyngeal granuloma resulting from actinobacillosis should be included in the differential diagnoses when examining mature cattle with upper respiratory tract obstruction and that a chain écraseur may be useful for excising soft tissue pharyngeal masses in cattle.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/19335246/