Esophageal Perforation Associated with a Foreign Body in a Dog

Saulo Romero Felix Gonçalves, Mariana Lumack de Monte Barretto, Elaine de Melo Silva Rodrigues, Elaine de Melo Silva Rodrigues, Jéssica Cristiane Mazer Bernardi, Fernanda Muriel Gonçalves Feitoza, Steaphanie Caroline Gueiros Silva, Andrea Alice da Fonseca Oliveira

Abstract


Background: The esophagus is a tubular organ that connects the laryngopharynx to the stomach. This organ has three points of narrowing: the thoracic inlet, the base of the heart, and the diaphragmatic hiatus; these are common sites of obstruction by foreign bodies. Clinical signs of esophageal obstructions include sialorrhea, dysphagia, regurgitation, dehydration, and depression. The diagnosis is based on clinical examination, anamnesis, and complementary imaging. The treatment requires the removal of the foreign body. Herein, we report a case of esophageal perforation associated with a foreign body in a Spitz German treated at the Veterinary Hospital of the Federal Rural University of Pernambuco.

Case: A 2-year-old female German Spitz was referred to the Veterinary Hospital of the Federal Rural University of Pernambuco (HV-UFRPE); she presented with recurrent drooling and emesis. According to the instructor, approximately five days after a party at the residence, the animal began to exhibit clinical signs. She was examined at a veterinary clinic, where she remained hospitalized for three days, without clinical improvement. She was then taken to the HV-UFRPE for further assessment. Upon physical examination, sialorrhea, hypercormed conjunctival mucosa, hyperthermia (41ºC), and regurgitation were observed. Imaging tests (simple radiography and ultrasonography), blood count, and a serum biochemistry panel (urea, creatinine, alanine aminotransferase, alkaline phosphatase, total protein, and albumin) were requested. The radiographic examination revealed a pulmonary interstitial pattern and pleural effusion. Analysis of the thoracic fluid yielded results consistent with a septic exudate. No significant changes were observed on total abdominal ultrasonography. The hemogram showed thrombocytosis, leukocytosis with absolute neutrophilia, as well as relative and absolute monocytosis. Esophagoscopy was offered, but the test was not performed and the patient died 24 h after its, being heading for necropsy. On necropsy, diffuse fibrinous pleuropneumonia filling the thorax was observed. The heart showed concentric hypertrophy of the left ventricle. The esophagus was obstructed by a food object, causing a necrotic, ulcerative esophagitis with perforation. In the abdominal cavity, hepatic and renal congestion were observed along with early-phase gestation (first trimester). Other organs lacked significant changes, and the cause of death was attributed to septic shock secondary to esophageal perforation. Tissue samples from the heart, lungs, and esophagus were obtained for histopathological examination. Diagnoses included cardiomyocyte hypertrophy and heart congestion, subacute interstitial pneumonia, diffuse chronic pulmonary edema, and necrotizing ulcerative esophagitis.

Discussion: The presence of an esophageal foreign body is considered a veterinary emergency. Small-breed dogs are more often affected by foreign bodies, as are young animals with a depraved appetite and lack of selectivity with respect to food. The most common foreign bodies reported in literature are bones, as they are frequently offered to pets. In this report, a carrot caused esophageal obstruction. Current literature recommends that a complete anamnesis and physical examination, including cervical and thoracic radiography, be performed in animals with suspected foreign material in their esophagus. This case contextualizes a problem that requires full attention, directly related to a dog’s accessibility to and consumption of objects or foods that can result in esophageal obstruction. Therefore, education by the instructor is considered essential in the prevention of these conditions.


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References


Dunn J.K. 2001. Tratado de Medicina de Pequenos Animais. São Paulo: Roca, pp.450-500.

Ettinger S.J. & Feldman E.C. 2004. Tratado de Medicina Interna Veterinária: Doenças do Cão e do Gato. 5.ed. Rio de Janeiro: Guanabara Koogan, 2156p.

Eurell J.A. & Frappier B.L. 2012. Histologia Veterinária: de Dellmann. 6.ed. Tamboré: Manole Ltda., 400p.

Fossum T.W. 2014. Cirurgia de Pequenos Animais. 4.ed. São Paulo: Elsevier, 420p.

Gelberg H.B. 2013. Sistema Alimentar, Peritônio, Omento, Mesentério e Cavidade Peritonial. In: Zachary J.F. & Mcgavin M.D. (Eds). Bases da Patologia em Veterinária: Adaptado a Realidade Brasileira. 5.ed. Rio de Janeiro: Elsevier, pp.324-406.

Gianella P., Pfammatter N.S. & Burgener I.A. 2009. Oesophageal and gastric endoscopic foreign body removal: complications and follow‐up of 102 dogs. Journal of Small Animal Practice. 50(12): 649-654.

Guedes R.M.C., Brown C.C., Sequeira J.L. & Reis Jr. J.L. 2017. Sistema Digestório. In: Santos R.L. & Alessi A.C. (Eds). Patologia Veterinária. 2.ed. Rio de Janeiro: Roca, 87p.

Kaneko J., Harvey J. & Bruss M. 2008. Clinical Biochemisty of Domestic Animals. 6nd edn. Davis: School of Veterinary Medicine, 521p.

Luthi C. & Neiger R. 1998. Esophageal foreign bodies in dogs: 51 cases (1992– 1997). The European Journal of Comparative Gastroenterology. 3(2): 7-11.

Mudado M.A., Del Carlo R.J., Borges A.P.B. & Costa P.R.S. 2012. Obstrução do trato digestório em animais de companhia, atendidos em um Hospital Veterinário no ano de 2010. Revista Ceres. 59(4): 434-445.

Nelson R.W. & Couto C.G. 2010. Medicina Interna de Pequenos Animais. Rio de Janeiro: Elsevier, 320p.

Papazoglou L.G., Patsikas M.N. & Rallis T. 2003. Intestinal foreignbodies in dogs and cats. Compedium Continued Education Practice Veterinary. 25: 830-843.

Rebar A.H. & Thompson C.A. 2011. Fluidos de Cavidade Corporal. In: Raskin R.E. & Meyer D.J. (Eds). Citologia Clínica de Cães e Gatos: Atlas Colorido e Guia de Interpretação. 2.ed. Rio de Janeiro: Elsevier, 171p.

Rousseau A., Prittie J., Broussard J.D., Fox P.R. & Hoskinson J. 2007. Incidence and characterization of esophagitis following esophageal foreign body removal in dogs: 60 cases (1999–2003). Journal of Veterinary Emergency and Critical Care. 17(2): 159-163.

Sá T.C., Fernandes E.P.A., Borges J.L., Landi U.N., Trindade A.B., Sinhorin A.L. & Otutumi L.K. 2017. Corpo estranho esofágico em paciente canino – relato de caso. Arquivos de Ciências Veterinárias e Zoologia da UNIPAR. 20(3): 179-182.

Stockham S.L., Keeton L.S. & Szladovits B. 2003. Clinical assessmentof leukocytosis: distinguishing leukocytosis caused by inflammatory, glucocorticoid, physiologic, and leukemic disorders or conditions. Veterinary Clinics of North America: Small Animal Practice. 33(0): 1335-1357.

Tams T.R. & Spector D.J. 2011. Endoscopic removal of gastrointestinal foreign bodies. In: Tams T.R. & Rawlings C.A. (Eds). Small Animal Endoscopy. 3rd edn. St. Louis: Elsevier Mosby, 140p.

Thompson H.C., Cortes Y., Gannon K., Bailey D. & Freer S. 2012. Esophageal foreign bodies in dogs: 34 cases (2004-2009). Journal of Veterinary Emergency and Critical Care. 22(2): 253-261.

Werner P.R. 2010. Patologia Geral Veterinária Aplicada. 2.ed. São Paulo: Roca, pp.73-333.




DOI: https://doi.org/10.22456/1679-9216.93608

Copyright (c) 2019 Saulo Romero Felix Gonçalves, Mariana Lumack de Monte Barretto, Elaine de Melo Silva Rodrigues, Elaine de Melo Silva Rodrigues, Jéssica Cristiane Mazer Bernardi, Fernanda Muriel Gonçalves Feitoza, Steaphanie Caroline Gueiros Silva, Andrea Alice da Fonseca Oliveira

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