Megaesophagus in an 8-month-old cat secondary to a laryngomucocele.

IF 0.7 Q3 VETERINARY SCIENCES Journal of Feline Medicine and Surgery Open Reports Pub Date : 2024-07-25 eCollection Date: 2024-07-01 DOI:10.1177/20551169241261580
Marie-Laure Theron
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Abstract

Case summary: An 8-month-old spayed female cat presented with a 7-week history of progressive dyspnoea, dysphagia and regurgitation. Plain radiography revealed megaoesophagus with a large, rounded, soft tissue opacity laryngeal mass. Endoscopic examination revealed a fluid-filled lesion, which was lanced and drained completely. As a result of recurrence of the mass and infection 2 days later, the mass was surgically excised. The mass was diagnosed as a laryngomucocele based on clinical and histopathological findings. Clinical signs resolved immediately after removal of the mass, the megaoesophagus resolved a couple of days postoperatively and no relapse was noted over the following 3 years.

Relevance and novel information: To the author's knowledge, this is the first case of laryngomucocele described in a cat. This cause should be included in the differential diagnosis of respiratory obstruction and acquired megaoesophagus in cats. This report demonstrates that megaoesophagus resulting from a respiratory obstruction resolves spontaneously after removal of the obstruction; therefore, respiratory tract assessment should be recommended in cats with signs of megaoesophagus because the prognosis could be good compared with other causes of megaoesophagus.

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一只 8 个月大的猫因喉头瘤继发巨食道。
病例摘要:一只 8 个月大的绝育雌猫在 7 周前出现进行性呼吸困难、吞咽困难和反胃。平片检查发现巨食道和一个巨大、圆形、软组织不透明的喉部肿块。内窥镜检查显示病变部位充满液体,经切开后完全引流。2 天后,由于肿块复发和感染,肿块被手术切除。根据临床和组织病理学检查结果,该肿块被诊断为喉粘膜瘤。肿块切除后,临床症状立即缓解,巨食管在术后几天内消退,此后 3 年未再复发:据作者所知,这是第一例在猫身上描述的喉黏膜囊肿。这一病因应纳入猫呼吸道阻塞和获得性巨食道的鉴别诊断中。本报告表明,呼吸道阻塞导致的巨口食道症在消除阻塞后会自动缓解;因此,建议对有巨口食道症症状的猫进行呼吸道评估,因为与其他原因导致的巨口食道症相比,其预后可能较好。
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来源期刊
CiteScore
1.30
自引率
14.30%
发文量
57
审稿时长
15 weeks
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